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alliedacademies
Allied J Med Res 2017
Volume 1 Issue 2 Herbal Medicine 2017
September 01-02, 2017 London, UK
3rd International Conference and Expo on
Herbal & Alternative Medicine
Notes:
Page 34
Functional approach and treatment of
impingement syndrome
Seo jin woo
Korea Pain Diagnosis Society, Madi Joint & Spine Pain Center, Korea
Dongguk University School of Oriental Medicine, South Korea
Impingement syndrome is the friction between the
acromion and the rotator cuff when abducting the
shoulder. Repeated friction can cause pain to inflammation
of the bursa or tendon, and muscle rupture. The concept
of this content began to be established in 1972 when Dr.
Neer Charles S. contributed to “Anterior acromioplasty
for the chronic impingement syndrome in the shoulder”
in JBJS (The Journal of Bone and Joint Surgery). The
Neer Test is commonly used in orthopedic examinations
to test for subacromial impingement. And he presented an
Acromioplasty as the treatment. And it involves shaving of
the undersurface of the acromion.
Over 40 years have passed since then; research of
Impingement syndrome has been developed. The steps
were divided (stage1, stage2, stage3 or mal-adaptive,
adaptive) and the treatment methods corresponding
to each step were diversified. And still Acromioplasty
has been proceeding as a treatment for Impingement
syndrome. However, even after surgery, rotator cuff
damage is not prevented and pain persists.
In the same journal that Dr. Neer’s article appeared in, it was
entitled “Published Evidence Relevant to the Diagnosis of
Impingement Syndrome of the Shoulder” in 2011. This
paper told that there is no evidence that Acromioplasty is
superior to other non-surgical treatments. And they have
a negative view about dividing the coracoacrominal arch.
Usually impingement syndrome is known as a structural
problem caused by the narrowing gap between the
coracoacrominal arch and the humeral head. In this
workshop, I will discuss the anatomical features of the
shoulder girdle, the arthrokinematics of the glenohumeral
joint, the scapulohumeral rhythm, and look for patho-
biomechanism. And I suggest various treatment modalities
to help the Impingement syndrome, according to Dr. Cho’s
concept. This is a non-surgical treatment and focuses on
biomechanically functional recovery and stabilization of
the glenohumeral joint. I will also demonstrate the Modified
Hawkins test for more accurate diagnosis of Impingement
syndrome.
1. Glenohumeral joint repositioning
2. Recovery of coordination movement about
glenohumeral joint
3. Anterior translation oscillation to GIRD (Glenohumeral
internal rotation deficit)
Biography
Seo jin woo has completed his PhD at the age of 31 years from Dongguk
University and postdoctoral studies from Korea Pain Diagnosis Society, Madi
Joint & Spine Pain Center, Korea. He is the doctor who treats the patient and
currently working in the madiem medical center. He has participated WCPT-
AWP & PTAP CONGESS 2017 in Bangkok – Thailand.
Seo jin woo, Allied J Med Res 2017