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Physical Therapy and Exercise to Increase ROM and Decrease Pain

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Shoulder Arthritis across the Life Span

Abstract

Patients with glenohumeral osteoarthritis (OA) present shoulder pain and decreased shoulder range of motion (ROM). Abnormal scapular motion is also seen in patients as adaptation to the restricted glenohumeral motion. Physical therapy for patients with glenohumeral OA is performed to (1) decrease pain, (2) increase shoulder ROM, and (3) protect the glenohumeral joint. To decrease pain, we should assess whether the pain appears at rest or during shoulder motion. Physical therapy may be effective for motion pain rather than rest pain. To increase shoulder ROM, we need to identify the soft tissues responsible for the ROM loss and perform intervention to the target tissues. To protect the glenohumeral joint, rotator cuff strengthening exercises are recommended as muscle weakness and/or imbalance of the rotator cuff may initiate and aggravate glenoid deformity.

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Author information

Authors and Affiliations

  1. Department of Rehabilitation, Tohoku University Hospital, Sendai, Japan

    Hiroaki Ishikawa & Takayuki Muraki

  2. Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai, Japan

    Hiroaki Ishikawa & Takayuki Muraki

  3. Department of Sports Medicine, Federal University of São Paulo, São Paulo, Brazil

    Ronaldo Alves Cunha & Benno Ejnisman

  4. Department of Orthopaedic Surgery, Tohoku Rosai Hospital, Sendai, Japan

    Eiji Itoi

Authors
  1. Hiroaki Ishikawa
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  2. Takayuki Muraki
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  3. Ronaldo Alves Cunha
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  4. Benno Ejnisman
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  5. Eiji Itoi
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Corresponding author

Correspondence to Eiji Itoi .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

    Augustus D. Mazzocca

  2. Department of Orthopedic Surgery and Traumatology, Fundacion Jimenez Diaz Universidad Autonoma, Madrid, Spain

    Emilio Calvo

  3. Concordia Hospital, Rome, Italy

    Giovanni Di Giacomo

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Ishikawa, H., Muraki, T., Cunha, R.A., Ejnisman, B., Itoi, E. (2023). Physical Therapy and Exercise to Increase ROM and Decrease Pain. In: Mazzocca, A.D., Calvo, E., Di Giacomo, G. (eds) Shoulder Arthritis across the Life Span. Springer, Cham. https://doi.org/10.1007/978-3-031-33298-2_1

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  • DOI: https://doi.org/10.1007/978-3-031-33298-2_1

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  • Online ISBN: 978-3-031-33298-2

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