Shoulder and Elbow最新文献

{"title":"The effectiveness of graded motor imagery training on pain and functionality in patients with subacromial pain syndrome: A prospective, single-blind, randomized controlled trial.","authors":"Masoud Amir Rashedi Bonab, Tugba Kuru Colak, Ilker Colak, Ihsan Ozdamar","doi":"10.1177/17585732251340327","DOIUrl":"https://doi.org/10.1177/17585732251340327","url":null,"abstract":"<p><strong>Background: </strong>Pain from subacromial pain syndrome (SAPS) can limit individuals' daily activities and reduce physical performance. The effectiveness of graded motor imagery (GMI) training for this condition remains unexplored. This prospective, randomized controlled trial aimed to determine the effects of GMI training in patients with chronic painful SAPS.</p><p><strong>Methods: </strong>Forty-two patients with SAPS were randomly assigned to the GMI (n = 21) and the control (n = 21) groups. Primary measures were the visual analogue scale (VAS), and the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire. Secondary measures were Active Range of Motion (AROM), muscle strength, lateralization performance and Kinesthetic and Visual Imagery Questionnaire (KVIQ). Evaluations occurred at baseline, postintervention (6 weeks), and after a 6-week follow up.</p><p><strong>Results: </strong>The GMI group showed significantly greater improvements in both primary and secondary outcomes compared to the control group (p < 0.001). Significantly larger effect sizes were found in favor of the GMI group for VAS, DASH, abduction, external rotation AROM, muscle strength, lateralization performance, and KVIQ (ηp² < 0.14, p < 0.05, for all).</p><p><strong>Conclusions: </strong>The integration of GMI training into conventional physiotherapy for SAPS rehabilitation provides more effective clinical results in improving pain intensity and increasing functionality.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251340327"},"PeriodicalIF":1.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving outcomes in shoulder arthroplasty: A case series on the GPS-navigated bulk humeral autograft technique.","authors":"Chase Walton, Robert J Reis, Brandon Rogalski, Richard J Friedman, Josef K Eichinger","doi":"10.1177/17585732251339744","DOIUrl":"https://doi.org/10.1177/17585732251339744","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this case series is to evaluate the efficacy and safety of the GPS-navigated humeral head (HH) autograft technique in the setting of primary reverse total shoulder arthroplasty (rTSA) for severe glenoid bone loss.</p><p><strong>Methods: </strong>A database of prospectively enrolled patients was reviewed to identify patients who underwent GPS navigated primary rTSA with HH autograft (<i>N</i> = 8). Variables collected pre-operatively and at last follow up included demographics, active range of motion (ROM), patient reported outcome measures radiographic measures, complications, and revisions.</p><p><strong>Results: </strong>Mean age was 59.5 (range: 45-80), mean BMI was 26.8 (range: 18-37) and 5 patients were male. At final follow up (median: 24 months), patients had a mean increase in forward flexion of 44 (<i>p</i> = 0.003), external rotation of 27 (<i>p</i> = 0.039), internal rotation score of 1.1 (<i>p</i> = 0.048), global function score of 4.8 (<i>p</i> < 0.001), American Shoulder and Elbow Surgeons score of 44 (<i>p</i> < 0.001), and decrease in visual analog scale pain of 5 (<i>p</i> < 0.001). Two patients had evidence of glenoid component loosening at 3 years post-operatively, however only one was symptomatic requiring a revision operation.</p><p><strong>Discussion: </strong>Our findings demonstrate significant improvement in ROM, pain relief, and shoulder function following GPS-navigated primary rTSA with bulk HH autograft.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251339744"},"PeriodicalIF":1.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified frailty index is a useful predictor for complications following total elbow arthroplasty in all populations.","authors":"Bruce Tanner Seibold, Campbell Dopke, Theodore Quan, Sabrina Gill, Zachary Zimmer","doi":"10.1177/17585732251338764","DOIUrl":"https://doi.org/10.1177/17585732251338764","url":null,"abstract":"<p><strong>Background: </strong>This retrospective review aimed to specify whether the 5-item modified frailty index (mFI-5) is a valid measure for surgeons when assessing the likelihood of complications in patients undergoing total elbow arthroplasty (TEA).</p><p><strong>Methods: </strong>TEA patients 50 years or older were identified from the NSQIP database from 2006 to 2019. Patients were stratified based on age to create a 50+, a 65+, and an 80-89-year-old cohort. Thirty-day outcomes assessed in this study included mortality, unplanned readmission, return to the operating room, urinary tract infection, bleeding requiring transfusion, prolonged hospital stay, and discharge to a location other than home. The mFI-5 was calculated based on the sum of the presence of five comorbidities. Bivariate and multivariate analyses compared the complication rates among mFI-5 scores.</p><p><strong>Results: </strong>The study included a total of 614 TEA patients aged 50 years or older. Following adjustment, patients older than 50 with mFI-5 = 1 had an increased risk of being discharged to a non-home location compared to patients with mFI-5 = 0 (odds ratio (OR) 3.27). Compared to patients with mFI-5 = 0, those with mFI-5 = 2 or greater had an increased risk of bleeding requiring transfusion (OR 5.13), prolonged hospital stay (> 5 days) (OR 5.83), and discharge to a non-home destination (OR 9.88). Relative to patients with mFI-5 = 1, those with mFI-5 = 2 or greater were more likely to have prolonged hospital stay (OR 3.07) and discharge to a non-home location (OR 3.05). Patients older than 65 and patients in the 80-89-year-old cohort with mFI-5 = 2 were also more likely to have a non-home discharge (OR 10.40 and 21.84, respectively).</p><p><strong>Conclusion: </strong>Higher mFI-5 scores in patients aged 50 and older were associated with worse postoperative outcomes including non-home discharge, transfusion likelihood, and prolonged hospitalization. Similar trends were observed in both the 65 + and 80-89-year-old cohorts regarding the risk of non-home discharge, however, higher mFI-5 scores in these older groups did not have an increased likelihood of postoperative transfusion or prolonged hospital stay.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251338764"},"PeriodicalIF":1.5,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Thrower's Ten program's effect on shoulder flexibility, stability, and strength in water polo athletes.","authors":"Burak Asal, Nihan Özünlü Pekyavas","doi":"10.1177/17585732251335933","DOIUrl":"https://doi.org/10.1177/17585732251335933","url":null,"abstract":"<p><strong>Context: </strong>The Thrower's Ten (T10) rehabilitation program is proven effective in preventing and rehabilitating injuries in overhead throwing sports. Its effect on water polo athletes remains unclear.</p><p><strong>Methods: </strong>This study involved 46 water polo athletes (age = 16.89 ± 2.89 years, height = 173.09 ± 9.40 cm, mass = 64.50 ± 11.96 kg, BMI = 21.39 ± 2.81 kg/m²) randomized into T10 and control groups. The T10 group performed T10 exercises three times weekly for 10 weeks, with each exercise consisting of 2 × 10 repetitions. The control group followed regular water polo training without additional exercises. Assessments were conducted before and after the intervention, measuring upper extremity internal and external rotation strength with an isokinetic dynamometer, shoulder stability using the Closed Kinetic Chain Upper Extremity Test (CKCUEST), and shoulder flexibility through internal and external rotation range of motion tests.</p><p><strong>Results: </strong>The T10 group showed significant improvements in CKCUEST scores, shoulder flexibility, and non-dominant extremity internal rotation strength compared to pre-intervention values (<i>P</i> < 0.05). In CKCUEST average touches and normalized score measurements, the T10 group performed significantly better than the control group (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>T10 exercises enhanced stability and flexibility in water polo athletes, with partial effectiveness in improving strength.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251335933"},"PeriodicalIF":1.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The deltoid abduction lag test for assessment of axillary nerve injury and functional deltoid recovery.","authors":"Ashley I Simpson, Rory Cuthbert, Michael Fox","doi":"10.1177/17585732251336183","DOIUrl":"https://doi.org/10.1177/17585732251336183","url":null,"abstract":"<p><strong>Background: </strong>Diagnosis and assessment of functional deltoid recovery following axillary nerve injury is challenging due to numerous other muscular contributions to shoulder movement - particularly supraspinatus, rhomboids and long head of triceps. We present the deltoid abduction lag test (DALT) which offers four clear benefits: 1) it successfully isolates deltoid in the presence of a functioning supraspinatus with intact tendon and attachment; 2) it is safe to perform early following anterior shoulder dislocation (the most common cause of axillary nerve injury); 3) it allows assessment of early functional reinnervation of posterior deltoid to aid decision-making with respect to surgical intervention; 4) it is an objective measure which does not rely on patient compliance with initiation of active movement.</p><p><strong>Methods: </strong>A retrospective review of consecutive patients referred with axillary nerve injury to a national centre for Peripheral Nerve Injury between 2014 and 2024 was conducted. Inclusion criteria was isolated persistent axillary nerve injury confirmed on neurophysiological testing with intact rotator cuff, rhomboid and triceps function. Patients who had undergone prior nerve transfer to address axillary nerve injury were excluded. Patients were independently assessed by two orthopaedic surgeons and a Cohen's kappa (κ) value was calculated to assess inter-rater reliability. The DALT was performed with a goniometer used to measure degree of lag comparative to the coronal plane. Passive range of shoulder movement, rotator cuff / triceps / rhomboid power, upper lateral cutaneous nerve sensation, swallow-tail test, deltoid extension lag test, 'akimbo' test and Bertelli test were documented for both shoulders.</p><p><strong>Results: </strong>Six patients with a mean age of 36 (15-68) were included. The DALT was positive in all cases of ongoing axillary nerve palsy. There was no discrepancy between both surgeons' independent clinical interpretation of the DALT.</p><p><strong>Conclusion: </strong>The DALT successfully and reproducibly isolates deltoid function and identifies axillary nerve palsy. We specifically advocate using this test immediately following injury to confirm the presence of an axillary nerve lesion, at 3 months post-injury to identify patients who have experienced a neurapraxic injury and at 6 months to identify axonal lesions which may benefit from surgical intervention.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251336183"},"PeriodicalIF":1.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"British Elbow and Shoulder Society patient care pathway: Frozen shoulder.","authors":"Neal Rupani, Steve E Gwilym","doi":"10.1177/17585732251335955","DOIUrl":"https://doi.org/10.1177/17585732251335955","url":null,"abstract":"<p><strong>Background: </strong>Current guidelines from the British Elbow and Shoulder Society (BESS) were published in 2015 for managing frozen shoulders in the primary and secondary care setting. Updated guidelines have been developed using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) methodology.</p><p><strong>Methods: </strong>A multi-disciplinary BESS Working Group defined key management questions based on agreed outcome measures and time points. A literature search, conducted up to March 2023 following PRISMA guidelines, identified randomised controlled trials, systematic reviews, and meta-analyses. Quality assessments were performed using the GRADE Decision Framework, considering bias, imprecision, indirectness, and inconsistency. Data were extracted for meta-analysis. In the absence of high-quality trials, narrative reviews were created.</p><p><strong>Results: </strong>Consensus opinions produced statements based on the quality and volume of evidence and the magnitude of desirable and undesirable effects. These statements form a comprehensive framework for managing frozen shoulder.</p><p><strong>Discussion: </strong>This updated guideline provides evidence-based guidance for managing frozen shoulder and identifies key areas for future research.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251335955"},"PeriodicalIF":1.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To ski or not to ski? A meta-analysis of more than 750,000 upper extremity injuries comparing skiing and snowboarding.","authors":"Aline Chauffard, Aurélien Traverso, Gwenaël Kaminski, Jolanda Elmers, Olivier Borens, Frédéric Vauclair","doi":"10.1177/17585732251326905","DOIUrl":"https://doi.org/10.1177/17585732251326905","url":null,"abstract":"<p><strong>Background: </strong>Alpine skiing has seen advancements in equipment since the year 2000, with the appearance of ski carving. Its impact on upper extremity injuries has yet to be proven. We conducted a meta-analysis to determine the epidemiology of upper extremity injuries in alpine skiing and snowboarding, its chronological evolution in the last two decades, and the impact of carving.</p><p><strong>Method: </strong>A systematic search in PubMed was conducted including studies from 1939 to 2024. The search strategy used text words and relevant indexing to identify articles discussing upper extremity injuries associated with those activities while providing statistical and epidemiological data.</p><p><strong>Results: </strong>77 studies including a total of 764,423 patients were analysed. The most commonly injured upper extremity segments are the shoulder (37%) for skiing and the wrist (36%) for snowboarding. The main upper extremity dislocation is glenohumeral (36%) for skiing and the elbow (46%) for snowboarding. Hand injuries are significantly more prevalent while skiing, but the rest of the upper extremity injuries are significantly more prevalent with snowboarding.</p><p><strong>Discussion: </strong>The time trends from the year 2000 and on have shown a significant increase in upper extremity injuries with ski carving. Snowboarding injury epidemiology has not significantly changed in this period.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251326905"},"PeriodicalIF":1.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes of Grammont style reverse shoulder arthroplasty at a minimum of 10-year follow-up: A survival analysis.","authors":"Sophie J Donoghue, Mark G Williams, Eleanor G Burden, Jamie East, Timothy J Batten, Eleanor Pearce, Jonathan P Evans, Christopher D Smith","doi":"10.1177/17585732251331474","DOIUrl":"https://doi.org/10.1177/17585732251331474","url":null,"abstract":"<p><strong>Background: </strong>Reverse shoulder arthroplasty (RSA) is an established and successful treatment for rotator cuff tear arthropathy. Despite increased popularity, there is a paucity of long-term survivorship data and patient-reported outcome measures. This study aimed to establish the survival at a minimum 10-year follow-up for a Grammont-style reverse shoulder prosthesis.</p><p><strong>Methods: </strong>A single centre, retrospective case series of 101 primary RSAs in 86 patients, performed between 1999 and 2012 was conducted. The primary outcome measure was all-cause revision. Implant survivorship analysis using the Kaplan-Meier method was conducted. Deaths were censored. Secondary outcomes included up-to-date Oxford Shoulder Score (OSS) in surviving patients, historic OSS scores over time and radiological outcomes.</p><p><strong>Results: </strong>Mean age was 76 years (SD ± 7.29) at time of surgery. The 10-year implant survival was 93.2% (95% confidence interval [CI] 87.8-98.6). The mean OSS was 33 (range 17-48, 95% CI 29.1-36.9) with a minimum of 10-year follow-up (<i>n</i> = 21). Radiographic review showed scapular notching in 79% of implants over 10 years old, but no radiolucency around humeral implants.</p><p><strong>Conclusions: </strong>The rate of RSA survivorship is high at 93.2% at 10 years. Most patients died with their primary implant <i>in-situ</i>. Functional outcome scores were less predictable over time.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251331474"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in shoulder range of motion and muscle strength, and upper limb performance immediately after participation in throwing and racket sports: A systematic review and meta-analysis.","authors":"Jayne Pereira Silva, Vander Gava, Alessandra Pereira Ribeiro, Rodrigo Scattone Silva, Danilo Harudy Kamonseki, Germanna Medeiros Barbosa","doi":"10.1177/17585732251327677","DOIUrl":"https://doi.org/10.1177/17585732251327677","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review studies investigating alterations in shoulder range of motion (ROM), muscle strength, and upper limb performance immediately following participation in throwing or racket sports.</p><p><strong>Methods: </strong>The search was conducted in MEDLINE via Ovid, EMBASE, CINAHL, SPORTDiscus, Cochrane Central Register for Controlled Trials (CENTRAL), Web of Science, and Scopus databases. Studies assessing changes in shoulder ROM, muscle strength, and upper limb performance immediately after exposure to throwing or racket sports were selected. The Quality Assessment Tool for Before-After Studies (NIH) was used to quantify the risk of bias. Meta-analyses were conducted to verify clinical changes in the selected outcomes.</p><p><strong>Results: </strong>A total of 9149 records were identified, and 27 were included in the meta-analysis. There was a decrease in internal rotation (IR) ROM of the shoulder (SMD: 0.50; 95% confidence interval [CI]: 0.22, 0.79) and throwing speed (SMD: 0.42; 95% CI: 0.15, 0.70) immediately after participation in throwing sports, while no significant changes were observed in racket sports.</p><p><strong>Conclusion: </strong>Exposure to real or simulated matches reduced IR ROM and ball speed in throwers but not in racket sports athletes. These results will assist clinicians in planning strategies to mitigate the decreases in sports performance in these athletes between matches.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251327677"},"PeriodicalIF":1.5,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between kinetic chain factors and the presence of shoulder pain in the non-athletic population.","authors":"Hilmaynne Renaly Fonseca Fialho, Romário Nóbrega Santos Fonseca, Rodrigo Scattone Silva, Alessandra Pereira Ribeiro, Paulo Henrique Chagas Nascimento, Danilo Harudy Kamonseki, Germanna Medeiros Barbosa","doi":"10.1177/17585732251328338","DOIUrl":"https://doi.org/10.1177/17585732251328338","url":null,"abstract":"<p><strong>Background: </strong>The proximal-distal energy transfer between body segments occurs through the kinetic chain. Although some kinetic chain aspects have been investigated in individuals not engaged in sports, their relationship with shoulder pain in this population remains unclear. This cross-sectional study aimed to verify associations between kinetic chain factors and the presence of shoulder pain in adults.</p><p><strong>Methods: </strong>Lumbopelvic stability (single-leg bridge test); active range of motion of the shoulder, trunk, and hip; and isometric peak strength of shoulder, trunk, hip, and knee muscles were assessed. A multivariate binary logistic regression analyzed the likelihood of shoulder pain based on these clinical results.</p><p><strong>Results: </strong>Forty individuals (26.3 ± 10.4 years, 19 with shoulder pain) were assessed. The isometric strength of trunk extensor muscles significantly influenced the regression model (odds ratio = 0.99 [0.98-1.00]; <i>p</i> = 0.027), indicating that each 1 N increase in strength reduced the likelihood of shoulder pain by about 1%. No significant relationships were observed between other outcomes and shoulder pain.</p><p><strong>Discussion: </strong>Isometric strength of trunk extensor muscles may be associated with shoulder pain. No associations were observed between shoulder pain and stability, mobility, and strength of other kinetic chain segments.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251328338"},"PeriodicalIF":1.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}