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Kinetic chain revisited: Consensus expert opinion on terminology, clinical reasoning, examination and treatment in people with shoulder pain.

Enrique Lluch-GirbésNéstor Requejo-SalinasRubén Fernández-MatíasEsther RevertMar Vila MejíasPaula Rezende CamargoAnju JaggiAaron SciasciaIan HorsleyMarisa PontilloJo GibsonEllie RichardsonFredrik JohanssonAnnelies MaenhoutGretchen D OliverElif TurgutChandrasekaran JayaramanIrem DüzgünDorien BormsTodd EllenbeckerAnn Cools
Published in: Journal of shoulder and elbow surgery (2023)
This study defined a list of 102 items across five different domains (terminology, rationale and clinical reasoning, subjective examination, physical examination and treatment) regarding to KC in people with shoulder pain. The term KC was preferred and a definition for this concept agreed. Dysfunction of a segment in the chain (i.e., weak link) was agreed to result in altered performance or injury to distal segments. Experts considered important to assess and treat the KC in particular in throwing/overhead athletes and agreed that no one size fits all approach exist when implementing shoulder KC exercises within the rehabilitation process. Further research is now required to determine the validity of the identified items.
Keyphrases
  • chronic pain
  • neuropathic pain
  • physical activity
  • rotator cuff
  • oxidative stress
  • mental health
  • preterm infants
  • clinical practice
  • depressive symptoms
  • quality improvement
  • smoking cessation
  • gestational age