RU2514724C1 - Method for mobilisation of shoulder joint - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: patient does the arm exercises with each exercise session started with diagonal self-distraction and artificial body oxygenation by doing respiratory exercises simulating locomotor activity of varying intensity in the static position of the body. Each session is followed by doing respiratory exercises in a relaxation mode. The course is started with doing arm exercises with using a shorter lever lying on the back, then - in the sitting position, in a combination with arm motions provided by a dance therapy. Further, the patient holds a standing position by doing the exercises with an extended arm at a progressive range of motion.

EFFECT: restore and improved mobilisation of the shoulder joint, normalised shoulder tonus providing the important vital functions of the body.

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Description

The invention relates to the field of physical rehabilitation and can be used for therapeutic purposes to restore and improve mobility in the shoulder joint, normalize the tone of the muscles of the shoulder girdle, which provide important vital functions of a person.

The reasons for the development of adhesive capsulitis in modern man are many. Not the last place is occupied by mechanical overload of the shoulder girdle, causing the development of the pathological process in soft tissues [1]. A significant role in the occurrence of dystrophic processes in the joints of the upper extremities is played by the deterioration of regional blood circulation against the background of muscle spasms. And in people older than 40 years, the most likely cause of pain is the primary degenerative process in individual tendons of the rotational cuff of the shoulder.

Widely known methods of restoring the mobility of the shoulder joint in diseases of the periarticular tissues with symptoms of adhesive capsulitis; they mainly use swinging (low-amplitude flywheel) movements in half-inclines [2].

However, the advantage with this approach is given mainly to physical exercises mainly with the whole hand; options for a “shortened” lever are not considered at all. Also, with this approach to treatment, there is no high-quality individual control (goniometry).

The closest in technical essence to the claimed invention are methods for restoring the mobility of the shoulder joint during the rehabilitation of patients with shoulder-shoulder periarthritis [3, 4], which involve the use of various means of physical rehabilitation (physiotherapy, massage, mechanical and occupational therapy, physical factors). The impaired functions of patients are restored, their quality of life is improving.

However, when carrying out such rehabilitation treatment, various physical exercises are often used without taking into account the specifics of the patient’s disease, the age of the practitioner, and the phasing of their use.

The objective of the invention is to restore mobility in the shoulder joint, to normalize the tone of the muscles of the shoulder girdle, providing important vital functions of a person.

This goal is achieved in that the physical rehabilitation program includes a sequential increase in the amplitude of motion in the shoulder joint in combination with self-traction. The first classes at the beginning of the rehabilitation course, patients spend lying on their backs; the exercises are carried out with a hand bent at the elbow joint, then, after their development, patients perform these exercises already in a sitting position. At the end of the program, they are performed in a standing position and with an extended arm.

At the beginning of each session, patients perform breathing exercises. This allows them to artificially enrich their bodies with atmospheric oxygen. The most effective exercise in respiratory gymnastics is a method of activating external respiration, which simulates in a static position of the body (sitting, standing or lying) motor activity with varying degrees of intensity of the respiratory system alone, without involving the cardiovascular and muscular systems [5].

Indeed, with an adhesive capsulitis, patients not only cannot make movements of the necessary intensity, but also perform the simplest movements necessary to enrich their body with oxygen. A significant increase in blood flow, which is carried out forcefully in a static position of the body, under pressure, simulating motor activity of low, medium or high intensity, the body receives when performing recommended breathing exercises before each session and during it. It also contributes to a significant increase in intercellular fluid, improving their diffusion nutrition [6]. At the end of each session, breathing exercises are already used in relaxation mode. In most cases, living tissue begins to recover.

Concrete example

Woman K., 48 years old, an office worker diagnosed with shoulder-shoulder periarthritis, came in a subacute period with complaints of a sharp restriction of mobility in the shoulder joint and pain when performing movements.

She started each session with diagonal self-extension, then performed breathing exercises for at least five minutes in a mode that allowed her to simulate running speed with a high or even very high degree of intensity in a static position of the body. Then followed exercises that the patient performed for at least 10-15 minutes without interruption.

Initially, K. was in a supine position, and exercises were performed by her in a position where the arm was bent at the elbow joint, and with an amplitude of movement to pain. Subsequently, she performed physical exercises in a sitting position, when these active exercises were combined with the movements of the arms of dance therapy, which allowed K. to significantly increase the load on the working muscles, while gradually increasing the length of the working lever. And she completed the course already in a standing position, performing exercises with an open arm with a constantly increasing range of motion. The total duration of one session by the end of the course increased to 30-35 minutes.

After three sessions, the patient had reduced pain, she switched to the active implementation of the proposed exercises. In total, 20 sessions were conducted with K.

An individual complex of respiratory and therapeutic gymnastics was compiled for her, taking into account the mobility of a healthy arm and the level of physical fitness. At the end of each session, K. again performed breathing exercises, but already in a relaxation mode.

The use of the proposed method in physical rehabilitation makes it possible to accelerate, in comparison with known methods, the restoration of the function of the shoulder joint after adhesive capsulitis, and to optimize the timing of the rehabilitation period. An individual rehabilitation program can be drawn up for each patient, taking into account both the specifics of his professional activity and the level of physical fitness.

Information sources

1. Belenky A.G. Pathology of the shoulder joint. Periarthritis of the shoulder blade. Farewell to the term: from proximity to specific nosological forms. "Consilium medicum", 2004, v. 6, No. 2.

2. Dreving EF Traumatology: Methods of physical therapy / Dreving E.F. - M.: Poznavat. Prince plus, 2002 .-- 208 p.: ill.

3. Medical rehabilitation. Edited by V.A. Epifanov. M .: MEDpress-inform, 2005, 328 p.

4. Nikiforova A.S., Mendel O.I. Shoulder pain syndrome: modern approaches to diagnosis and treatment. Breast cancer, 2006, volume 14, No. 8.

5. Streltsov A.A. A way to activate external respiration. Patent of the Republic of Belarus No. 5010, MKI: А61Н 31/00, date of filing of the application March 27, 1998, date of issue of the patent March 30, 2003

6. Streltsov A.A. Activation of external respiration as a way to normalize human systems and organs. / In Zh. Spa business. M., No. 2, 2007, p. 64-71.

Claims (1)

A method of restoring the mobility of the shoulder joint with an adhesive capsulitis, including performing physical exercises for the hands, characterized in that each session of exercises the patient begins with a diagonal self-extension and artificial enrichment of the body with oxygen by performing breathing exercises that simulate motor activity of varying degrees of intensity in a static position of the body, and at the end of each session - breathing exercises in a relaxation mode, while at the beginning of the course physical exercises for hands with a shortened lever lying on their backs, then in a sitting position, in combination with the movements of the arms of dance therapy, subsequently go into a standing position, performing exercises with an already extended arm with a constantly increasing range of motion.