LFK with humeroscapular periarthritisThe use of physiotherapy exercises occupies an important place in the complex therapy of various diseases. This is especially important in the treatment of diseases of the musculoskeletal system and, in particular, the humeroparous periarthritis.
What is humeropathy periarthritis
Pleuralopathy periarthritis is a symptom complex that develops as a result of inflammation of the surrounding shoulder joint of soft tissues( capsules of the joint, tendons and ligaments).The incidence increases with age.
The defeat of periarticular tissues is due to a variety of reasons, including:
- cervical osteochondrosis;
- trauma to the joint area;
- occupational exposure, leading to chronic microtrauma;
- congenital features of the structure.
Brachial periarthritis syndrome is characterized by the following symptoms:
- joint pain, aggravated by certain movements, depending on the affected area;
- weakness and atrophy of shoulder muscles;
- restriction of movements - characterized by varying degrees up to the development of the "frozen joint".
The goals of exercise therapy
Therapeutic exercises with the development of humeropyritis are a mandatory component of therapy and its task is to achieve the following:
- prophylaxis of contracture development;
- recovery of strength and muscle tone;
- strengthening of the ligament apparatus;
- improving local blood circulation;
- increase in the volume of movements.
Therapeutic physical training is assigned at the stage of rehabilitation and is conducted under the supervision of a specialist.
Exercises of exercise therapy can be performed in different initial positions:
- lying on the back;
- lying on the stomach;
- sitting on a chair;
- near the gymnastic wall;
- in the standing position.
During the training it is possible to use a variety of subjects:
- gymnastic stick;
- the ball;
- rubber tape.
There are certain requirements for the exercise of exercise therapy:
- gradual increase in load;
- classes should be regular;
- doing exercises should not cause pain;
- exercises should be performed slowly;
- begins with movements in the distal joints( wrists, wrist and elbow joints), and then move on to shoulder exercises.
Exemplary set of exercises
At first the movements are carried out, lying on the back:
- squeezing-unclenching of fingers;
- movement in the wrist joint( flexion-extension);
- rotation with brushes;
- hands to lower along the body, inhale them to bend them in the elbows, bring the brush to the shoulders, on exhalation return to the starting position;
- bring the hands to the shoulders, produce the elbows;
- bring the hands to your shoulders, raise your elbows on your breath, lower them down on exhalation;
- to spread hands, relax, regain breath.
Exercises performed while sitting:
- raising and lowering the hand on the healthy side, then doing the same with the patient with the hand;
- movement shoulders up, down;
- movement shoulders in a circle with the hands down;
- movements in the cervical region - tilts, circular movements.
Exercises in the standing position:
- flapping hands to the sides, forward-back;
- walking, accompanied by sweeping movements of hands.
Complex of exercises Popova
Doctor Peter Popov developed his complex of exercises, which implies the principle of "small movements" - doing stretching, rotating, wiggling. Therapeutic gymnastics is built on simple movements that do not bring the patient any discomfort and pain.
Basic exercises of the complex:
- raise shoulders maximally upwards and draw with the shoulders number eight first synchronously, then take turns;
- pull the spine, lifting the shoulders up, linger, then lower your shoulders down, again fix the position;
- perform the movement of the hands "scissors" - on the inspiration to spread hands so that the shoulder blades are connected, on exhalation - to cross;
- take turns to raise your hands up, turning your body towards the raised limb, while lowering your arm down relax the muscles of the shoulder girdle;
- arm bend at the elbow joint, lift, then lower it down and slowly straighten, repeat with the other hand;
- make the lock, stretching his arms forward, perform wave-like movements, stretching the muscles of the shoulder and gradually increasing the tempo;
- circular movements by hands, extended forward and connected to the lock;
- put your hands palms down on your knees, tilt the body forward, turning your shoulder to the opposite knee, then straighten up and repeat the exercise with the other shoulder;
- to tilt the torso forward, pull the chest to the knees, linger, trying to pull the shoulders to the legs, fix the case in this position, return to the starting position.
After completing each exercise from the main complex, it is recommended to do warm-up movements:
- imitating walking, sitting - feet to shoulder-width apart, back straight, to raise and lower the feet, at this time to carry out sliding movements along the hip, inhale - to lower hands to the knees, on exhalation - raise them up;
- is the same walking, in the sitting position, but the arms are made circular movements, from the hip to the knees, and lower if the pain does not disturb.
Exercise for relaxation is performed in case if there is a feeling of tension during the main complex:
- in the sitting position, with the arms lowered along the body, the muscles of the shoulder and back relaxed - slow movements of the shoulders up and down, at this time, bend the spine, then slowlystraighten up.
Contraindications to physiotherapy exercises
In the presence of the following conditions of exercise physical therapy contraindicated:
- the presence of circulatory failure from stage 2 and above;
- presence of fever;
- risk of bleeding;
- high blood pressure.
Regular daily execution of the complex of therapeutic gymnastics allows to achieve positive dynamics, to achieve a reduction in pain, to improve the functional state of the joints.
Therapeutic gymnastics for polyurethritis: Methodology of Popov as a method of treatment
Shoulder bladder periarthritis is not as widely known as, for example, osteochondrosis of the spine, however no less painful and difficult to treat. It is an inflammation of the joint connecting the humerus and scapula, its periarticular tissues( ligaments, tendons and joint capsule).For the fight against this disease, drug therapy, physiotherapy and exercise therapy are used, as the course of physical exercises by P.Popov's technique has proved to be well.
Causes of the disease
Often, humeroparous periarthritis is one of the manifestations of systemic polyarthritis - a disease affecting all large and small joints. There are several reasons for polyarthritis today - it is believed that it can have a different origin. Depending on the origin, the following varieties of polyarthritis are distinguished:
- Infectious polyarthritis develops on the background or as a result of the infectious agent's damage to the body. Less commonly, arthritis is caused by parasites. Infection penetrates deeper into the joint with the current of passing blood and causes in it a specific inflammation, which is stopped after the appointment of effective therapy;in some cases after the transferred inflammation, changes in the function and anatomical structure of the joints remain.
- Rheumatoid polyarthritis. The etiology of it is not clear today; two main factors in the development of this kind of joint inflammation are identified:
- , the heredity of
- , past-transmitted viral diseases( parotitis, measles, respiratory syncytial infection, hepatitis B, herpes, cytomegalovirus infection)
The starting point for the onset of the diseasesupercooling, stress, intoxication, disturbance of metabolic processes and the use of mutagenic preparations.
- Gouty polyarthritis. It develops as a result of impaired uric acid metabolism, as a result of which uric acid salts are deposited inside the joints and on the periarticular surface, forming characteristic nodules.
- Polyarthritis as a concomitant pathology of the underlying disease: systemic lupus erythematosus, psoriasis, granulomatosis, borreliosis and others.
Predisposing factors contribute to the development of polyarthritis: excessive physical stress, bad habits, excess weight, sedentary lifestyle. In particular, humeropathy periarthritis often occurs in people engaged in manual labor, lifting weights or performing the same type of motion with their hands for a long time.
Probably the development of this pathology in case of trauma - dislocation, sprain of the shoulder joint or bruise. In this case, there is an acute onset of the disease, associated with a traumatic situation in the anamnesis.
Clinical picture with polyurethritis
The leading symptom of the disease is the pain in the projection of the shoulder joint and shoulder blade, which is amplified by hand movements - attempts to lift it or rotate outward or inward. Pain sharp, burning, resting slightly decreases, takes nochy character. Hand movements are severely limited. As a rule, the disease takes a chronic course with periods of exacerbation and remission. Exacerbation of the disease can provoke:
- Exceeding the limits of the allowable physical activity
In the acute phase, there may be an increase in body temperature to subfebrile, general malaise, weakness. With infectious lesions of the shoulder joint, the body temperature can rise to high figures, and the pain can pulsate.
At objective survey the following picture is revealed: integuments in a projection of the amazed joint edematous, quite often hyperemic. Palpation of the joint is painful. In terms of blood, a picture of inflammation can be observed.
Often the disease takes an unfavorable course: due to frequent exacerbations, deforming changes in the joint surface and the absence of adequate rehabilitation measures, spines of the tendon-ligamentous apparatus are formed, stiffness( ankylosis, contracture) of the shoulder joint begins to develop, which gradually leads to a decrease in the function of the hand. Therefore, rehabilitation physiotherapy plays a big role in maintaining movements in the affected arthritic joint and preventing exacerbations of chronic periarthritis.
Technique of Dr. Popov
PA Popov for a long time specialized in restoring the functions of the human body after the trauma. He paid special attention to connective tissue - the ligaments and tendons surrounding the joints and bundles of muscle fibers. The theory and practice of Dr. Popov are based on the fact that as a result of trauma, the elements of the joint complex or fragments of the broken limb take an incorrect position, and the connective tissue "remembers" this position and continues to support it even after healing the lesion. The same happens with an inflammatory disease, including a humeropathy periarthritis: a person spares the affected joint in order to avoid the pain that causes movement by hand. The ligaments fix this position and prevent it from changing even after the inflammation has been stopped.
This ability of ligaments to "remember" the right position and support it, Dr. Popov began to use for his own purposes, by training connective tissue and helping her to take the right position. For this he uses the methods of "small movements". The essence of this method consists in the gradual "loosening" of stiffened in one position ligaments. For this, the patient is offered special complexes, during which he performs cautious, with a small amplitude, movement and at the same time closely watches his feelings. In the course of training a person should pick up those exercises, which he likes to do, and concentrate his efforts on them. However, this physical culture should in no case be accompanied by fatigue, tension or the appearance of pain. Normally, after exercising, a person experiences pleasant fatigue and relaxation.
You can begin classes only at the stage of complete remission or after the healing of the disease. To achieve a lasting positive result, you must practice regularly. The first changes for the better are not immediately apparent. In most cases, patients with pleural flap periarthritis should be engaged in the technique of PA Popov constantly, throughout his life.
The complex of exercises with shoulder-blade periarthritis
The method of Dr. Popov implies that each person chooses the most effective exercises for himself. However, for this it is necessary to perform at least once the whole complex, observing the internal sensations. After each exercise we relax, relieving tension from the muscles of the back and shoulder girdle.
Warm up the ligaments
- Conveniently sit on the edge of the chair, straighten the spine, hands on your knees. We start slowly to tear off the front often feet from the floor, performing walking movements. We move smoothly, stroking the legs with the hands from the hip to the knees and just below in a circle - thus we gradually use the shoulder girdle. We keep the rhythm of breathing.
- Performing light pendulum-like inclinations from side to side, we describe the imaginary eight figures with the shoulder belt, with the shoulders alternately being pulled to themselves. Having described several circles in one direction, we carry out movements to another - from ourselves. The muscles of the back and shoulder girdle are as relaxed as possible.
- We grasp one hand with the other hand and stretch our arms upwards, straightening the spine and hands. If the pain is not possible to perform this action, then the hands are directed down to the floor, and just as we straighten them, sipping the shoulder girdle. The back is rounded and slightly deflected back, the thoracic and lumbar spine bends back. We return to the starting position and repeat the exercise several times.
- We do exercise 3, but we bring our hands closer together, already. When tilting forward, we want to inhale, back - exhale.
- Repeat exercise 1 - walking while sitting.
- Perform pendulum movements back and forth, hands relaxed at the same time, move in the same direction as the back, coming forward, slightly crossed. The back is not tense, we move freely. When moving back, carefully join the blades with each other. Forward - inhale, back - exhale.
- Smoothly raise your hands one after the other, the brush looks down, the whole body is involved in the movement, the back stretches as if moving behind the moving hand. We add a turn with the head and neck towards the rising arm.
- We put the thumbs at the midpoint of the clavicle and perform circular movements with the elbows in front of us. Then we make the same movements in the opposite direction. Amplitude is increased gradually, observing the sensations of the body.
- We unfold the feet on the heels, directing the socks and knees to each other, and simultaneously slowly lean forward. Hands at the same time slip on the surface of the thighs and lower legs, the muscles of the back stretch a little. We unfold the stops in the opposite direction, directing the socks from each other - stand up, connect the shoulder blades, straighten the thorax, open the pelvis. Movement cautious, smooth. On the rise, inhale, when lowering down - exhalation.
- Exercise 1 - walking sitting.
- We put the thumbs on the middle of the clavicle, the arms are bent at the elbows. We are alternating the elbows forward and up, back and down. The transition between the movements occurs through the waist, the muscles of the back and shoulder girdle are actively working. Raising your arm up, turn your head in the opposite direction and stretch the interscapular muscles a little.
- Having relaxed the brushes, on the big circle we direct hands downwards before ourselves until the palms will not look outward in different directions, then we do the reverse movement. When the palms are below, we stretch our arms and shoulders, slightly springy;while the spine is fixed in a flat vertical position.
- We lift hands with the relaxed brushes, slightly bending the wrist, alternately upwards, lowering downwards. At the same time, we engage the muscles of the back and the whole body. Further, when the arm is raised, we bend it up at the elbow joint, straining the biceps arm muscle. Add the lifting of the arm bent at the elbow up, pointing up the elbow.
Tensioning of tendons
- We squeeze our fingers in the lock, put our hands in front of us and proceed to wave-like movements with our hands - from the elbow of one hand through the brush to the elbow of the other, first into one, then backwards. Then we perform circular motions, assembled into the lock by the hands, connecting to them the shoulder belt.
- One hand is placed on the opposite shoulder, holding her elbow with the second hand. We lean forward and, rising upwards, we pull up the elbow to ourselves. Move down - inhale, up - exhale. We change hands, we repeat.
- Feet is placed widely, we put our hands on our knees. Alternately, we stretch our shoulders towards the opposite knee, leaning forward, moving in the rhythm of the pendulum.
- Returning your legs to their original position, perform circular motions with your shoulders upwards first forward, then backwards.
- We put our legs as wide as possible, we rest our hands on our knees, lean forward. Do not move your back, we direct alternately the shoulders to the opposite knees. Should only be used shoulder girdle. We lift the case up, again we move our shoulders.
This gymnastics promotes both the prevention of complications and the development of already formed contractures of the shoulder joint.
Therapeutic gymnastics and massage with shoulder periarthritis
The shoulder blade is one of the most mobile and flexible joints. It is because of the wide range of movements that the scapula-humeral joint is often subjected to periarthritis.
The reason for the periarthritis of the shoulder joint can be caused by trauma, unsuccessful jerks or heavy physical work. When the shoulder joint is affected, not only medical treatment is required, an important condition here is regular massages, as well as therapeutic gymnastics.
LFK with periarthritis of the shoulder joint
In case the pain of the shoulder and shoulder joint is characterized as very strong, an anesthetic preparation can be taken before performing therapeutic exercises. It is very important to take into account that all exercises should be performed under the supervision of the attending physician or be coordinated with him. The fact is that a reassessment of one's physical abilities( under the influence of an anesthetic drug) can lead to an aggravation of the disease. If the periarthritis of the shoulder joint has pronounced symptoms, the complexity and number of exercises should be increasing. To begin in this case it is necessary with the most simple actions. Detailed exercise is shown in video 1.
As a rule, gymnastics with periarthritis of the shoulder joint is aimed at the development of joints such as the elbow, wrist and hand joints. Basically, the blade joint and the shoulder joint area are kneaded.
In the reflex limitation of the mobility of the affected shoulder or shoulder joint, caused by severe pain, treatment is carried out using thermal procedures. In addition, the patient needs therapeutic gymnastics. Thermal procedures can be carried out with a heating pad, which can be replaced with a bag filled with sand( warmed).In acute periarthritis of the shoulder and shoulder joint, gymnastics requires taking certain measures. First of all, the diseased limb should be fixed with a soft roller installed in the armpit.
If the shoulder periarthritis is in the acute stage, exercise should be performed in the supine position. With a reduction in painful sensations in the humeroscapular joint, it is possible to diversify the exercises, adding to them those performed standing and sitting. Periarthritis of the shoulder joint requires specially selected therapeutic exercises. The result of each action should be the relaxation of the corresponding muscle group. As for the number of exercises, this question should be decided by the attending physician, since he is strictly individual.
Periarthritis of the shoulder joint: some medical exercises
- To perform the first exercise, lie on your back. Bending both hands in the elbows, begin to squeeze and unclench your fingers in a fist. After doing about 10 times, shake with brushes. It is recommended to take at least 0.5 minutes to complete.
- The following action, aimed at reducing pain in periarthritis of the shoulder joint, is performed in the same initial position. Bending your arms in the elbows, begin to bend and unbend the wrists in the wrist joints. After doing this action 5 times, go to the circular rotations of the brushes, which in this case should be relaxed. It is not necessary to hurry. Feeling tired, let the joints rest.
- If the humeroparous periarthritis is in the acute stage, it is recommended to start exercise therapy from exercise, including the following: lying on your back and straightening your arms, start turning the wrists down and up.5-10 times will be quite enough, then you can proceed to the next exercise.
- While in the previous starting position, touch with the palms of the shoulders, while taking a deep breath, returning to the starting position, exhale. The action should be done 5 to 10 times.
- With periarthritis of the shoulder joint, it is very good to perform the following exercise: lying on a hard surface, bend your arms( in the elbows) so that a right angle is obtained. Do not hurry, start to spread the forearms in the sides. It is advisable that, when performing this exercise, the brushes of your hands touch the surface on which you are lying. The optimal number of exercises - 5 times.
- Brushes should be on the shoulders, elbows spread on the sides, taking a deep breath at the same time. Returning to the starting position, exhale. Repeat the exercise 5 times.
- Put your hands on your shoulders, raise your elbows forward, taking a deep breath, lowering your elbows - exhale. This movement helps to relieve pain in the shoulder, the shoulder joint. The total number of movements is 5-7 times.
- Putting hands in the starting position along the trunk, start to plant them on the sides. In this case, turn the palms up and down. Perform the exercise until the affected shoulder does not have a feeling of fatigue.
- If you have a shoulder periarthritis, the following exercise should be included in the complex of exercise therapy: the initial position is the same, alternately start lifting your hands up, while taking a deep breath and exhaling.
- Spread your arms across the width of the plane on which you are lying( palms down).With palms, try pressing on the surface. If at the same time you feel pain in the shoulder, the exercise should be discarded.
- Lying, as before, on a hard surface, stretch out your hands so that your hands are pointing upwards, for a few minutes, try to relax.
If something is not clear, help video 2. If the scapular periarthritis is at an acute stage, do not try to do the exercises to the maximum. Repeat them preferably three times a day, but the amount should be determined by the attending physician.
At the moment when the pain becomes less pronounced, the following exercises should be added to the exercise complex:
- Sitting on a chair, put your feet to the width of your shoulders. Next, proceed to bending the arms in the elbows, while taking a deep breath, unbending, exhale. Feeling behind the affected shoulder discomfort, you should stop.
- Raise and lower your hands in front of you, breathing in and out. Five exercises will be enough.
- Next, try to get your hand to the shoulder blade, then try the same thing with your hand with the affected shoulder. If the exercise causes you severe pain, it is better to abandon it.
- If periarthritis does not make itself felt by acute symptoms, the following exercise will do: put your hands on your knees. Take your hand to the side, hold it for a few seconds, then take a breath, the same should be repeated with the other hand.
- Put your hands on your shoulders, alternately start pulling your elbows to the knee of the opposite leg. In this case, the knee can be raised.
- Sitting on a chair, make a slope, one hand should be pulled to the shoulder, the second one down. Changing your hands, take a deep breath and exhale.
- With periarthritis, the following exercise is very effective: with shoulder joints, try to perform circular movements back and forth.
- Next, proceed to make head inclinations back and forth, then to the side. Do not rush if this does not happen, if there are dizziness, take a short break.
If the periarthritis does not make itself felt by pronounced symptoms, it is possible to include the following exercise in the exercise complex: the initial position is the same( sitting on a chair), stand up, spread your arms to the sides, taking a breath. Returning to the original position, exhale. Follow the exercise 5-7 times.
Exercise for brachial periarthritis in the starting position standing
Standing on your feet, begin to perform circular movements with your hands, lifting them in front of you. Then, while doing the same actions, drop your hands. Exercise is performed at a slow pace until the first signs of fatigue.
The starting position is the same, put your feet on the width of the shoulders, start the swings to the right and left with both hands. Exercise should be performed 5-10 times( depending on how acutely the polyarthritis makes itself felt).
Standing on your feet, hands at the seams, start to swing back and forth. The muscles must be relaxed. Next, try to alternate the direction of the hands( one forward, the other back).
Another effective exercise for shoulder periarthritis is walking, during which wide hand movements are performed. It is not necessary to hurry up in this case, it's enough for 1 min.
Massage with periarthritis of the shoulder joint
With the help of a complex that includes exercise therapy and massage procedures, a quick and effective result can be achieved. Therapeutic massage can remove pain and prevent the formation of rough scar tissue. In addition, this method is able to eliminate the development of tendovaginitis, bursitis, myositis, to prevent muscle atrophy.
It is very important that the massage procedures are regular, enough to give them 15 minutes a day. Typically, the course includes 15-20 massage procedures that require periodic breaks of 3 to 4 weeks. To treat the periarthritis of the scapula and shoulder joint exclusively by the medicinal method is not enough, since this can lead to the development of reflex contracture( restriction of mobility).
In order to prevent humeroscapular periarthritis complications, it is very important to follow all the recommendations of the attending physician. After performing exercise therapy, the shoulder joint is recommended to be fixed so that the movements are minimal. For this, the patient should lie on a hard surface so that the arm is at a right angle.
The complex of exercises with shoulder-flap periarthrosis
Shoulder-scapular periarthritis is a disease of the shoulder joint and surrounding tissues. The disease in most cases develops gradually. Initially, it manifests itself in the connection and disruption of the usual coordination of well-defined labor, domestic and sports movements. Then there are minor aching character pain, aggravated by movement. There is a limitation of movements in the shoulder joint. Sometimes there is an increase in pain but at night. In the future, these symptoms can quickly build up. In some cases, the symptoms of the disease are acute.
The causes of shoulder-scapular periarthritis are numerous. These include injuries to the shoulder joint and cervical spine;metabolic disorders and degenerative changes in periarticular tissues;cervical osteochondrosis, etc.
When shoulder-scapular periarthritis occurs, there are inflammatory phenomena in the tissues surrounding the shoulder joint with adhesions in the bag-ligament apparatus, deposition of lime in mucous bags under the deltoid muscle or the beak-like process of the scapula, muscle atrophy, impaired sensitivity.
Shoulder-scapular periarthritis requires long-term and patient treatment. In complex treatment, a great place is occupied by therapeutic gymnastics.
The tasks of therapeutic gymnastics in the treatment of shoulder-scapular periarthritis include: a) relieving pain in the joint region, training relaxation of the muscles of the shoulder joint;b) restoration of the volume of movements in the shoulder joint;c) restoration of muscle tone and muscle strength of the affected limb.
Therapeutic exercises with shoulder-shoulder periarthritis in a clinic should be divided into 2 periods.
1 period - a period of acute pain, a large limitation of mobility in the joint.
Tasks of therapeutic gymnastics of the 1st period: a) relieve pain, teach relaxation of the muscles of the shoulder joint;b) increase mobility in the shoulder joint.
Starting positions: - sitting on a chair - the shoulder blades are pressed to the back of the chair;Standing;
The end of the period can be considered conditionally with the subsidence of acute pain in the shoulder joint.
II period is the period of stable remission( pain reduction).
The tasks of the therapeutic gymnastics of the II period are: a) restoration of the movement( along all axes) of the shoulder joint;b) restoration of muscle tone and muscle strength of the affected limb.
Initial positions: - standing at the gymnastic wall;Lying on his back.
Relaxation, strength, stretching exercises are applied. Widespread use of exercises with objects: gymnastic sticks, maces, dumbbells: exercises at the gymnastic wall, with rubber bandages, blocks, exercises with fixing the scapula( special rocker).
Classes are held daily, in addition, patients should be engaged in therapeutic gymnastics independently at home 2-3 times.
Treatment should always be comprehensive.
Individual approach is necessary taking into account the disease, age and preparedness of the patient.
Each lesson begins with exercises for distal limb sections, breathing exercises and restorative exercises, then include special exercises for the shoulder joint, scapula and adjacent muscles.
"Approach" to a painful shoulder joint, it is necessary gradually( from simpler exercises to more complex exercises, not to do exercises "through pain"), alternating strength exercises with exercises for relaxation.
The success of the treatment is largely related to the patient himself and his perseverance in meeting all the doctor's prescriptions.
At the end of the course of treatment it is recommended to continue daily exercises in therapeutic gymnastics, avoid overstretching of hands and jerky movements, as well as work with high arms.
The following scheme of performing special exercises for the treatment of shoulder-scapular periarthritis is recommended: a) sitting on a stool;d) standing with objects( gymnastic stick, maces, dumbbells, rubber bandage, block).e) near the gymnastic wall;h) exercises "yoke";i) exercises with resistance to strengthen the muscular corset of the neck, shoulder girdle.
Following are special exercises of therapeutic gymnastics with shoulder-scapular periarthritis. Using them in combination with fortifying exercises, you can make a set of exercises to restore the volume of movements in the shoulder joint in any period of the disease.
SPECIAL EXERCISES FOR SHOULDER PULSED PERIATRITES
Sitting on a chair
1. Exercises for brushes and wrist joints.2. Rotation( rotation) of the forearm.3. Flexion and extension in the elbow joints.4.Podnimanie and lowering the shoulders( hide the head in the shoulders).5. Hands "in the lock" on his knees, lifting his hands forward - up.6. Hands "in the lock", bending the hands in the elbow joints, put the brush on the chest, on one, then on the other shoulder.7. Hands "in the lock" on the chest, stretch his hands palms to the outside forward - down, forward - up.8. Wiggling the forward, backward and small circle down along the body and the relaxed patient arm.9. Hands on knees, circular movements with shoulder blades in both directions.10.Sest on the edge of the chair, with a healthy hand to touch the back of the chair up, the same patient hand.
Sitting in a chair with a gymnastic stick.
11. Stick to hold the ends of the grip on top, put it on the chest and lower it to its original position.12. The same, holding the stick grip from below.13. Putting the stick aside.14. The stick is mounted vertically on the chair between the knees, lift, intercepting, brushing up the stick and lowering down.15. Holding the stick by its ends, carry it over the head to the right and to the left.16. Stick for the head on the shoulders, straighten one by one hands in the sides, "nag neck".17. Holding the stick by the middle with the arm extended forward, turn it inside and out.
Standing with a gymnastic stick.
18. A stick behind the back, pull the stick to the shoulder blades with a different grip width with her hands and with different grip.19. Stick behind your back, hold her by the ends, take the stick to the right and left.
Standing with rubber.
20. Rubber is tied to a stick by the ends, and the middle - to any stable object( simulating rowing on a kayak, on a boat).21. Rubber is tied to the gymnastic wall at shoulder level( imitation of hammer throwing movement with 360 ° rotation of the body in both directions).22. Rubber is tied to the gymnastic wall - flexion, extension, retraction and reduction, circular motions in the shoulder joint, standing face, side and back to the wall.
Lying on the back.
23. Relaxation of the hand with slight shaking.24. Flexion in the shoulder joints( hands "in the lock" or with a gymnastic stick).25. Leaving the shoulder.
Lying on the stomach( on the couch).
26. The hand is lowered from the couch, shaking hands with relaxation.
Standing on all fours.
27. Hands to pull forward and put on the floor. With a springing movement, try to sit on your heels without moving your hands.
At the gymnastic wall.
28. Standing face to the wall, intercepting the slats, raise your hands up to the limit to lower them down to the level of the chest.29. Squat, holding the rake with your straight hand at different heights.30. Standing with his back to the wall, squat, holding the rail at the level of the waist.31. Standing sideways to the wall, take your hand to the side, intercepting from the rail on the rail. Exercises with a yoke.32. Leading and casting;circular movements forward and backward.
33. Lateral head inclinations, forward and backward bends of the head, circular movements.
With cervical osteochondrosis, approach these exercises with caution.
Exercises with resistance for the muscles of the neck.
34. Hands to the back of the head "to the lock"( tilt forward and backward);
hands on temples, lateral head inclinations.
Exercises with the ball.
35. Various throws the partner, at the target, with one and two hands, in place and in motion.36. Throws the ball in the basketball ring with two and one hands.
Note. In all cases of recovery of the volume of movements in the shoulder joint, it is necessary to strive to perform isolated movements in this joint. For this purpose, it is recommended to fix the shoulder blade with special belts( the strap is thrown over the injured shoulder) and use such initial positions when the shoulder blade is less involved in the movement of the shoulder.
Pleuralopathy periarthritis is a disease caused by inflammation of tendons and periarticular tissues. If you have a humeroscapular periarthritis set of exercises will give a good effect in the treatment of the disease. The main goal of the exercises is to increase joint mobility, relieve inflammation and reduce its pain syndrome.
When confirming the diagnosis of humeroparous periarthritis, a complex of joint exercises should be performed, as well as a massage of the upper limb of the shoulder joint and cervical region in order to prevent possible reflex contracture( or restriction of joint mobility).
Learn more about the symptoms, diagnosis and medication of periarthritis.
Features of medical gymnastics
One of the most effective methods of fighting reflex contracture, along with therapeutic gymnastics are thermal procedures. As a remedy, a warm water bottle or a bag of sand is used.
In the first stage, the exercises with shoulder-blade periarthritis are carried out on a fixed arm with the help of a fixing headscarf and a roller, which should be placed in the armpit.
If pain syndrome is observed before the beginning of the exercise, therapeutic gymnastics should be performed only after taking an anesthetic, as the pain that occurs during the performance of gymnastics can provoke reflex contracture.
In the first stage of therapeutic gymnastics with shoulder-piercing periarthritis, the exercises are performed lying down. Over time, when the pain syndrome decreases, the exercises will need to be combined, performing them sitting and standing.
Exercise for periarthritis of the shoulder joint lying on the back
Exercises on the shoulder joint should be completed with relaxation of the muscles. The number and types of exercises for each patient are selected individually according to the recommendations of the doctor. A typical set of exercises, let's consider below.
Exercise 1. Lying on your back, bend your arms around the elbows and squeeze / unclench your hands. This procedure is recommended to be repeated 10-12 times for 1 minute.
Exercise 2. Lying on your back, bend your arms in the elbows. Hands bend - unbend the wrist joint 4 times. After this procedure, perform a circular rotation clockwise, and counterclockwise 4 times.
Exercise 3. Lying on your back, press your hands against your body. After that, move the palms up and down 6-8 times.
Exercise 4. Lying on your back, bend your arms in the elbows. Spread the forearms out to the sides in such a way as to try to touch the back of the palm of the bed. Repeat this procedure 3-4 times.
Exercise 5. Brush your hands to your shoulders and spread your elbows to the sides in such a way as to achieve their horizontal position. This exercise should be done 3-4 times.
Exercise 6. Lying on the back of the hand should be placed along the trunk. Plant them in the sides until pain appears in the affected joint.
Exercise 7. Lying on your back, place your arms along the trunk and lift and lower them one at a time. Lift to inhale, lower to exhale. This exercise should be repeated 5-6 times.
Exercise 10. Hands should be spread all over the width of the bed with the palms facing down. Simultaneously, press the palms on the bed for 5 seconds. This procedure should be repeated 5-6 times.
All the above exercise can be done at any time. The number of repetitions and the intensity of therapeutic physical education is determined by the attending physician depending on the patient's condition. With a decrease in the pain syndrome, the above-described curative gymnastics is recommended to be supplemented by another set of exercises sitting on a chair.
Exercises sitting on a chair or standing
Exercise 1. The affected and healthy hand should be alternately lifted up and up and lowered in the same way. When you raise your hand, you inhale, when you exhale. This procedure is recommended to be performed 4 to 5 times. The exercise is done sitting.
Exercise 2. A healthy and large hand alternately needs to be wound behind the back, so that the palm is at the level of the scapula. Perform no more than 4 times. The exercise is done sitting.
Exercise 3. Sitting on a chair, place your feet on the width of your shoulders. Brushes should be pressed to the shoulders. Alternately, press the elbow against the knee of the opposite leg. Exercise should be done alternately with both hands 5-6 times.
Exercise 4. Sitting on a chair, make the head incline forward / backward and to the sides with closed eyes. Exercise is recommended to be performed 2 times in each side at a slow pace and with interruptions of 1 second, when the head is in an intermediate position. In case of dizziness, take a break.
Exercise 5. The exercise is performed while standing. Legs shoulder width apart. Perform simultaneously swings the hands, moving them to the right / left. The number of repetitions is 5-6.
Additional procedures of
In order to increase mobility in the shoulder joint, it is recommended to fix the hand in a certain position for a while. This procedure should be performed lying on the floor. The affected arm should be straightened at the elbow and set aside to the maximum permissible distance. After that, the hand should be fixed with several bags of sand for 3-5 minutes. As the pain syndrome worsens, the duration of the procedure should be increased.
It should be noted that all exercises for the treatment of humeroparous periarthritis should be performed only under the supervision of the attending physician. As with improper performance, you can not only not make progress, but whether to injure the hand.
When carrying out this exercise, you should always note its duration and the angle to which the hand was drawn. The above indicators should increase with each exercise. This operation should be done daily at the beginning of treatment and twice a day from the time positive results appear. Usually this period is 1-2 weeks. In most cases, the above gymnastics allows you to completely get rid of the pain and stiffness in the shoulder joint area.
Below in the video you can also see a set of exercises for the prevention of humeroparous periarthritis.
An easy method of fighting the disease is a set of exercises with the shoulder-flap periarthritis
Shoulder periarthritis develops in a quarter of the population of the whole Earth, which means that it is a widespread ailment. Symptoms of the humeroparous periarthritis can be observed in the same manner in both the male and female segments of the population.
To contribute to the development of this disease can be previously suffered injuries, shoulder blows and strong physical activity. It can be concluded that the reason may be unusual work or overload.
Massage should be done together with a set of exercises, as it helps to get rid of the pain more quickly, prevents the formation of a rough scar, removes bursitis, myositis, tendovaginitis and helps the muscles not to get atrophy.
Massage procedures should be done every day for 15-20 minutes, the course of which should be from ten to twenty visits.
If humeropathy periarthritis is diagnosed, massage procedures should be performed for at least three courses. The break between the courses should be between three and four weeks.
With clearly manifested painful sensations, therapeutic exercises with humeropathy periarthritis begin to be performed after the anti-pain medication has acted, as the feeling of pain can more violate the movement of the joint, which is struck by the progress of stiffness.
In the complex of exercises with shoulder-blade periarthritis, in most cases, exercises include elbow joints and wrist joints of the hand. At first it is worth doing exercises, lying down, and then already combine different positions of the body, namely standing, lying, sitting.
LFK with plechelo-flap periarthritis should result in relaxation of certain muscles for which exercises were performed. The number of exercises should be selected in each case separately. For exemplary exercises that can be performed include the following.
Exercises in which the starting position is lying on the back and the pace is not fast
- Exercise 1. Arm bend at the elbow. Fingers on fists need to be squeezed and unclamped from ten to twelve times. Then shake the brush. Duration up to thirty seconds. The rate of breathing does not make a difference.
- Exercise 2. Arms bend at the elbow. Folds and folds of the wrist in the wrist joint four times, then rotate with circular movements of the brushes on, and from oneself before relaxing them four times. It is carried out slowly, the speed of breathing does not matter.
- Exercise 3. Place your hands along the trunk. Rotate your hands palms up and down six to eight times. The rate of breathing does not make a difference.
- Exercise 4. Place your hands along the trunk. The brush is located next to the shoulders - to inhale, return to the initial position, exhale. Duration from six to eight times.
- Exercise 5. Arms bend at the elbow to get a right angle. Forearm to divide on the sides. You should try to touch the inside of the brush to the bed. Repeat from three to four times.
- Exercise 6. The brush is located next to the shoulders. The elbow is removed from the sides, so that it is placed horizontally - inhalation, then the initial position and exhalation. The exercise is repeated four times.
- Exercise 7. The brush is located next to the shoulders. Elbow in front - inhale, return to the initial position - exhale.
Charging for this disease is performed at any time of the day, as soon as there is a free minute. When there is a decrease in pain, the above complex should be supplemented with the following methods.
Techniques, the initial position of which is sitting on a chair
- Exercise 8. The legs are set at shoulder width, hands should hang. Elbows in a bent position - inhale, then unbend, after which the muscles are relaxed and are performed from three to five strokes and exhale.
- Exercise 9. The hand that does not hurt, rises forward - to the top - to inhale, lower down gradually relaxing and perform from three to five movements of movement, to exhale. To do, too, only with the affected hand.
- Exercise 10. A hand that does not hurt to lie behind your back, while the palm rises to the shoulder blade. To do, too, only with the affected hand. The rate of breathing does not matter.
- Exercise 11. The hands are kneeling. A hand that does not hurt to be diverted to the side. Stretch out and look at the palm. Hold the hand for five seconds, inhale, and return to the initial position, and exhale. The same movements are done with the second hand. Exercise should be done three to four times.
- Exercise 12. The legs are set at shoulder width, the brush is placed next to the shoulders - the breath is drawn. A hand that does not hurt should reach the knee of the next leg, which should be raised and exhaled. Repeat, too, only by changing your arm and leg and doing five to six times.
- Exercise 13. The legs are exposed to the width of the shoulders, hands are lowered. Do slowly in order not to exacerbate the pain, do movements around the joints of the shoulder in one and the other direction from six to eight times.
- Exercise 14. The legs are set at shoulder width. The head tilts forward, back and sides so that the ear can reach to the shoulders and turn its head to the sides. Do not quickly, twice, in the interval you need to make a stop for one second. If symptoms of dizziness begin to appear, then it is necessary to stop the exercise. Rotation of the head on the sides is advised, closing the eyes before it. After the movement of the cervical department to make a little breather.
Methods of treatment with folk methods
If the humeropathy periarthritis has been diagnosed, some remedies from traditional medicine may be useful. It is important to remember that any herbal medicine must necessarily be coordinated with a specialist so as not to get the situation into a deaf corner.
Crush one spoonful of St. John's wort and pour it with hot water in the amount of one glass. Infuse the resulting liquid for half an hour and apply one tablespoon four times throughout the day.
Take the dry nettle previously ground, pour it with water and stand on a water bath. The resulting remedy should be applied inside the spoon four times throughout the day.
Take 5 grams of black currant fruit to grind and pour a glass of hot water and stand for 20 minutes. The received infusion to use on a glass of a glass three times throughout the day.
Traditional medicine with humeroscapular periarthritis can be used as rubbing and massage. This will require a decoction of chamomile, peppermint, leaves of plantain and burdock root. If the burdock leaves warm, then you can use it for compresses that will help remove inflammation and pain.
With a correct and adequate understanding of their situation and a clear adherence to all the advice of a specialist, exercise therapy with pleural flap periarthritis in combination with therapeutic agents leads to a complete return of the mobility of the shoulder joint. And also the use of recipes for folk medicine will also help restore the health of your joint, but you should not abuse it and in no case practice self-medication.