Nejati Parisa, Akbari Faramarz
Department of Sports Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences. Tehran, Iran.
Asian J Sports Med. 2014 Mar;5(1):67-70. doi: 10.5812/asjsm.34236. Epub 2013 Dec 11.
Shoulder pain is one of the most common problems in ages older than 60 years of age. Rotator cuff pathology is the most common etiology of shoulder pain. Most of rotator cuff pathologies are treated conservatively in old ages and exercise therapy is not an accepted intervention for management of rotator cuff tear yet.
The case was a man of 53 years age with shoulder pain who had total tear of supraspinatus tendon and biceps tendinitis in the right shoulder. He had regularly gone swimming, mountain climbing and running in the last 10 years. The case was managed by exercise therapy for 3 months and physical modalities for 20 sessions. Shoulder pain and his function and right shoulder range of motion increased after 3 months. Para clinical findings did not change after treatment, though. The improvements continued 15 months after the beginning of the treatment.
Exercise therapy was very effective for improving pain and function in total tear of supraspinatus tendon and tendinitis of biceps.
肩痛是60岁以上人群最常见的问题之一。肩袖病变是肩痛最常见的病因。大多数肩袖病变在老年时采用保守治疗,而运动疗法尚未被公认为是治疗肩袖撕裂的有效干预措施。
该病例为一名53岁男性,肩部疼痛,右肩冈上肌腱完全撕裂和肱二头肌肌腱炎。在过去10年中,他经常游泳、爬山和跑步。该病例接受了3个月的运动疗法和20次物理治疗。3个月后,肩部疼痛、功能以及右肩活动范围均有所改善。不过,治疗后辅助检查结果并未改变。治疗开始15个月后,改善情况仍在持续。
运动疗法对于改善冈上肌腱完全撕裂和肱二头肌肌腱炎患者的疼痛及功能非常有效。