Scapular and humeral elevation coordination patterns used before vs. after Reverse Total Shoulder Arthroplasty
The purpose of this study was to compare scapulohumeral coordination used before and after Reverse Total Shoulder Arthroplasty (RTSA) during the ascent phase of scapular plane arm elevation tasks performed with varied shoulder rotations (neutral, external rotation, and internal rotation). We expecte...
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| Veröffentlicht in: | Journal of biomechanics 2021-08, Vol.125, p.110550-110550, Article 110550 |
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| container_title | Journal of biomechanics |
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| creator | Zaferiou, Antonia M. Knowlton, Christopher B. Jang, Suk-Hwan Saltzman, Bryan M. Verma, Nikhil N. Forsythe, Brian Nicholson, Gregory P. Romeo, Anthony A. |
| description | The purpose of this study was to compare scapulohumeral coordination used before and after Reverse Total Shoulder Arthroplasty (RTSA) during the ascent phase of scapular plane arm elevation tasks performed with varied shoulder rotations (neutral, external rotation, and internal rotation). We expected that after RTSA, participants would decrease scapulothoracic upward rotation angular displacement and increase the scapulohumeral rhythm (SHR) vs. before RTSA. 11 RTSA patients (12 shoulders) participated in this study before and after RTSA while optical motion capture measured kinematics of the humerus and scapula relative to the thorax. Angular kinematics were compared pre vs. post-RTSA within-participant using One Dimensional Statistical Parametric Mapping (SPM) t-tests (α = 0.05) and across-participants, using paired t-tests (α = 0.05) adjusted for multiple comparisons. As a group, during arm elevation with neutral rotation, the mean (SD) SHR pre-RTSA was 1.5 (0.5) and increased to 1.7 (0.3) post-RTSA, though, not significantly (p = 0.182). In contrast, during arm elevation with external rotation, the mean (SD) SHR pre-RTSA was 1.3 (0.4) and significantly increased (p = 0.018) post-RTSA to 1.7 (0.3). Likewise, during arm elevation with internal rotation, the mean (SD) SHR pre-RTSA was 1.2 (0.3) and significantly increased (p |
| doi_str_mv | 10.1016/j.jbiomech.2021.110550 |
| format | Article |
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We expected that after RTSA, participants would decrease scapulothoracic upward rotation angular displacement and increase the scapulohumeral rhythm (SHR) vs. before RTSA. 11 RTSA patients (12 shoulders) participated in this study before and after RTSA while optical motion capture measured kinematics of the humerus and scapula relative to the thorax. Angular kinematics were compared pre vs. post-RTSA within-participant using One Dimensional Statistical Parametric Mapping (SPM) t-tests (α = 0.05) and across-participants, using paired t-tests (α = 0.05) adjusted for multiple comparisons. As a group, during arm elevation with neutral rotation, the mean (SD) SHR pre-RTSA was 1.5 (0.5) and increased to 1.7 (0.3) post-RTSA, though, not significantly (p = 0.182). In contrast, during arm elevation with external rotation, the mean (SD) SHR pre-RTSA was 1.3 (0.4) and significantly increased (p = 0.018) post-RTSA to 1.7 (0.3). Likewise, during arm elevation with internal rotation, the mean (SD) SHR pre-RTSA was 1.2 (0.3) and significantly increased (p < 0.001) post-RTSA to 1.7 (0.2). In addition to these and other group trends, participant-specific patterns were uncovered through SPM analyses – with some participants significantly increasing and others significantly decreasing scapulothoracic angular displacements across humerothoracic elevation ranges. Both before and after RTSA, scapulohumeral rhythm ratios were within the range of those previously reported in post-RTSA patients and were smaller than those used by healthy populations.</description><identifier>ISSN: 0021-9290</identifier><identifier>EISSN: 1873-2380</identifier><identifier>DOI: 10.1016/j.jbiomech.2021.110550</identifier><identifier>PMID: 34198022</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Arthroplasty ; Biomechanics ; Biophysics ; Calibration ; Coordination ; Engineering ; Engineering, Biomedical ; Humerus ; Joint replacement surgery ; Joint surgery ; Kinematics ; Life Sciences & Biomedicine ; Motion capture ; Pain ; Reverse Scapula ; Rhythm ; Rotation ; Rotator cuff ; Scapula ; Scapulohumeral Rhythm ; Science & Technology ; Shoulder ; Technology ; Thorax</subject><ispartof>Journal of biomechanics, 2021-08, Vol.125, p.110550-110550, Article 110550</ispartof><rights>2021 Elsevier Ltd</rights><rights>2021. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>4</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000685352700002</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c373t-bad1f422e51c3e7564f41b3857b2dfd15b64e529e185b8563271b2be34ebd7d43</citedby><cites>FETCH-LOGICAL-c373t-bad1f422e51c3e7564f41b3857b2dfd15b64e529e185b8563271b2be34ebd7d43</cites><orcidid>0000-0001-7922-3693</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2558440917?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974,64362,64364,64366,72216</link.rule.ids></links><search><creatorcontrib>Zaferiou, Antonia M.</creatorcontrib><creatorcontrib>Knowlton, Christopher B.</creatorcontrib><creatorcontrib>Jang, Suk-Hwan</creatorcontrib><creatorcontrib>Saltzman, Bryan M.</creatorcontrib><creatorcontrib>Verma, Nikhil N.</creatorcontrib><creatorcontrib>Forsythe, Brian</creatorcontrib><creatorcontrib>Nicholson, Gregory P.</creatorcontrib><creatorcontrib>Romeo, Anthony A.</creatorcontrib><title>Scapular and humeral elevation coordination patterns used before vs. after Reverse Total Shoulder Arthroplasty</title><title>Journal of biomechanics</title><addtitle>J BIOMECH</addtitle><description>The purpose of this study was to compare scapulohumeral coordination used before and after Reverse Total Shoulder Arthroplasty (RTSA) during the ascent phase of scapular plane arm elevation tasks performed with varied shoulder rotations (neutral, external rotation, and internal rotation). We expected that after RTSA, participants would decrease scapulothoracic upward rotation angular displacement and increase the scapulohumeral rhythm (SHR) vs. before RTSA. 11 RTSA patients (12 shoulders) participated in this study before and after RTSA while optical motion capture measured kinematics of the humerus and scapula relative to the thorax. Angular kinematics were compared pre vs. post-RTSA within-participant using One Dimensional Statistical Parametric Mapping (SPM) t-tests (α = 0.05) and across-participants, using paired t-tests (α = 0.05) adjusted for multiple comparisons. As a group, during arm elevation with neutral rotation, the mean (SD) SHR pre-RTSA was 1.5 (0.5) and increased to 1.7 (0.3) post-RTSA, though, not significantly (p = 0.182). In contrast, during arm elevation with external rotation, the mean (SD) SHR pre-RTSA was 1.3 (0.4) and significantly increased (p = 0.018) post-RTSA to 1.7 (0.3). Likewise, during arm elevation with internal rotation, the mean (SD) SHR pre-RTSA was 1.2 (0.3) and significantly increased (p < 0.001) post-RTSA to 1.7 (0.2). In addition to these and other group trends, participant-specific patterns were uncovered through SPM analyses – with some participants significantly increasing and others significantly decreasing scapulothoracic angular displacements across humerothoracic elevation ranges. Both before and after RTSA, scapulohumeral rhythm ratios were within the range of those previously reported in post-RTSA patients and were smaller than those used by healthy populations.</description><subject>Arthroplasty</subject><subject>Biomechanics</subject><subject>Biophysics</subject><subject>Calibration</subject><subject>Coordination</subject><subject>Engineering</subject><subject>Engineering, Biomedical</subject><subject>Humerus</subject><subject>Joint replacement surgery</subject><subject>Joint surgery</subject><subject>Kinematics</subject><subject>Life Sciences & Biomedicine</subject><subject>Motion capture</subject><subject>Pain</subject><subject>Reverse Scapula</subject><subject>Rhythm</subject><subject>Rotation</subject><subject>Rotator cuff</subject><subject>Scapula</subject><subject>Scapulohumeral Rhythm</subject><subject>Science & 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and humeral elevation coordination patterns used before vs. after Reverse Total Shoulder Arthroplasty</title><author>Zaferiou, Antonia M. ; Knowlton, Christopher B. ; Jang, Suk-Hwan ; Saltzman, Bryan M. ; Verma, Nikhil N. ; Forsythe, Brian ; Nicholson, Gregory P. ; Romeo, Anthony A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-bad1f422e51c3e7564f41b3857b2dfd15b64e529e185b8563271b2be34ebd7d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Arthroplasty</topic><topic>Biomechanics</topic><topic>Biophysics</topic><topic>Calibration</topic><topic>Coordination</topic><topic>Engineering</topic><topic>Engineering, Biomedical</topic><topic>Humerus</topic><topic>Joint replacement surgery</topic><topic>Joint surgery</topic><topic>Kinematics</topic><topic>Life Sciences & Biomedicine</topic><topic>Motion capture</topic><topic>Pain</topic><topic>Reverse 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BIOMECH</stitle><date>2021-08-26</date><risdate>2021</risdate><volume>125</volume><spage>110550</spage><epage>110550</epage><pages>110550-110550</pages><artnum>110550</artnum><issn>0021-9290</issn><eissn>1873-2380</eissn><abstract>The purpose of this study was to compare scapulohumeral coordination used before and after Reverse Total Shoulder Arthroplasty (RTSA) during the ascent phase of scapular plane arm elevation tasks performed with varied shoulder rotations (neutral, external rotation, and internal rotation). We expected that after RTSA, participants would decrease scapulothoracic upward rotation angular displacement and increase the scapulohumeral rhythm (SHR) vs. before RTSA. 11 RTSA patients (12 shoulders) participated in this study before and after RTSA while optical motion capture measured kinematics of the humerus and scapula relative to the thorax. Angular kinematics were compared pre vs. post-RTSA within-participant using One Dimensional Statistical Parametric Mapping (SPM) t-tests (α = 0.05) and across-participants, using paired t-tests (α = 0.05) adjusted for multiple comparisons. As a group, during arm elevation with neutral rotation, the mean (SD) SHR pre-RTSA was 1.5 (0.5) and increased to 1.7 (0.3) post-RTSA, though, not significantly (p = 0.182). In contrast, during arm elevation with external rotation, the mean (SD) SHR pre-RTSA was 1.3 (0.4) and significantly increased (p = 0.018) post-RTSA to 1.7 (0.3). Likewise, during arm elevation with internal rotation, the mean (SD) SHR pre-RTSA was 1.2 (0.3) and significantly increased (p < 0.001) post-RTSA to 1.7 (0.2). In addition to these and other group trends, participant-specific patterns were uncovered through SPM analyses – with some participants significantly increasing and others significantly decreasing scapulothoracic angular displacements across humerothoracic elevation ranges. Both before and after RTSA, scapulohumeral rhythm ratios were within the range of those previously reported in post-RTSA patients and were smaller than those used by healthy populations.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><pmid>34198022</pmid><doi>10.1016/j.jbiomech.2021.110550</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7922-3693</orcidid></addata></record> |
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| subjects | Arthroplasty Biomechanics Biophysics Calibration Coordination Engineering Engineering, Biomedical Humerus Joint replacement surgery Joint surgery Kinematics Life Sciences & Biomedicine Motion capture Pain Reverse Scapula Rhythm Rotation Rotator cuff Scapula Scapulohumeral Rhythm Science & Technology Shoulder Technology Thorax |
| title | Scapular and humeral elevation coordination patterns used before vs. after Reverse Total Shoulder Arthroplasty |
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