Magnetic resonance imaging evaluation of muscle usage associated with three exercises for rotator cuff rehabilitation

Methods of determining muscle usage for exercises involving rotator cuff muscles are limited. Therefore, this investigation used magnetic resonance imaging (MRI) to evaluate the effect of three different exercises used for rehabilitation of the rotator cuff. Five normal volunteer subjects (3 men, 2...

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Veröffentlicht in:Medicine and science in sports and exercise 1999-10, Vol.31 (10), p.1361-1366
Hauptverfasser: HORRIGAN, J. M, SHELLOCK, F. G, MINK, J. H, DEUTSCH, A. L
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container_end_page 1366
container_issue 10
container_start_page 1361
container_title Medicine and science in sports and exercise
container_volume 31
creator HORRIGAN, J. M
SHELLOCK, F. G
MINK, J. H
DEUTSCH, A. L
description Methods of determining muscle usage for exercises involving rotator cuff muscles are limited. Therefore, this investigation used magnetic resonance imaging (MRI) to evaluate the effect of three different exercises used for rehabilitation of the rotator cuff. Five normal volunteer subjects (3 men, 2 women, mean age 31.4 yr) were studied. The exercises were scaption with internal rotation (SIR), military press (MP), and side-lying 45 degrees abduction (SLA). MR imaging was performed immediately before and after exercise using a "fast" spin echo STIR sequence and oblique coronal plane imaging. Changes in signal intensity pre- and post-exercise were measured at comparable section locations for the MR images of the supraspinatus, infraspinatus, teres minor, subscapularis, deltoid, and trapezius. The SLA showed the greatest increase in signal intensity in all the muscles (percent change, P < 0.01) except for the trapezius, which was used more by the MP and SIR. None of the exercises activated the teres minor (percent change, P = not significant). These findings have important implications in efficacy of physical rehabilitation of the rotator cuff and avoidance of subacromial impingement exercise motions.
doi_str_mv 10.1097/00005768-199910000-00001
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subjects Adult
Biological and medical sciences
Diseases of the osteoarticular system. Orthopedic treatment
Exercise
Female
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Muscle, Skeletal - physiology
Physical Therapy Modalities
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rotator Cuff - pathology
Rotator Cuff - physiology
Shoulder Impingement Syndrome - rehabilitation
Space life sciences
title Magnetic resonance imaging evaluation of muscle usage associated with three exercises for rotator cuff rehabilitation
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