Hu Guangyi, Jiang Quan, Lee Ji Young, Kim Yong-Hwan, Ko Duk-Han
Department of Physical Education, General Graduate School, Yongin University, Yongin 17092, Korea.
Department of Physical Education, Gangneung-Wonju National University, Gangneung 25457, Korea.
Healthcare (Basel). 2021 Apr 30;9(5):527. doi: 10.3390/healthcare9050527.
A pectoralis major muscle rupture is a rare injury that mainly occurs during exercise. This study examined the application of rehabilitation, strength and passive range of motion (ROM) change, and subjective assessment for 1 year undertaken after repair surgery of pectoralis major muscle rupture in a Jiu-Jitsu fighter. We hypothesized that the application of ROM exercises and rehabilitation strategies contributed to muscle recovery and successful return to sports. The patient was a 34-year-old man who was injured after falling during a competitive event. The patient had pain and swelling in the front of the chest and shoulder, and the distal chest was deformed. Imaging revealed a complete rupture of the pectoralis major muscle. Reparative surgery was performed by a specialist. Immobilization was performed one week after the surgery. Passive ROM exercises began with the forward flexion 2 weeks after the surgery; abduction and external rotation ROM exercises at 4 weeks; low-intensity muscle strength exercises using tube bands at 6 weeks; machine-based pectoralis major muscle exercises at 3 months. Isokinetic equipment was used to measure horizontal adduction and internal rotation strengths, and the subjective shoulder functional and ROM scores were evaluated. Recovery of shoulder function and ROM occurred at 3 months and muscle recovery at 6 months. The participant was able to return to sports at 5 months and compete at 7 months. Although this study explored only one patient's post-operative recovery, it suggests that ROM and strength exercises may be effective post-operative strategies for restoring function and strength to enable a return to sports.
胸大肌断裂是一种罕见的损伤，主要发生在运动过程中。本研究调查了一名柔术运动员胸大肌断裂修复手术后进行的为期1年的康复治疗、力量及被动活动度（ROM）变化情况以及主观评估。我们假设ROM练习和康复策略的应用有助于肌肉恢复并成功重返运动。患者为一名34岁男性，在一次竞技活动中摔倒后受伤。患者胸部和肩部前方疼痛、肿胀，胸部远端变形。影像学检查显示胸大肌完全断裂。由专科医生进行修复手术。术后一周进行固定。术后2周开始进行前屈被动ROM练习；4周进行外展和外旋ROM练习；6周使用弹力带进行低强度肌力练习；3个月进行基于器械的胸大肌练习。使用等速设备测量水平内收和内旋力量，并评估主观肩部功能和ROM评分。肩部功能和ROM在3个月时恢复，肌肉在6个月时恢复。参与者在5个月时能够重返运动，7个月时能够参加比赛。尽管本研究仅探讨了一名患者的术后恢复情况，但表明ROM和力量练习可能是恢复功能和力量以重返运动的有效术后策略。
