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一例强调麦立根松动术在肩袖综合征治疗中对促进一名65岁农民功能恢复的有益作用的病例报告。

A Case Report Emphasizing the Advantageous Effect of Mulligan Mobilization Technique in the Management of Rotator Cuff Syndrome to Enhance Functional Recovery in a 65-Year-Old Farmer.

作者信息

Sonone Samiksha V, Patil Deepali S

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 1;16(7):e63623. doi: 10.7759/cureus.63623. eCollection 2024 Jul.

DOI:10.7759/cureus.63623
PMID:39092393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293079/
Abstract

Adults with shoulder pain often have partial rotator cuff injuries (RCIs) as the underlying cause. RC partial tears are one of the common conditions that can have a major influence on a wide range of people, including sportspeople, workers, and sedentary adults with rotator cuff syndrome (RCS). Any injury, disease, or deteriorating condition that affects the shoulder's RC muscles and tendons is recognized as RCS. Subacromial bursitis, RC tendonitis, subacromial impingement syndrome (SIS), rotator cuff tears (RCTs), etc., are a few disorders linked to RCS. For partial RCT, nonoperative treatment options include physical therapy, anti-inflammatories, analgesics, medication, rest or activity adjustments, and corticosteroid injections. We present the case of a 65-year-old male farmer by occupation, suffering from an RCI on the right side. Following a history of trauma to the right shoulder from a collision with a bull on his farm, the patient complained of pain and limitations in his right shoulder joint. The goal of the rehabilitation program was to maximize the patient's recovery through pain management, range-of-motion (ROM) restoration, muscle strength building, and functional activities. To improve muscular strength and preserve the ROM, strengthening exercises and isometrics were all incorporated into the rehabilitation regimen at the same time. The patient's progress was monitored at scheduled times during rehabilitation using the disabilities of arm, shoulder, and hand (DASH) score, visual analog scale (VAS), goniometer for normal ROM, and the upper extremity functional scale (UEFS). In this case study, the care and recovery of a patient with RC tendinopathy who received physical therapy are examined.

摘要

肩部疼痛的成年人通常存在部分肩袖损伤(RCI)这一潜在病因。肩袖部分撕裂是一种常见病症,会对包括运动员、工人以及患有肩袖综合征(RCS)的久坐不动的成年人在内的广泛人群产生重大影响。任何影响肩部肩袖肌肉和肌腱的损伤、疾病或病情恶化都被视为RCS。肩峰下滑囊炎、肩袖肌腱炎、肩峰下撞击综合征(SIS)、肩袖撕裂(RCT)等是与RCS相关的一些病症。对于部分RCT,非手术治疗选择包括物理治疗、抗炎药、镇痛药、药物治疗、休息或活动调整以及皮质类固醇注射。我们报告一例职业为农民的65岁男性,患有右侧RCI。患者因在农场与公牛碰撞导致右肩有外伤史,之后抱怨右肩关节疼痛及活动受限。康复计划的目标是通过疼痛管理、恢复活动范围(ROM)、增强肌肉力量和进行功能活动,使患者最大限度地康复。为了增强肌肉力量并保持ROM,康复方案同时纳入了强化锻炼和等长运动。在康复期间,定期使用手臂、肩部和手部功能障碍(DASH)评分、视觉模拟量表(VAS)、用于测量正常ROM的角度计以及上肢功能量表(UEFS)来监测患者的进展。在本案例研究中,对一名接受物理治疗的肩袖肌腱病患者的护理和康复情况进行了检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/c689b5126817/cureus-0016-00000063623-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/22853adb6504/cureus-0016-00000063623-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/dd4a21dd6c80/cureus-0016-00000063623-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/e855849006fe/cureus-0016-00000063623-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/448edc801138/cureus-0016-00000063623-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/ee8b7118b5e0/cureus-0016-00000063623-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/c689b5126817/cureus-0016-00000063623-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/22853adb6504/cureus-0016-00000063623-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/dd4a21dd6c80/cureus-0016-00000063623-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/e855849006fe/cureus-0016-00000063623-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/448edc801138/cureus-0016-00000063623-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/ee8b7118b5e0/cureus-0016-00000063623-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9047/11293079/c689b5126817/cureus-0016-00000063623-i06.jpg

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