We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
НАСОКИ ЗА КИНЕЗИТЕРАПИЯ СЛЕД ХИРУРГИЧНО ВЪЗСТАНОВЯВАНЕ ПРИ ЗАДНА РАМЕННА НЕСТАБИЛНОСТ
- Authors
Попова, Даниела; Попов, Николай; Филипова, Мариела
- Abstract
The shoulder joint is the most mobile and at the same time the most unstable of all joints in the musculoskeletal system of a person. The main stabilizing mechanism is the rotator cuff of the joint, which surrounds it from all sides, but not below. This makes it extremely volatile and vulnerable to luxury. Given their high frequency, traumatic shoulder luxations are of great medical and social importance. Arthroscopic stabilization of posterior shoulder instability, which is only 5% of all shoulder luxations, has been applied relatively recently in Bulgarian orthopedic practice, and the lack of studies related to the application of adequate kinesitherapy has given us reason to do this study. The aim of the report is to present a reliable methodology for kinesitherapy based on modern concepts of kinematic features of the shoulder complex and an adequate approach to functional recovery in the surgical treatment of posterior shoulder instability. Material and methods. The study included 4 patients (3 men and 1 woman; mean age 23.7 years) with habitual posterior shoulder instability, treated arthroscopically. Specialized kinesitherapy program was applied to the patients after three weeks of total immobilization. In the beginning, we included exercises that limit maximum flexion, adduction, and internal rotation of the arm. Patients were given joint mobilization to prevent dorsal sliding of the humerus head. To evaluate the results of kinesitherapy, we used angularimetry according to the standard SFTR methodology, evaluation of pain intensity using the standard 10 points visual-analogue scale, examination of tissue resistance and end sensation, complex test for functional testing of the Palmer& Epler arm, and visual impairment in a scapulo-humeral rhythm. Results. The analysis of the results of the applied methodology shows a significant reduction of pain symptoms, while increasing joint mobility and ensuring prevention of the formation of permanent contractures. Conclusion. The application of kinesitherapy methodology related to assisting the regenerative processes of operatively restored structures on the one hand and restoring the dynamic stabilization of the arm with an emphasis on reinforcing mm. infraspinatus and terres minor, on the other, is essential for the complete recovery of patients after arthroscopic dorsal stabilization of the glenohumeral joint.
- Publication
Knowledge: International Journal, 2019, Vol 35, Issue 4, p1169
- ISSN
2545-4439
- Publication type
Article