Physiotherapist’s Perspective to Importance of Pathophysiology of Supraspinatus Tendonitis in Proper Rehabilitation of Pain and Dysfunction

Authors

  • Karishma Chawla Shree Guru Gobind Singh Tricentenary University https://orcid.org/0000-0002-9175-7142
  • Zainy Khan Jamia Millia Islamia
  • Nitin Dhar Amity University

DOI:

https://doi.org/10.51611/iars.irj.v13i01.2023.232

Keywords:

Supraspinatus Tendonitis, Impingement, Pain, Inflammation, Physiotherapy, Tendon Injuries

Abstract

This article focuses on the physiotherapist perspective on the importance of pathophysiology of the Supraspinatus. Tendonitis is a very frequent cause of shoulder pain. The tendinopathy of supraspinatus most frequently affects people involved in various sports driven actions and above the head work in our daily living. It is thought to be caused by both intrinsic and extrinsic factors, but for simplification they were divided into Anatomical, Biomechanical, Vascularity, Activity related, Biochemical and Age-related factors. The following data-bases were searched for both published and unpublished studies in English language for the period of 1962 to 2022: PubMed, EMBRACE, MedLine, Web of Science, Scopus. The following terms were used to carry out the search: Shoulder, impingement, supraspinatus, pain, pathophysiology, physiotherapy implication, athletes, older adults. We conclude that it is important to have in-depth knowledge about these concepts of pathophysiology of pain in terms of all possible etiologies and the healing process which helps the physiotherapist to make wise decisions about the rehabilitation process.

Downloads

Download data is not yet available.

References

Spargoli G. Supraspinatus tendon pathomechanics: a current concepts review. International journal of sports physical therapy. 2018 Dec;13(6):1083.

Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Annals of the rheumatic diseases. 1998 Nov 1;57(11):649-55.

Arrigoni P, Brady PC, Burkhart SS. Calcific tendonitis of the subscapularis tendon causing subcoracoid stenosis and coracoid impingement. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2006 Oct 1;22(10):1139-e1.

Ling SC, Chen CF, Wan RX. A study on the vascular supply of the supraspinatus tendon. Surgical and Radiologic Anatomy. 1990 Sep 1;12(3):161-5.

McMahon PJ, Debski RE, Thompson WO, Warner JJ, Fu FH, Woo SL. Shoulder muscle forces and tendon excursions during glenohumeral abduction in the scapular plane. Journal of shoulder and elbow surgery. 1995 May 1;4(3):199-208.

Shin KM. Partial-thickness rotator cuff tears. The Korean journal of pain. 2011 Jun;24(2):69.

Khan K, Cook J. The painful nonruptured tendon: clinical aspects. Clinics in sports medicine. 2003 Oct 1;22(4):711-25.

Riley G. The pathogenesis of tendinopathy. A molecular perspective. Rheumatology. 2004 Feb 1;43(2):131-42.

Thomopoulos S, Genin GM, Galatz LM. The development and morphogenesis of the tendon-to-bone insertion What development can teach us about healing. Journal of musculoskeletal & neuronal interactions. 2010 Mar;10(1):35.

Ward AD, Hamarneh G, Ashry R, Schweitzer ME. 3D shape analysis of the supraspinatus muscle: a clinical study of the relationship between shape and pathology. Academic radiology. 2007 Oct 1;14(10):1229-41.

Vahlensieck M, An Haack K, Schmidt HM. Two portions of the supraspinatus muscle: a new finding about the muscles macroscopy by dissection and magnetic resonance imaging. Surgical and Radiologic Anatomy. 1994 Mar;16(1):101-4.

Kim SY, Boynton EL, Ravichandiran K, Fung LY, Bleakney R, Agur AM. Three‐dimensional study of the musculotendinous architecture of supraspinatus and its functional correlations. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2007 Aug;20(6):648-55.

Huang CY, Wang VM, Pawluk RJ, Bucchieri JS, Levine WN, Bigliani LU, Mow VC, Flatow EL. Inhomogeneous mechanical behavior of the human supraspinatus tendon under uniaxial loading. Journal of orthopaedic research. 2005 Jul;23(4):924-30.

Fırat T, Türker T. Is the long sarcomere length responsible for non-traumatic supraspinatus tendinopathy? Potential novel pathophysiology and implications for physiotherapy. Pathophysiology. 2012 Jun 1;19(3):179-83.

Ban AA, Makada MT, Bahri NU. Correlation of supraspinatus tears and tendinosis with acromion morphology and acromioclavicular arthritis based on conventional MRI and CT. J Med Sci Clin Res. 2019;7(06):106-15. DOI:

Balke M, Schmidt C, Dedy N, Banerjee M, Bouillon B, Liem D. Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta orthopaedica. 2013 Jan 1;84(2):178-83.

Balke M, Liem D, Greshake O, Hoeher J, Bouillon B, Banerjee M. Differences in acromial morphology of shoulders in patients with degenerative and traumatic supraspinatus tendon tears. Knee surgery, Sports Traumatology, Arthroscopy. 2016 Jul;24(7):2200-5.

Nakajima T, Hughes RE, An KN. Effects of glenohumeral rotations and translations on supraspinatus tendon morphology. Clinical biomechanics. 2004 Jul 1;19(6):579-85.

Kim SY, Ko JB, Dickerson CR, Collins DF. Electromyographic investigation of anterior and posterior regions of supraspinatus: a novel approach based on anatomical insights. International Biomechanics. 2017 Nov 3;4(2):60-7.

Spracklin A. The Mechanical Environment of the Supraspinatus During Arm Elevation: A Three- Dimensional Finite Element Analysis.

Moor BK, Bouaicha S, Rothenfluh DA, Sukthankar A, Gerber C. Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint? A radiological study of the critical shoulder angle. The bone & joint journal. 2013 Jul;95(7):935-41.

Gerber C, Snedeker JG, Baumgartner D, Viehöfer AF. Supraspinatus tendon load during abduction is dependent on the size of the critical shoulder angle: a biomechanical analysis. Journal of Orthopaedic Research. 2014 Jul;32(7):952-7.

McCreesh KM, Purtill H, Donnelly AE, Lewis JS. Increased supraspinatus tendon thickness following fatigue loading in rotator cuff tendinopathy: potential implications for exercise therapy. BMJ open sport & exercise medicine. 2017 Dec 1;3(1).

Chopp JN, O'Neill JM, Hurley K, Dickerson CR. Superior humeral head migration occurs after a protocol designed to fatigue the rotator cuff: a radiographic analysis. Journal of shoulder and elbow surgery. 2010 Dec 1;19(8):1137-44.

Sano H, Ishii H, Yeadon A, Backman DS, Brunet JA, Uhthoff HK. Degeneration at the insertion weakens the tensile strength of the supraspinatus tendon: A comparative mechanical and histologic study of the bone‐tendon complex. Journal of orthopaedic research. 1997 Sep;15(5):719-26.

Biberthaler P, Wiedemann E, Nerlich A, Kettler M, Mussack T, Deckelmann S, Mutschler W. Microcirculation associated with degenerative rotator cuff lesions: in vivo assessment with orthogonal polarization spectral imaging during arthroscopy of the shoulder. JBJS. 2003 Mar 1;85(3):475-80.

Herberts P, Kadefors R, Högfors C, Sigholm G. Shoulder pain and heavy manual labor. Clinical orthopaedics and related research. 1984 Dec 1(191):166-78.

Engelhardt C, Farron A, Becce F, Place N, Pioletti DP, Terrier A. Effects of glenoid inclination and acromion index on humeral head translation and glenoid articular cartilage strain. Journal of shoulder and elbow surgery. 2017 Jan 1;26(1):157-64.

Bonde JP, Mikkelsen S, Andersen JH, Fallentin N, Bælum J, Svendsen SW, Thomsen JF, Frost P, Thomsen G, Overgaard E, Kaergaard A. Prognosis of shoulder tendonitis in repetitive work: a follow up study in a cohort of Danish industrial and service workers. Occupational and Environmental Medicine. 2003 Sep 1;60(9):e8

Werner CM, Ossendorf C, Meyer DC, Blumenthal S, Gerber C. Subacromial pressures vary with simulated sleep positions. Journal of shoulder and elbow surgery. 2010 Oct 1;19(7):989-93.

Millar NL, Wei AQ, Molloy TJ, Bonar F, Murrell GA. Cytokines and apoptosis in supraspinatus tendinopathy. The Journal of bone and joint surgery. British volume. 2009 Mar;91(3):417-24.

Gotoh M, Hamada K, Yamakawa H, Tomonaga A, Inoue A, Fukuda H. Significance of granulation tissue in torn supraspinatus insertions: An immunohistochemical study with antibodies against interleukin‐1β, cathepsin D, and matrix metalloprotease‐1. Journal of orthopaedic research. 1997 Jan;15(1):33-9.

Nakama LH, King KB, Abrahamsson S, Rempel DM. VEGF, VEGFR‐1, and CTGF cell densities In tendon are increased with cyclical loading: An in vivo tendinopathy model. Journal of orthopaedic research. 2006 Mar;24(3):393-400.

Attia M, Scott A, Duchesnay A, Carpentier G, Soslowsky LJ, Huynh MB, Van Kuppevelt TH, GossardC, Courty J, Tassoni MC, Martelly I. Alterations of overused supraspinatus tendon: a possible role of glycosaminoglycans and HARP/pleiotrophin in early tendon pathology. Journal of Orthopaedic Research. 2012 Jan;30(1):61-71.

Molloy TJ, Kemp MW, Wang Y, Murrell GA. Microarray analysis of the tendinopathic rat supraspinatus tendon: glutamate signaling and its potential role in tendon degeneration. Journal of Applied Physiology. 2006 Dec;101(6):1702-9.

Lui PP, Chan KM. Tendon-derived stem cells (TDSCs): from basic science to potential roles in tendon pathology and tissue engineering applications. Stem Cell Reviews and Reports. 2011 Nov 1;7(4):883-97.

Harbin M. Deposition of calcium salts in the tendon of the supraspinatus muscle. Archives of Surgery. 1929 Apr 1;18(4):1491-512.

Carlisi E, Lisi C, Dall'Angelo A, Monteleone S, Nola V, Tinelli C, Dalla Toffola E. Focused extracorporeal shock wave therapy combined with supervised eccentric training for supraspinatus calcific tendinopathy. European journal of physical and rehabilitation medicine. 2018 Feb 1;54(1):41-7.

Franklin SL, Dean BJ, Wheway K, Watkins B, Javaid MK, Carr AJ. Up-regulation of glutamate in painful human supraspinatus tendon tears. The American journal of sports medicine. 2014 Aug;42(8):1955-62.

Cheung S, Dillon E, Tham SC, Feeley BT, Link TM, Steinbach L, Ma CB. The presence of fatty infiltration in the infraspinatus: its relation with the condition of the supraspinatus tendon. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2011 Apr 1;27(4):463-70.

Kavuru, N. S. and Krishnan, S. . (2022) “Unusual Presentation of Musculoskeleton Pain”, IARS’ International Research Journal. Victoria, Australia, 12(01), pp. 1–3. doi: 10.51611/iars.irj.v12i01.2022.177.

Crossref Crossmark

Downloads

Published

2023-02-08

Issue

Section

Peer Reviewed Research Manuscript

How to Cite

“Physiotherapist’s Perspective to Importance of Pathophysiology of Supraspinatus Tendonitis in Proper Rehabilitation of Pain and Dysfunction” (2023) IARS’ International Research Journal, 13(01). doi:10.51611/iars.irj.v13i01.2023.232.

Citations