The shoulder is a unique anatomical structure with an extraordinary range of motion (ROM) that is crucial in most interactions with our environment. A loss of mobility of this joint will cause significant morbidity. The shoulder is the most mobile joint in the body. However, it is an unstable joint because of its great ROM. This instability increases the likelihood of joint injury, often leading to a degenerative process associated with tissue break down and loss of function. Shoulder pain is then a common complaint and there are many causes including: tendinitis and tear to different muscles of the shoulder joint, bursitis or adhesive capsulitis. The goal of the initial treatment is to decrease inflammation and increase the shoulder ROM.
Vibration induced presynaptic inhibition is mediated through group Ia fibers rather than groups Ib and II or afferent fibers arising from Pacinian corpuscles. Presynaptic inhibition can be explained by the depression in the size of the excitatory post synaptic potential without any detectable change in the resting membrane potential or in the excitability of the post synaptic cell.
Richard Roy, Conservative Management of Biceps Brachii Spasticity and Pain with Vibration at the Proper Frequency Range Produced By Oscillating Percussion: Case Report
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Last date updated on June, 2014