Complexes of exercises with humeroscapular periarthritis
Pleuralopathy periarthritis is a common sluggish 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;
- cupping 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.
- The expressed soreness 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 periarthropathy can be performed using additional devices
In what cases is it better to refrain from gymnastics and exercise therapy
Complex LFK in the treatment of humeroscapular 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 pain syndrome
In the case of a shoulder-flapper 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 main exercises are:
- Warm-up of the upper limb in the form of flexion-extension of the fingers of the hand, squeezing-expanding the hand into a fist( 8-10 times).
- Flexion-extensor and rotational movements with a brush in the wrist with bent forearms in 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 on the back. 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 up the elbows upwards, and brushes before touching the floor. Repeat 5-6 times.
- Place 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. 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.
Exercise during periarthritis should be sequential and differentiated
Complex of exercises in the recovery phase of
In the period of convalescence recovery of the humerus periarthritis, exercise therapy can be performed from the initial position sitting on 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 backward 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 a 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 brushes in a circle with simultaneous lifting of 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. The set of exercises Popova includes:
- As far as possible, raise the shoulders up and perform rotational movements of the type "eight".
- 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 plechelo-flapping 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.
Physiotherapy with polyurethritis: Methodology of Popov as a method of treatment
Shoulder bladder 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 well.
Often, humeroparous periarthritis is one of the manifestations of systemic polyarthritis, a disease that affects 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 the defeat of the body by 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, two main factors distinguish this type 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.
The development of polyarthritis is facilitated by predisposing factors: excessive physical activity, 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.
It is possible to develop 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 raise 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 trigger:
- 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 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 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 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 necessary 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 ligaments in one position. 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.
It is possible to 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.
A set 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 of the
- 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 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 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 prevention of complications and the development of contractures of the shoulder joint that have already formed.
Shoulder-bladder periarthritis - a set of exercises
For pains in the shoulder, most of us immediately make their own diagnosis - arthrosis of the shoulder joint. In fact, the most part of the pain in this part of the body falls on the less popular "in the people" disease - humeropathy periarthritis. This disease means the development of the inflammatory process in the tendons and capsule of the shoulder joint. It differs from arthrosis in that the deep muscles, the joint itself and cartilage, it does not affect.
True, there are two diseases in common - both arthrosis and humeropathy periarthritis are treated with the use of complexes of therapeutic exercises.
Most often, the humeroscapular periarthritis develops when performing atypical exercises. For example, fans of dog breeding, who throw a stick to their pet for several hours, usually soon address complaints to doctors. Suddenly performed, atypical exercise, which involves the untrained part of the body, easily leads to the development of the disease.Exercises
Physical exercises with shoulder-blade periarthritis are part of therapy, along with non-steroidal anti-inflammatory drugs. When performing therapeutic exercises with shoulder-piercing periarthritis, extreme pain should be avoided, although painful sensations( moderate, beneficial) are inevitable when the tendons are stretched.
To perform therapeutic exercises with humeroscapular periarthritis should be 1-2 times a day, for 3-4 weeks.
- Raise the shoulders up, pull them to the maximum and lower them down. We try to raise our shoulders to our ears.
- We lift the shoulders one by one - up to the ears, and down, relaxing.
- We rotate the shoulders back and forth, doing several approaches.
- The arms are lowered, raise the right arm, bend it at the elbow, touch the left shoulder and lower it into the FE.We repeat to both hands in turn.
- Hands are lowered, raise the right arm up, bend over the head, fingers reach the left shoulder through the top. The elbow looks upward, we try to lower our left shoulder mentally. We return the hand to the IP, repeat to both hands in turn.
- The hands are lowered, we collect the brushes in the lock, raise them up as high as possible, as far as the disease allows. We try to pull the patient with a healthy hand. We let go of our hands as we exhale. Repeat several times, then shake hands.
- Raise your hands on your waist and let them down relaxed. We repeat, shake hands.
- We raise both hands to the level of the chest, bend them in the elbows and alternately unbend our hands, squeezing the brush into the cam. You can imagine that you are pushing your hand forward. The forward movement is made on exhalation, the fold of the hand is inhaled.
- We start the right hand behind our back, we try to move with a brush as high as possible, taking out our left shoulder blade. We fix a hand, return it to the IP, then repeat to the second hand.
- Hands behind the back, we collect in the lock, we try to lift the connected hands higher on the back. Then we do stretching - we stretch our arms behind our backs.
- Circular rotation of the hands forward and backward.
- Raise your hands up, then through the sides to the level of the shoulders and back.
- For the next exercise, you need a stick - hold it with both hands on your hips. We lift hands with a stick upwards, above a head, then we bend hands in elbows and we lower a stick for a head on shoulders. We relax our hands and return to the IP.Repeat 8-10 times.
- We hold the wand for the ends, push it with the left hand, the right hand lifting up, turning the stick to the right. Then repeat to the other side and alternate hands.
- Wand with both hands in front of you, do circular movements forward, raising your hands as high as possible. Then repeat the rotation in the opposite direction.
- The wand is held in the center in the right hand, we transfer it from the right hand to the left hand, then vice versa. Keep our hands raised at shoulder level.
- We put the wand behind our back and raise it upwards, to the right, pushing our left hand, then to the left, pushing our right hand.
- Keep the stick away from you, one end on the floor. Stretch out, we reach for the wand, we lower the body down.
Rebuilding with humeroparietary periarthritis without therapeutic exercise is impossible
Periarthritis of the humerus is an inflammation of the capsule of the shoulder joint, as well as the tendons adjacent to it and passing through it.
Pleropilatochnaya pererarthritis is one- and two-sided. Significantly affect the process of the disease and the increase in the symptoms of degenerative-dystrophic articular changes and the formation of foci of inflammation in the surrounding tissues. If the phenomena of regression are superimposed in arbitrary combinations, the disease progresses.Vkontakte
Various syndromes of its development are noted:
- with damage to the tendon of the long head of the biceps muscle;
- inflammation of the tendon sheath of the biceps;
- tearing individual muscle tendon fibers.
The cause of the disease can be:
- osteochondrosis of the cervical spine;
- in women - the removal of the breast in connection with the development of a benign or malignant tumor.
The area of the joint becomes warmer than the surrounding areas to the touch, in the area of inflammation the temperature rises and there is hyperemia of the tissues.
The amplitude of movement in the joint gradually decreases, the volume of movements in the direction up and back, is limited.
Symptoms of of a simple form of periarthritis:
- slight pain while rotating the arm;
- if you try to get your hand behind your back, the pain intensifies.
If at this stage, do not limit the load and begin treatment, the humeroparous periarthritis can take an acute form with the following symptoms:
- Aching pain will intensify during night rest.
- With the slightest movement of the joint, pain is given to the arm area of the and the cervical region.
- Movement of the hand back-up-to the side because of the sharp painfulness is almost impossible, and the movement of the shoulder forward unpleasant sensations does not cause.
- There is swelling in the shoulder region.
- The subfebrile temperature of is observed, fever is manifested, the general condition worsens, at night, due to pain, sleep is disturbed.
- The patient tends to give the anthology to the arm - press the bent arm to the chest.
In the acute stage of the disease, in the absence of treatment, the process becomes chronic. During it, acute pains are replaced by constant subacute, exacerbated with increased stress, and when rest there is discomfort, numbness in the shoulder joint.
In 1/3 patients with a history of arthritis of the shoulder joint, , the capsule appears, which is characterized as a "frozen shoulder syndrome".
Diagnosis of the disease
Diagnosis of the disease begins with examination, assessment of the clinical picture and palpation of the affected joint. The symmetry of the shoulder joints, muscular atrophy, presence of the bony protuberances is evaluated.
The patient is asked to move with his hand, rotating it in the joint, reveal the degree of tension and muscle tone. The volume of passive movements in this joint is determined.
After ascertaining the degree of functionality of the joint, an X-ray examination of is prescribed. Sometimes it is necessary to additionally apply computer tomography or ultrasound examination to determine the extent of the lesion.
There are other methods that are connected in the diagnosis: arthroscopy and tomography.
Treatment of the disease at different stages of
The main drug therapy measures begin with the elimination of bouts of pain. To completely get rid of the disease, it is required, at a certain stage, to connect special exercises with humeropathy periarthritis. Otherwise joint mobility will be impossible to return .
Subsequently, the drugs used in the treatment of arthrosis are prescribed: hondoprotectors and anti-inflammatory drugs.
Physiotherapy - laser, magnetotherapy , - and manual effects are applied no earlier than 3-4 days after the end of the course of injections of corticosteroids into the affected joint.
Simultaneously with traditional medicamental treatment compresses with dimexide are used. After the acute pain is removed, bischofite is added to the compresses.
A rapid effect occurs after hirudotherapy, but patients with leeches often experience allergic reactions.
Traditional methods of treatment
Many recipes for the treatment of this disease are available in the stores of traditional medicine. Preparations of this group are for internal and external use. Plus them that they have a small number of side effects and always a great choice.
Tasty and pleasant summer remedy. A handful of currant berries, black, insist on boiling water, and drink about 100-150 ml before eating. Very useful and vitaminizes the body.
Anyone who considers the already described drug similar to compote, you can offer a similar. Instead of currant berries, leaves will be used in it.Vegetable collection: currant leaves, raspberries, cowberries and rose hips are taken in the same quantity approximately 35 g - currant leaves can be more - boiled, insist 6-7 hours in a warm place or 3 hours in a thermos. Everyone drinks a day.
St. John's wort perforated taking is required cautiously, no more than 30 mg per day for 2 divided doses. For tincture, a teaspoon of dry raw material is poured into 150 ml of boiling water.
The same tincture can be made from nettles, but take it a day more than once.
They are applied in the form of compresses or used for grinding.
Quickly help to remove soreness warming compresses:
- from salt( proportions of brine for compress: 10 g of salt per 100 g of water);
- from burdock leaves( it is not necessary to prepare a burdock leaf, it is enough to rinse it).
Compress is not used cold. To ensure that the heat is sufficient for a long time - usually the compress is placed before the sleep, the canvas soaked in a brine, or a heated burdock leaf, is closed first with a plastic wrap and then fixed.
For grinding, the following vegetable components are effectively used, on the basis of which alcoholic tinctures are made.
Plantain, birch leaves, mint, dandelion root, burdock or roots, mint, chamomile, coriander.
All ingredients for tinctures are taken in equal parts.
Complexes of therapeutic gymnastics
Before the beginning of lessons it is necessary to sit comfortably on a chair, lean back on the back. Movement should not restrain anything.
Hands at waist, elbows are diverted to the side. Slowly, elbows try to bring each other to a minimum distance.
From the initial position, from which the first exercise began, produce a symmetrical rotation of the shoulders.
Initial position: the elbow of a sick hand is pressed to the chest, a brush on the shoulder. With a healthy hand, pull the elbow from the side of the affected joint upwards. Do not lead to painful sensations. The exercise ends when the muscles begin to strain. The elbow on the chest should slide.
Positive effect on the humeropathy periarthritis complex of exercises Popova .They are allocated special movements based on his observations of patients who had a history of degenerative changes in the joint and surrounding tissues.According to his theory, fragments of the affected limb themselves take a position convenient for themselves, and the muscles and a group of ligaments support it even after healing."By memorizing" this position of the ligament of the altered joint does not allow it to recover in due measure and at the stage of remission.
Yu. V.Popov has developed small amplitude movements that gradually loosen these stiffened ligaments. Analyze his condition during classes on this method, the patient must himself.
Recovery is considered successful if after classes there is a pleasant relaxation and there is no tenderness in the joints.
The following exercises are included in the complex of Dr. Popov for restoring the shoulder joint.
- Hand on the shoulder, with a healthy hand, try to lift it as much as possible.
- The hand, lowered on the back of the thigh, is tried to bring to the waist with the help of a healthy hand.
- The tendon is stretched in an inclination: hands lean against a wall, bend over 90º, slowly crouch.
- The hand is supported against the wall, the shoulder should be set 30 degrees forward. Fingers "step" up the wall.
To strengthen the muscles
- Hands through the side slowly rise and fall.
- You need to press your back against the wall. Bend your arm 90 degrees to the elbow joint, and try to forcefully push against the wall.
- During the exercises for internal and external rotation, an expander is used. The expander is attached to the fixed object , a towel is placed under the elbow of the bent hand pressed to the side of the sick arm. Stretching the expander arm turn inside and out. The towel should remain in place.
Exercises for stabilizing the blade
It takes a slow push-up from the wall. In position: lying on your back, try to raise your shoulders as high as possible, holding your hands in front of you. The expander stretches behind the back.
All exercises are performed in an amount of 10 times, an average of 4-5 seconds.
The recovery complex can be started only after the disease has reached a state of remission. This video can clearly see the complex of Dr. Popov
An important factor in restoring the mobility of the shoulder joint is the regularity of the exercises. The course of therapeutic measures of the humeroparous periarthritis is long. To prevent a relapse of the disease, it is necessary to constantly engage in exercise therapy and limit excessive workload.
Shoulder-flap periarthritis - a set of exercises
To prevent the development of a chronic process, doctors 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 prompt recovery the specialists have developed special exercises with shoulder-blade periarthritis. It includes:
- Flexion and extension of the 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 big 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.
- Jerking 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 within half an hour three times a week( whenever possible - every day).
Basic exercises of
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 sick hand 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
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 # 5
This kind of therapeutic gymnastics is recommended for patients with lethargic periarthritis with severely limited mobility of the shoulder joint and poorly retracted limb towards the side. 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 No. 6
It is prescribed for patients with a strong rotational restriction 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 No. 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 sofa( the painful shoulder is closer to the edge, the arm is bent at 90 degrees, palm up).
Exercise # 8
- 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 due to blood flow disorders in the basilar artery, dizziness or loss of consciousness may occur.
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: for each patient an individual approach is necessary, taking into account his age, physical preparation and the degree of development of the pathological process.
All classes should be conducted daily, including without the participation of an instructor.