Rehab Centers: Suprascapular Nerve: Is It Important in Cuff Pathology?

Suprascapular nerve: is it important in cuff pathology?

Filed under: Rehab Centers

Adv Orthop. 2012; 2012: 516985
Shi LL, Freehill MT, Yannopoulos P, Warner JJ

Suprascapular nerve and rotator cuff function are intimately connected. The incidence of suprascapular neuropathy has been increasing due to improved understanding of the disease entity and detection methods. The nerve dysfunction often results from a traction injury or compression, and a common cause is increased tension on the nerve from retracted rotator cuff tears. Suprascapular neuropathy should be considered as a diagnosis if patients exhibit posterosuperior shoulder pain, atrophy or weakness of supraspinatus and infraspinatus without rotator cuff tear, or massive rotator cuff with retraction. Magnetic resonance imaging and electromyography studies are indicated to evaluate the rotator cuff and function of the nerve. Fluoroscopically guided injections to the suprascapular notch can also be considered as a diagnostic option. Nonoperative treatment of suprascapular neuropathy can be successful, but in the recent decade there is increasing evidence espousing the success of surgical treatment, in particular arthroscopic suprascapular nerve decompression. There is often reliable improvement in shoulder pain, but muscle atrophy recovery is less predictable. More clinical data are needed to determine the role of rotator cuff repair and nerve decompression in the same setting.
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Comparison of nursing home hearing handicap index with audiological findings: a presbycusis study.

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J Aging Res. 2012; 2012: 423801
Nilforoush MH, Nasr Esfahani AA, Ishaghi R, Sepehrnejad M

Hearing evaluation usually includes hearing threshold assessment, middle ear function, and word recognition tests that lead to an accurate result of peripheral and central auditory system. However, they have some limitations because they cannot fully encompass all aspects of hearing loss problems. Using self-assessment approach, via a questionnaire or telephone survey, is one of the easiest methods to study hearing loss in population. In this research, 60 nursing home residents (27 females and 33 males) ranging from 55 to 85 years with a mean age of 71 ± 5.5 were studied via completing self-assessment questionnaire by the elderly cases (NHHI self-version) and the other one was filled by the nursing home personnel (NHHI staff-version). The effects of the hearing loss level on the self- and staff-version scores indicated that there is a significant relationship between self- and staff-version with hearing loss levels (P < 0.05) in male and female. Results from this study demonstrate the usefulness of NHHI questionnaire for evaluating hearing handicap of aged people and it may be a useful adjunct in setting up treatment and determining proper care. HubMed – rehab


Clinical efficacy and safety of buyang huanwu decoction for acute ischemic stroke: a systematic review and meta-analysis of 19 randomized controlled trials.

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Evid Based Complement Alternat Med. 2012; 2012: 630124
Hao CZ, Wu F, Shen J, Lu L, Fu DL, Liao WJ, Zheng GQ

Buyang Huanwu Decoction (BHD) is a well-known traditional Chinese herbal prescription for treating stroke-induced disability. The objective of this study was to evaluate the efficacy and safety of BHD for acute ischemic stroke. A systematic literature search was performed in 6 databases until February 2012. Randomized controlled clinical trials (RCTs) that evaluate efficacy and safety of BHD for acute ischemic stroke were included. Nineteen RCTs with 1580 individuals were identified. The studies were generally of low methodological quality. Only one of the trial included death or dependency as a primary outcome measure. Only 4 trials reported adverse events. Meta-analysis showed the clinical effective rate of neurological deficit improvement favoring BHD when compared with western conventional medicines (WCM), P < 0.001. There is significant difference in the neurologic deficit score between the BHD treatment group and the WCM control group, P < 0.001. In Conclusion, BHD appears to improve neurological deficit and seems generally safe in patients with acute ischemic stroke. However, the current evidence is insufficient to support a routine use of BHD for acute ischemic stroke due to the poor methodological quality and lack of adequate safety data of the included studies. Further rigorously designed trials are required. HubMed – rehab


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