Physiotherapy with polyurethritis: Methodology of Popov as a method of treatment
Pleuralopathy periarthritis is not as widely known as, for example, osteochondrosis of the spine, but 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 a good one.
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 due to infection of the body with an infectious agent. 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 to date, there are two main factors in the development of this kind of joint inflammation:
- , 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, overweight, 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:
- Exceedance of 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 edematic, 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 lack 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 is 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 is 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 disease is healed. 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.
A set of exercises for the shoulder-flap 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.
- 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 of 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 is stretching 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 compress our fingers into 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.
Complexes of exercises with shoulder-flapping periarthritis
Pleural-flapping periarthritis is a common slow inflammatory-degenerative lesion of tissues and anatomical formations surrounding the shoulder joint( capsule, tendons, bags, ligaments).Like any other pathological process, the periarthritis of the humeroscapular localization has its own peculiarities with regard to treatment. Among the therapeutic measures, an appropriately chosen set of exercises( Popov, Bubnovsky or other authors) occupies an important place. The rules of rational exercise therapy and gymnastics in the treatment of pleuraepithelial periarthritis are described in this article.
Therapeutic possibilities of gymnastics and physical education
The principle of therapeutic effect of certain movements that are produced during the exercise is the following positive effects:
- improvement of microcirculatory processes and blood circulation in the affected area;
- restoration of trophism of altered tissues;
- relief of residual manifestations of the inflammatory-degenerative process;
- relaxation of intense musculo-tendon complexes;
- strengthening of weakened ligamentous structures;
- recovery of lost muscle tone and prevention of muscle contracture;
- recovery of the required volume of movements.
It's important to remember! Correctly selected set of exercises with shoulder-blade periarthritis has a blocking effect on virtually all the links of the onset and progression of this disease. This is a full-fledged method of treatment, which must necessarily be controlled by a specialist!
General requirements and rules of exercise therapy
Starting complex exercise therapy and therapeutic gymnastics with pleural flush periarthritis, it is necessary to be guided by such main rules:
- Do not resort to this method of treatment in the acute stage of the disease. Sick tissues should remain in a state of rest until the inflammatory manifestations decrease.
- The appearance of minor soreness during exercise is not an excuse for refusing exercise therapy. Pain syndrome can be stopped with the use of pain medications.
- Severe pain is a contraindication for further exercise.
- It is compulsory to follow the rules of gradual increase in the intensity of the loads. It is inadmissible to resort to force exercises, if the bone-tendon complexes of the affected area are not ready for this.
- Severe tenderness or limitation of the volume of movements in the shoulder can be reduced by massage of the humerus area or warming it before performing the exercises.
- The initial complex of exercise therapy should be represented by exercises from the initial position lying on the back.
- To achieve good functional results from exercise therapy it is possible by introducing a set of exercises in different positions of the body and using additional devices( rubber band, ball, dumbbell, gymnastic stick).
- The first to exercise in the shoulder shoulders should be involved more distant from the shoulder joints of the upper extremity.
It's important to remember! If the patient has started a complex exercise therapy, he is obliged to perform all the exercises regularly. Violation of this principle entails a decrease in the effectiveness of ongoing activities!
Exercises for shoulder-flapper periarthritis can be performed using additional devices
In what cases is it better to refrain from gymnastics and exercise therapy
Complex exercise therapy for shoulder-flapping periarthritis is contraindicated in such situations:
- congestive chronic heart failure and circulatory system;
- uncontrolled hypertension;
- marked exacerbation of periarthritis with severe pain syndrome;
- conditions associated with an increased risk of any type of bleeding;
Complex of exercises for the pain syndrome
In the case of humerous periarthritis in the stage of unstable remission with an unexpressed pain syndrome, exercise should be performed in the initial position lying on the back on a hard surface. The basic exercises are as follows:
- Warm-up of the upper limb in the form of flexion-extension of the fingers of the hand, squeezing and unclenching the hand into a fist( 8-10 times).
- Flexion-extensor and rotational movements with a brush in the wrist with bent forearms at the elbows at right angles. After that, the hands are laid along the trunk for relaxation and for a short rest.
- Hands along the trunk in the supine position. Perform 10 rotational movements of the upper limbs, alternately moving the palms of the hands up and down.
- From the previous starting position, bending the forearms in the elbows, put the brush on the shoulder, while breathing in with a delay of 2-3 seconds. After that, you should exhale with lowering your hands to the floor. Such therapeutic exercise consists of 7-10 movements.
- Upper limbs located along the trunk, bend at the elbows and smoothly divorced in the sides with simultaneous pulling of the elbows upward, and brushes before touching the floor. Repeat 5-6 times.
- Position the brush on the area of the corresponding shoulder joint. Bending his elbows to the sides, he takes a breath, leading back - exhalation.
- From the same initial position( brushes on the shoulders), make the maximum elbows raise forwards by inhalation and lowering on exhalation up to 10 times.
- Dilution of straightened upper limbs to the sides from the supine position with simultaneous rotational movements of the forearms and shoulder fixed in one line of the hands. Avoid severe pain and fatigue.
- Raising your arms straight up in front of you from a prone position with simultaneous inhalation and exhalation when lowering.
- The final relaxing exercise is to spread your hands to the sides with your hands up, lie down for a few minutes.
The exercise therapy for periarthritis should be sequential and differentiated.
. Complex exercises in the recovery phase of
. In the period of convalescence recovery of the humeropathy periarthritis, exercise therapy can be performed from the initial sitting position in the stool:
- The back is flat, the legs are set on the width of the shoulders. Straightened arms rise upward with simultaneous inhalation. With an exhalation, lower your hands. After 5-6 such cycles, the arms should be raised to the sides with the maximum permissible upward lift.
- Perform linear movements with shoulders in the form of their raising and lowering.
- Movement shoulders in a circle and "eight" forward and back with hands down.
- Get the brush to the shoulder blade first of the opposite side over the shoulder and under it, and then its side 7-8 times.
- Drawing the arm to the side and backwards with a delay in this position for a few seconds. It is performed 5 times in turn for each hand.
- Brushes are laid on the shoulders on one side, knees together in a sitting position on the chair. It is necessary to pull the elbows as far as possible towards the opposite knee.
- In conclusion, circular movements are performed in the cervical spine in both directions with hands down.
Exercises from standing position
- Rotational movements with the brushes in a circle with simultaneous lifting of the straightened arms upwards on inspiration and lowering on exhalation. Exercise until the appearance of a little fatigue.
- The legs are set shoulder width apart. The exercise consists in performing swings with your hands to the right and left, and then back and forth. It is enough for 8-10 cycles of each of the exercises.
- Performing mahov's hands while walking( about a minute).
The essence of the complex of exercises on Popov
The main principle that is embedded in the complex of exercises Popov - a simple movement in the form of rotation and sipping. They should in no case bring pain and discomfort. In the set of exercises Popova includes such:
- As far as possible, raise the shoulders up and perform rotational movements of the type "gimlet".
- In standing position maximally stretch the spine( sipping).After this, the shoulders go up as far as possible and stay for a few seconds in this position against a background of deep inspiration. On exhalation, the shoulders are as low as possible and fixed for a few seconds.
- Smooth maximum hand movements as a shear type. On inhalation, the arms are divorced to the joints of the scapula, crossed in front of you in exhalation.
- Raising each hand up in turn with simultaneous turning of the trunk in the same direction several times, without lowering the hand. After it is lowered, relax muscles as much as possible.
- Bend the elbow flexed upwards gently in the elbow joint and then gradually lower it.
- Brushes cross into the lock in front of him, forearms are located horizontally. Carry out hand movements like "waves".
- Feet together in standing position. The body tilts forward with pulling the chest to the knees. It is necessary to try to maximally pull the shoulders towards the knee joints and stay in this position for a few seconds.
Whatever the complex of exercise therapy for pleural-periarthritic periarthritis has been chosen as the basic course of exercise therapy, the only guarantee of effectiveness can be control by a specialist. Complex medical and physiotherapy treatment in combination with the dosed load significantly increases the chances of recovery.
A set of exercises( therapeutic gymnastics) with shoulder-flapping periarthritis
Shoulder or humeropathy periarthritis is a disease in which inflammation of surrounding shoulder joints occurs, including the ligaments, the joint capsule, and the tendons of a number of located muscles. Therapeutic gymnastics with periarthritis of the shoulder together with the medicamental treatment of this disease occupies a leading place in the treatment and rehabilitation. In this article you will find a set of special exercises, the implementation of which will help improve the condition for this disease.
Why is there a need for therapeutic gymnastics( LFK) with periarthritis of the shoulder?
with periarthritis of the shoulder without gymnastics is indispensable
regular exercise helps to reduce pain in the shoulder joint and surrounding tissues;
- helps restore the previous( before the disease) volume of movements in the shoulder;
- increases muscle strength and tone of periarthritis-affected muscles.
Please note: these therapeutic methods should be used only after examination, diagnosis and in parallel with drug treatment. Apply the movements described below only after their approval by the attending physician. Self-medication can harm your body!
Complex of therapeutic exercises with shoulder plethorascic periarthritis
group exercises in therapeutic gymnastics( ASF)
The starting position is sitting on a chair.
Place your hands on your waist and spread your elbows to the sides. From this position, start - very smoothly and slowly, without jerking!- To make circular movements with shoulders back and forth.
Try to do the movements so that you do one circular motion for 60 seconds( forward), and then the same - in the opposite direction.
The starting position is the same as in the previous exercise. Put your hands on your waist and dilate your elbows in the sides, too, very smoothly and slowly move your shoulders forward as far as possible, and then - back and also to the maximum. Repeat this movement "back and forth" five or six times.
The starting position is sitting with the most painful hand behind the back. Take a healthy hand with a sore hand behind your wrist, then gently and gently begin to pull the sick arm down and into the healthy side with a pointing on the butt on the healthy side.
Note: this must be done, avoiding pain and achieving only muscle tension. When you reach the maximum position of the hand, stop for 8-10 seconds at this point, and then on inhalation try to maximally strain your aching arm and freeze in this position for another 10-12 seconds.
After that, exhale, while relaxing your aching arm. At the same time, try to pull the patient a few centimeters in the same direction with a healthy hand, but also without causing pain, and at this point again hang for 7-10 seconds.
After this, perform another four - five cycles with stress-relaxation, during which try to pull your arm a little further, but without the appearance of pain.
LFK aimed at the upper shoulder girdle
Sitting. Put the hand of the sick hand on the shoulder of a healthy hand, press the elbow against the chest, and with a healthy hand, grasp the elbow of the diseased limb and begin to gently pull the sick arm upwards. Take care that the patient's elbow does not come off his chest and as if riding along it. Tighten the aching arm to the sensation of maximum muscle tension, but not pain.
When the maximum point is reached, fix at this point for ten to fifteen seconds. After that, inhale, stretch the sick hand for seven to ten seconds, relax it on the exhalation, and with a healthy limb, pull the sick arm up a little more. Repeat this cycle of inspiration-exhalation with tension-relaxation, as in the last exercise - 5-6 times.
№5( simplified form)
Recommended for patients with severe limitations of joint movements, and also when the sore arm is slightly diverted to the side.
The starting position - lying on the back on the floor, the painful arm is straightened at the elbow joint, and the palm looks up. From this position, taking a breath, raise your hand 2-3 cm up and maximally strain it, remaining in this position for seven to ten seconds. Then, on exhalation, lower your hand to the floor and completely relax it, after which you are in that relaxed state for 10-15 seconds.
Repeat this cycle of inspiration-exhalation and exhalation-relaxation 4-5 times.
And here's an interesting video of the LFC complex for this disease:
Note: the complex is not provided with all the exercises and solely for informational purposes. In order for the treatment of the humeroparous periarthritis to proceed correctly, it is necessary to have a full-time consultation with a physician-rehabilitator or an instructor in physiotherapy exercises.
Shoulder-bladder periarthritis: exercise gymnastics complex
For such a disease as a humeropathy periarthritis - a complex of exercises requires a sufficiently careful approach. After all, the workouts are aimed at accelerating the treatment of the shoulder joint and the muscles that surround it. In combination with the use of medicines and physiotherapy, they successfully fight the disease.IMPORTANT TO KNOW!A new means of restoring joints in 99% of subjects. The pain goes away 100%!Read more here - & gt;
Procedures for the treatment of periarthritis
A complex of exercises with shoulder-piercing periarthritis is simply necessary. It includes massage of both the shoulder joint and the entire neck area. Gymnastics are held when the hand is well fixed. If the pain is clearly expressed, then before taking classes it is recommended to take an analgesic.
The number of exercises for each person is selected individually. Carrying out them, immobilization is necessary: with the humeroscapular periarthritis, immobility is important so that the muscles during exercise are not damaged even more. Physiotherapy exercises with periarthal periarthritis have the following result:
- relieves pain and relaxes the muscles of the diseased shoulder joint;
- gradually restores joint motion;
- bounces the strength of muscles and their tone.
Extremely is important in the shoulder-flapper periarthritis massage of the upper limb, of the aching shoulder joint and neck area. It improves blood circulation in the affected area and thereby reduces discomfort. Regular massage will also prevent muscular atrophy of the shoulder caused by the impossibility of movements due to pain, and prevent the limitation of joint mobility.
Gymnastics are recommended to be conducted in two stages. Exercises of the first block are aimed at relaxing the affected muscles and relieving pain, while the second is designed for the gradual restoration of joint mobility, as well as the regulation of muscle tone.
A set of exercises with a shoulder-flapper periarthritis
A correctly selected set of exercises allows you to get rid of the pain in a short period of time and cope with the inflammation that builds up in the shoulder joint.
The results of the many years of development of doctors can be seen on video - exercises with a shoulder blade are specially selected and designed for the gradual restoration of the joint.
Starting position: hands on the width of the shoulders, lowered down, holding the wand. During exhalation slowly raise your hands upwards, trying to pull the joints of your shoulders as much as possible. Gently lower your hands.
Starting position: hands with shoulder width, extended forward. On exhalation slowly withdraw the shoulder back to the right with a stick, which we hold at arm's length like an arm. Similarly, move the shoulder to the left.
Starting position: as in Exercise 2. We lower the stick down and during the exhalation we slowly swing to one side and the other. It is desirable that the amplitude of movements is maximum. If the pain is acute, then the movements should be very moderate.
Starting position: raise your arms and keep them shoulder width apart. On exhalation, slowly and gently lower the stick to one side, and then to the other.
Starting position: squeeze the stick in front of you in front of you vertically at arm's length. Doing an exhalation, smoothly turn the object in one direction, then in another. It is necessary to use the shoulder joints as much as possible. When you feel a lot of pain, exercise should be done smoothly.
In the case of a humeroscapular periarthritis, therapeutic exercises may include other activities that are not considered above. They need to be done every day two or three times. It is better that all the movements of the shoulder are as isolated as possible. For this purpose, the blade is fixed using special belts. You can simply choose a position whereby during the activity of the joint the scapula will move as little as possible.
Gymnastics can be performed by a patient under the care of a doctor, or independently at home. It does not require special simulators, but only methodical execution. After completion of the treatment course, excessive loads of on the affected joint should be avoided. They can cause a new inflammation.
Shoulder-flapping periarthritis - a set of exercises
To prevent the development of a chronic process, physicians strongly recommend a complex of exercise exercises for patients suffering from shoulder-flapper periarthritis, which will help ease the condition and defeat the disease.
What movements are recommended?
For the speedy recovery specialists have developed special exercises for shoulder pleoporrhea periarthritis. It includes:
- Flexion and extension of arms( in the wrist joint), as well as circular movements of the hands.
- Compression and unclenching of brushes.
- Turns the palms up and down.
A very large role in the complex therapy of this form of pathology is played by therapeutic gymnastics
- Touching the shoulders with your shoulders.
- Raising the hands to the sides with the simultaneous rotation of the hands.
- Raising hands up( alternate).
- Pressing the palms onto a hard surface.
- Jerk hands.
- Circular movements around the shoulder joint( back and forth).
- Swing your hands.
- Starting behind the back with a simultaneous touch of the opposite shoulder blade.
Each of the prescribed exercises must be performed 6-10 times for half an hour three times a week( whenever possible - every day).
Basic Exercises of the
Exercise No. 1
I.P.- sitting on a chair, palms on the waist, elbows are divorced in the sides. Very slowly and slowly, circular movements of the shoulders are performed, one minute forward and backward. Exercise # 2
is the same as in the previous exercise. Slowly and smoothly, the shoulders move to the limit forward and back to the limit. Exercise should be repeated 5-6 times.
Exercise No. 3
IP sitting on a chair, a sore arm is wound up as far as possible behind the back. There, she clasps her healthy arm around her wrist and stretches to the opposite buttock( only to the sensation of muscle tension).The achieved position should be fixed for 7-10 seconds, then inhale maximum on the arm, and hold it for 10-12 seconds. Relaxation of the diseased limb is performed on exhalation. While she is relaxed, her healthy hand should be pulled a few more centimeters( toward the healthy buttocks), until there is a slightly painful muscle tension. For one approach, you should perform 4-5 exercises of stress - relaxation.
Exercise # 4
I.P.sitting. Brush the sick arm should be placed on the opposite shoulder, pressing the elbow to the body and clasping it with a healthy hand. Then gently and smoothly, you need to pull the elbow upward( as if sliding over your chest).After the elbow is pulled to its maximum height( without pain), in the achieved position, it should be delayed for 10-15 seconds, and then inhale as much as possible to strain the affected arm, resisting movement. The duration of such a voltage is 7-10 seconds, and then the patient's hand relaxes and rises a little more upward( up to a slight strain of muscles and soreness).Then it is necessary to fix the position again for 10-15 seconds, and repeat everything again, trying to raise the elbow one degree higher each time. Exercise should be repeated 5-6 times.
Exercise No. 5
This therapeutic gymnastics is recommended for patients with lean shoulder periarthritis in patients with severely limited mobility of the shoulder joint and poorly diverted to the side of the limb. This exercise can be performed in a standard and simplified version. The simplified version is performed in the prone position, the diseased limb is diverted to the side, straightened and placed palm up. It should be raised 2 degrees above the floor and tighten the arm( it should be straightened at the elbow, the palm facing upwards).The voltage is held for 7-10 seconds, then for 10-15 seconds - complete relaxation. Then, on inhalation, the hand is raised 1-2 cm from the floor and tightens for 7-10 seconds. On exhalation - relaxation. You should perform about five cycles of relaxation - tension. The standard version of the exercise is the same as the simplified one, just lying on the couch, placing the sore shoulder on its edge.
Exercise # 6
It is prescribed for patients with a strong rotational limitation of the mobility of the shoulder joint. It is also performed in two versions. Simplified version: I.P.- lying on the back, the diseased limb is bent at the elbow and in the shoulder at an angle of 90 degrees, palm up. Without changing the position, it is necessary to strain the patient's arm severely, lifting the palm from the floor by 2 cm and so holding for 10-15 seconds, then 10 seconds of relaxation. Such an exercise is performed in 4-5 approaches. The standard version is also performed, only lying on the couch( the painful shoulder is closer to the edge).
Exercise # 7
Perfectly helps patients who have a poor arm rotation in the shoulder joint. LFK with a shoulder-flap periarthritis with a rotational restriction of mobility provides for this exercise in both simplified and standard versions. With a simplified version, the patient lies on his back on the floor. The painful arm should be bent in the shoulder and at the elbow at an angle of 90 degrees, turning the palm down. Without changing the position, the hand tightens, and the brush rises 1-2 cm from the floor for 10-15 seconds, followed by ten-second relaxation. It is recommended to repeat the exercise 4-5 times. The standard version is the same as the simplified one, just lying on the couch( the painful shoulder is closer to the edge, the arm is bent at 90 degrees, palm up).
Exercise # 8
I.P.- standing near a chair, leaning forward and leaning on a chair with a healthy hand. The patient's hand is down. She should be allowed to hang freely for 10-20 seconds, then start pendulum movements in a circle, forward and backward. The amplitude of movements is gradually increased, while not allowing obvious painful sensations, within 3-5 minutes.
Exercise No. 9
I.P.- standing facing the wall. The painful arm should be raised as much as possible without pain. On the wall, you should select a point, 10 cm above the point to which you can reach without effort with your fingers. Moving with your fingers, we move to the intended point, while trying to reach out with your hand.
Warning! When doing this exercise, you should not allow pain. To do this, you must follow the rule of alternating tension and relaxation.
Performing such an exercise daily, for 2-3 minutes, you can significantly expand the amount of movement in the patient's arm.
Recommendation: when performing this exercise, you do not need to actively roll your head up and watch your hand, since in patients suffering from instability of the cervical spine because of a violation of blood flow in the basilar artery, this may cause dizziness or loss of consciousness.
Periods of Exercise In this form of pathology, physical therapy sessions are divided into two periods:
- The first-stage sessions are recommended for acute pain and severe limitation of shoulder mobility. At this time, the main task of exercise therapy is the removal of pain and relaxation of the muscles of the shoulder joint, as well as increasing its mobility. All exercises are performed with fixation of the shoulder blades( sitting, standing or lying down).
- At stihanii pains it is possible to start employment( occupations) of II period ЛФК at a humeroscapular periarthritis.] In this case, the patient is assigned exercises that help to restore movement along all the axes of the shoulder joint, as well as restore the muscle tone and strength of the muscles of the affected limb. Exercises of the second period are performed without fixing the shoulder blades sitting, standing( including the gymnastic wall) and lying on the back.
Note: each patient needs an individual approach, taking into account his age, physical fitness and the degree of development of the pathological process.
All lessons should be conducted daily, including without the participation of an instructor.