Periarthritis of the humerus: exercise complex Popova, therapeutic gymnastics
The complex of therapeutic exercises with shoulder-blade periarthritis is a part of complex therapy in the treatment of inflammation of the shoulder joint. Pleuralopathy periarthritis is a serious but treatable disease.
At the initial stage, a person feels aching pain in the shoulder joint, which is removed by simple analgesics. As a rule, at this point the patient does not seek help from a specialist, muffling the disease with medicines. If the joint is not treated in time, a complication can occur in the form of a partial or complete fusion of the bones.
Shoulder bladder periarthritis. The complex of exercises
LFK in this disease is aimed at as quickly as possible to eliminate even small painful sensations in inflamed tissues. This also helps to relax the muscles around the shoulder and shoulder blade and, as a result, increase the mobility of the affected joint.
When a patient is hospitalized during an acute period of the disease, doctors prescribe a special set of exercises for shoulder-flapping periarthritis.
Basic complex of
1. The patient needs to sit at the table and lean on his elbows. The back for each exercise should be straight( this is a very important rule, since with pleural flap periarthritis, the spine plays a big role in recovery).It is necessary to compress the brushes into a fist and unclench them, straining the muscles of the shoulder.
2. Perform bending of hands in the wrist joint with their subsequent extension.
3. Make circular movements with brushes around the same joints.
4. Straighten both hands and lift them up slowly without jerking, then sharply lower your hands on the table. When performing this exercise, the patient should not feel pain. If pain sensations do occur, you should lower your arms as slowly as you lift them.
5. Raise your hands slightly upwards and put your hands on your elbows. Straighten the brushes, and then raise and lower them down, making movements in the wrist joint.
6. Straighten your arms and spread them apart. Blades during this exercise should be mobile. They need to be brought together and planted in the sides.
7. Bend your hands in the elbows and connect your hands. One hand must press on the other. It is necessary to strain the internal muscles of the shoulder and forearm.
8. Straighten your hands and put them on the table. Raise both hands up as far as possible.
Shoulder bladder periarthritis. Treatment. A set of exercises standing
1. Become straight and spread your legs to the sides. With jerks, take straight hands to the sides and lower them along the body.
2. Do circular rotations with straight arms forward, then back.
3. Get your hands behind your back and make a lock in your hands. Raise your hands up and return them to the same position.
4. Raise your arms to the sides and do swinging movements with your body to the right and left, while straining your back muscles.
5. Put your hands down along the body, raise them to the sides and lower them down.
When appointing a treatment, the physical education instructor is guided by the stage of the development of the disease and whether the patient has an aggravation of other diseases at the time of acute periarthritis. For some patients, more complex exercises are used.
Method of Dr. Popov
It is important to know that the occurrence of pain in the shoulder joint can speak of such a formidable disease as periarthritis of the humeroscapular. The complex of exercises Popova already with the diagnosis is slow and smooth. The doctor forbids making sharp movements with his hands and advises to think about what positive effect is on the body by doing the exercises.
Principles of treatment
How is periarthritis treated?
The complex of exercises Popova conducted by the method of "small movements".The basis of each exercise is the tilt, stretching, flexing and extension of the muscles of the back and shoulder.
Doctor Popov is inclined to the version that during the illness the joint is fixed in a position that alleviates the pain. After recovery, the joint remains in the same forced position, because of which there is a violation of trophism( feeding) of tissues in the shoulder. To cure the periarthritis of the shoulder, the complex of exercises Popova developed on the principle of "remembering" cells and tissues. Each exercise is important to repeat up to 10 times.
Technique of Popov. The main exercises of
Each exercise is performed while fixing the spine in an upright position.
1. Imitation of walking in a sitting position on the edge of the chair. Put your hands on your knees, legs spread apart. It is necessary to raise and lower the feet alternately, and slide the arms up and down simultaneously with your hands. It is important to breathe correctly during exercise. Lowering his hands to his knees, it is necessary to inhale, raising his hands - exhaling.
2. The same exercise is carried out, but now it is necessary to make circular movements with palms, beginning from the hip ending with the knees. If pain does not occur during exercise, you can hold the palms below the knee.
These are the basic warm-up exercises that you need to perform through every basic movement. Due to these exercises, coordination of movements improves, and the muscles are constantly warmed up.
How to relax the muscles of the shoulder
One of the most important is the exercise to relax the muscles. How to properly perform it? Sit straight and straighten your arms, while relaxing the muscles of your back and shoulder. Slowly raise and lower your shoulders. Trying not to stop moving his hands, bend his back, then very slowly straighten. Repeat several times.
Basic exercises for the shoulder joint
1. It is necessary to raise the shoulders up as much as possible and, trying to pull the muscles, draw the shoulders with the shoulders at first simultaneously, then alternately.
2. Lifting your shoulders up, try to stretch your spine. Hold your shoulders in this position for a few seconds, then lower your shoulders and pull them down. In this position also stay for 2-3 seconds.
3. Exercise "scissors".Dilute your hands to the sides and inhale, cross both arms - exhale. When breeding hands, it is important to ensure that the blades are connected.
4. Lift the arms up and try to turn the body and neck slightly in the direction of the raised hand. Lower your arms down and completely relax your shoulder muscles.
5. Bend the right arm in the elbow and lift it up. Lower your hand down and slowly straighten it. The same movements must be repeated with the other hand.
6. Pull your arms forward and make the lock. Doing wavy movements try to stretch the muscles of the shoulder and forearm. Be sure to do the movements first in a slow rhythm, and then gradually increase the tempo. Change the wavy movements to circular.
7. Straighten your back and put your hands on your knees with your hands down. It is necessary to tilt the body forward and pull the shoulder to the opposite knee. Perform the exercise alternately with each shoulder, straightening the body after each movement.
8. Tilt the body and pull the chest to the knees. Fix the back in this position. Keep your back straight and motionless, trying at this moment to pull your shoulders to your knees. Hold in this position for a few seconds, then return to the starting position and relax.
To maximally quickly cure the periarthritis of the shoulder, the set of exercises Popov should be performed under the supervision of a doctor. It is necessary to increase or decrease the total load on the body in time, so that there is no exacerbation of the disease.
A complex of exercises, therapeutic massage, physiotherapeutic procedures and pharmacological preparations will completely cure the shoulder-and-shoulder periarthritis.
Exercise therapy for humeroscapular periarthritisThe use of physiotherapy exercises occupies an important place in the complex treatment of various diseases. This is especially important in the treatment of diseases of the musculoskeletal system and, in particular, the humeroparous periarthritis.
What is the humeroparate 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;
- joint injury;
- occupational exposures 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 gymnastics in the development of humeropyritis is a mandatory component of therapy and its task is to achieve the following:
- prophylaxis of contracture development;
- recovery of muscle strength and tone;
- strengthening of 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;
- of the ball;
- rubber tape.
There are certain requirements for 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( brushes, wrist and elbow joints), and then proceed to exercises for the shoulder.
Exemplary set of exercises
First the movements are carried out, lying on the back:
- squeezing-unclenching of fingers;
- movements in the wrist joint( flexion-extension);
- rotation with brushes;
- hands down along the body, inhale them 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 arm 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 figure 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 your arms so that the shoulder blades are connected, on exhalation - to cross;
- take turns to raise their hands up, turning the body towards the raised limb, when lowering the hand down relax the muscles of the shoulder girdle;
- arm bend at the elbow joint, raise, 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 body forward, pull the chest to the knees, linger, trying to pull the shoulders to the legs, fix the body 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 - legs to be placed 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, sitting, 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 when 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
In the presence of the following conditions of exercise physical therapy contraindicated:
- the presence of circulatory failure from 2 stages and above;
- presence of fever;
- risk of bleeding;
- high blood pressure.
Regular daily performance 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.
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.
With shoulder-scapular periarthritis, there is an inflammation 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 area, training the 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 gymnastics with shoulder-and-shoulder periarthritis in a clinic should be divided into 2 periods.
1 period - a period of acute pain, a great 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 a period of stable remission( pain reduction).
The tasks of 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 needed taking into account the disease, age and preparedness of the patient.
Each lesson begins with exercises for the distal parts of the limb, 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 fulfilling all the prescriptions of the doctor.
At the end of the course of treatment, it is recommended to continue daily therapeutic exercises, 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-lobe 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 for 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( imitation 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 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 tilts of the head, tilting forward and backward movements of the head, circular movements.
When cervical osteochondrosis, approach these exercises carefully.
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 straps( the strap is thrown over the injured shoulder) and use such initial positions when the 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 limitation 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 curative gymnastics are thermal procedures. As a remedy, a warm water bottle or a bag of sand is used.
In the first stage of the procedure, the exercises for 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, since the pain that occurs during the performance of gymnastics can provoke reflex contracture.
In the first stage of medical 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 ended 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.