shoulder-scapular periarthritis - a disease of the shoulder joint and
surrounding tissues. Disease in most cases develops gradually.
First, it manifests itself in violation of the coherence and coordination is quite familiar
certain labor, consumer and sports movements. Then there
minor whining nature of pain, aggravated by movements. Arises
limitation of movement in the shoulder joint. Sometimes there ismorepain but
night. Later, these symptoms can rapidly escalate. In some cases
symptoms is acute.
causes of shoulder-scapular periarthritis,
plentiful. These include the trauma of shoulder joint and cervical spine
, metabolic and degenerative changes in periarticular tissues
; cervical osteochondrosis, etc.
When the shoulder blade and periarthritis holds
presence of inflammation in the tissues surrounding the shoulder joint with spikes in
sumochno-ligamentous apparatus, the deposition of lime in the mucous bag under
deltoid muscle or coracoid blade outgrowth, muscle atrophy, impaired
sensitivity.
shoulder-scapular periarthritis requires long and patient
treatment. In the complex treatment of its great location is physiotherapy.
The objectives of physiotherapy in treating shoulder-scapular periarthritis
includes:
a) removal of pains in the joints, muscle relaxation training
shoulder joint;
b) restoration of range of motion in the shoulder joint;
a) restoration of muscle tone and strength of the affected limb
.
Classes physiotherapy with shoulder-scapula periarthritis
in outpatient advisable to divide into 2 periods.
1 period - the period of acute pain, a big restriction
joint mobility.
Tasks physiotherapy period 1:
a) remove the pain, to train muscles to relax the shoulder joint;
b) increase the mobility of the shoulder joint.
Assumptions:
- sitting on a chair - blade pressed to the back of a chair;
- standing;
- standing at the gym walls;
- lying on his back;
- standing with the fixation of the scapula.
end of the period can be roughly assumed to stihaniya
acute pain in the shoulder joint.
II period - the period of stable remission (reducing pain).
objectives gymnastics II period are:
a) restoration movement ( on all axes), the shoulder joint;
b) recovery of muscle tone and strength of the affected limb
.
Assumptions:
- sitting;
- standing;
- standing at the gym walls;
- lying on his back.
applied relaxation exercises, in effect, to
stretch. Widely used exercises with objects: gymnastic
sticks, clubs, dumbbells: gymnastic exercises at the wall with asbber
bandages, blocks, exercises with the fixation of blades (special rocker).
Classes are held daily, in addition, patients should
do therapeutic exercises independently at home 2-3.
Treatment should always be complex.
Requires an individual approach, taking into account the disease,
age and readiness of the patient .
Each lesson begins with exercises for the distal
limbs, breathing exercises and bracing exercise, then turn
special exercises for the shoulder joint, the scapula and the adjacent These muscles.
«approach" to the patient the shoulder joint, it is necessary
gradually (from themoresimple exercises tomorecomplex, do not exercise
«through the pain" ), alternating weight training with relaxation exercises.
success of treatment in znachitelnoy least associated with the very sick and
perseverance in carrying out all the doctor's instasctions.
Upon completion of the course of treatment is recommended to continue
daily physiotherapy sessions to avoid over-voltage and ryvkovyh hand movements, and
also work with their hands up high.
recommend the following scheme of implementation of special
exercises for the treatment of shoulder-scapular periarthritis:
a) sitting on a chair;
b) the sitting with a stick;
a) standing;
r) standing with objects (gymnastic stick, mace, dumbbells,
asbber bandage, a block).
g) in gymnastic wall;
e) supine;
g) standing on all fours;
h) exercise "yoke»;
s) with resistance exercises to strengthen muscle
corset neck, shoulder girdle.
The following are specific exercises gymnastics
at the shoulder blade and periarthritis. Using them in combination with tonic
exercises, you can create a set of exercises to restore volume
movements of the shoulder joint in any period of illness.
SPECIAL ASSIGNMENTS BY CHUCK shoulder periarthritis
Browsing on a chair
1. Exercises for the hands and wrist joints.
2. Rotation of the forearm.
3. Flexion of the elbow.
4.Podnimanie and lowering the shoulders (to hide his shoulders).
5. Hands "in lock" on his knees, raising arms forward -
up.
6. The hands of "the castle", bend hands in elbows, hands
put on the chest, for one, then the other shoulder.
7. Hands "in lock" on his chest, pulling his hands palms forward to
printed outside - down, forward - upward.
8. Swinging lowered over the body and relaxed patient
hands forward, reverse and a small circle.
9. Hands on knees, shoulders in a circular motion, both parties
.
10.Sest on the edge of his chair, with his good hand to touch the back of the chair
up, the same patient hand.
Sitting on a chair with a gym with a stick.
11. Stick to hold the ends of the grip from the top, put it on
chest and lower to the starting position.
12. However, holding the stick grip bottom.
13. The diversion of the stick in the direction.
14. Stick set upright on a chair between his knees,
lift, intercepting, bassh up on the stick and drop down.
15. Holding the stick on the ends, to carry her over the head to the right and left
.
16. Stick his head on his shoulders, straighten your arms in the alternately
hand, saw his neck ».
17. Hold the stick in the middle of the outstretched hand forward,
turn it inwards and outwards.
Standing with gymnastic stick.
18 . Stick behind your back, pull the stick to the shoulder blade at
varying widths with her hands and with a different grip.
19. Stick behind your back, keep it on the ends, take a stick
right and left.
Standing with asbber .
20. Rubber tied to a stick on the ends and the middle - any
Sustainable subject (simulated rowing in a kayak, by boat).
21. Rubber tied to the gym wall at shoulder level
(imitation of hammer throwing motion with the rotation of housing 360 ° in both directions).
22. Rubber tied to the gym wall - flexion,
extension, abduction and enforcement, circular motion in the shoulder joint, standing
face, side and backs against the wall.
Lying on your back.
23. Relaxation easy shaking hands.
24. Flexion in the shoulder joints (hands, "the castle" or
gymnastic stick).
25. Shoulder abduction.
Lying on my stomach (on the couch).
26. Hand omitted from the couch, swinging hands with relaxation.
Standing on all fours.
27. Hands to pull ahead and put on the floor. Flexible
motion tends to sit on your heels, not moving the hands.
have gym wall.
28. Facing the wall, grabbing rail, raise your hands
up to a limit lower them down to chest level.
29. Crouch, holding the hand rail line at different heights.
30. Standing with his back against the wall, crouch, holding the rail at the waist.
31. Standing sideways to the wall, to give a hand to the side, grabbing a rail to rail
.
Exercises with a yoke.
32. Allocation and enforcement; circular motion forward and backward.
Exercises for the neck muscles.
33. Lateral head tilt, leaning forward and backward head rotation, circular motion
.
When cervical osteochondrosis approach these exercises
carefully.
hands on his temples, the lateral inclination of the head.
Exercises with the ball.
35. Different throws a partner in the goal, one and two hands,
in place and in motion.
36. Throws the ball in the basketball hoop in two and one-handed.
Note. In all cases, recovery of
movements of the shoulder joint should be seek to implement isolated
motion in this joint. It is recommended to fix the blade
special belts (belt throws a sore shoulder girdle) and
use of such assumptions, when the blade is less involved in the movement
shoulder.