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clavetage
Mar 15, 2012 17:50
12 yrs ago
5 viewers *
French term

piston huméral

French to English Medical Medical (general)
This is from physical therapy instructions after patient has had surgery to repair a torn rotator cuff:

- Apprentissage du placement actif de l'épaule (sonnette interne et piston huméral).

I'm not sure what kind of motion "piston huméral" is, thanks in advance for any insights.
References
see page 7
http://nao.lop.free.fr/aderf-p/IMG/ppt/c...

Discussion

Laura Miller (asker) Mar 16, 2012:
And thanks to all three of you for helping me with this, I really appreciate your time and effort!
Laura Miller (asker) Mar 16, 2012:
Thank you so very much Hilary, your explanation makes perfect sense, I don't think I would have ever been able to figure that out on my own. I could sort of visualize it, but just couldn't seem to find the right words. Thanks again!
Hilary Wilson Mar 16, 2012:
No pb!
yes, in essence.
Not standard, although I remember learning this as a student many moons ago as a frozen shoulder exercise.
SJLD Mar 16, 2012:
Hi Hilary. Sorry for putting you on the spot ;-)

Sounds good to me. I haven't been able to find any English equivalent in documents on shoulder/rotator cuff rehab - certainly not a standard exercise in any case. From what I understand the goal is to recenter the humeral head in the glenoid fossa by strengthening pec maj, lat dorsi and teres maj.
Hilary Wilson Mar 16, 2012:
SJLD's 1st reference is correct. It is a way of reeducating scapular dyskinesis. The patient is asked to retract the shoulder blades (sonnette interieure is medial or downward rotation), and then to push his/her elbow into the therapist's hand before working on shoulder abduction. This opens up the acromio-clavicular space. It works on increasing scapular stability and corrects the dyskinesis. I have double-checked with colleagues, we don't seem to have a particular term for "piston humeral", so maybe shoulder girdle retraction with resisted depression (pushing elbow down against resistance). Does this make sense?
Laura Miller (asker) Mar 15, 2012:
I'm beginning to think it's an abduction and external rotation. I will send Hilary an email tomorrow, thank you!
SJLD Mar 15, 2012:
Hilary Wilson is a good person to ask (she's a physio).
http://www.proz.com/profile/948098
Laura Miller (asker) Mar 15, 2012:
It does, thanks!
SJLD Mar 15, 2012:
This looks relevant too:

http://www.medecinephysique.net/epaule.htm

Apprentissage du recentrage actif de la tête de l’humérus via les abaisseurs extrinsèques initie le patient au placement adéquat de l’épaule, et à la stabilisation du scapula en position de rétraction
Laura Miller (asker) Mar 15, 2012:
I just texted my physical therapist, and she suggested "scapular pumping". I just sent her a few more details and am waiting for her response.
SJLD Mar 15, 2012:
Sounds to me like it's working the shoulder girdle depressors (abaisseurs de l'épaule). Back later.
Search for "piston" here:
http://www.ifpek.org/pmb/opac_css/doc_num.php?explnum_id=291
Laura Miller (asker) Mar 15, 2012:
Hi Liz, yes I saw this, but for some reason, I'm still having a hard time picturing what it looks like and how exactly to describe it in English.

Reference comments

11 mins
Reference:

see page 7

https://docs.google.com/viewer?a=v&q=cache:2fwASFtkrpcJ:nao....



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Note added at 14 mins (2012-03-15 18:04:49 GMT)
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Post Rehab Tips – Shoulder Impingement - Health and Fitness
www.freindster.info/post-rehab-tips-shoulder-impingement
25 Sep 2010 – Dr Mike discusses shoulder impingement. ... syndrome – “The pendulum exercise to open up the subacromial space, internal/external rotation, ...

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Note added at 17 mins (2012-03-15 18:08:03 GMT)
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http://www.rotatorcuffexercisesblog.com/pendulum/codmans-exe...

just ideas

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Note added at 19 mins (2012-03-15 18:10:05 GMT)
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got the other one

Sonnette interne de l'épaule
entrainement-sportif.fr/epaule-sonnette-interne.htm - Translate this page
La sonnette interne ou l'omoplate bascule en dedans (dans les mouvements d'adduction du bras). Les muscles mis en jeu sont le rhomboïde et l'angulaire ...

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Note added at 20 mins (2012-03-15 18:10:59 GMT)
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= winging

http://www.proz.com/kudoz/french_to_english/medical:_health_...

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Note added at 22 mins (2012-03-15 18:13:01 GMT)
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however, I have my doubts about "winging".

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Note added at 1 hr (2012-03-15 19:22:38 GMT)
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I realise that "sonnette interne" is not the same as "piston huméral", I was just sending in findings for both:)
Note from asker:
Thanks Liz, but I think Piston Huméral is something separate. Sonnette interne is scapular rotation and pendulum exercises (common therapy practice) is in the next line (movements pendulaires). But thanks for your references!
And believe me, I appreciate all of the help!!!:)
Something went wrong...
2 hrs
Reference:

http://nao.lop.free.fr/aderf-p/IMG/ppt/cours_14_01_08_Pathol...

articulation gléno-humérale: piston huméral
bras à 30° d’antépulsion, abduction et rotation externe
le sujet doit réaliser une poussée en bas et en dehors du segment brachial contre résistance
ceci provoque l’ouverture du défilé sous-acromial
ce piston est réalisé par les abaisseurs de l’épaule (grand rond, grand dorsal, grand pectoral)


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Note added at 2 hrs (2012-03-15 20:21:40 GMT)
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Description corresponds to figure 1 on slide 116

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Note added at 17 hrs (2012-03-16 11:14:27 GMT)
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Have a look at this too:
http://sportsmedresearch.blogspot.com/2011/11/dynamic-humera...

First, the subjects learned humeral head lowering through passive abduction of the shoulder. This phase also focused on muscular control of the scapula, perception of passive humeral head lowering, active contraction of the pec major and latissimus dorsi, as well as, the perception of the humeral head lowering affect during active co-contraction of the pec major and latissimus dorsi.
Something went wrong...
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