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运用梅特兰松动术优化物理治疗效果以提升肩袖综合征患者的功能能力:一例病例报告

Optimizing Physiotherapeutic Effects With the Maitland Mobilization Technique to Boost the Functional Capacities of a Rotator Cuff Syndrome Patient: A Case Report.

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 25;16(7):e65341. doi: 10.7759/cureus.65341. eCollection 2024 Jul.

DOI:10.7759/cureus.65341
PMID:39184590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344476/
Abstract

Rotator cuff (RC) muscles give the shoulder joint stability in addition to movement. The case report outlines the physical rehabilitation therapy, condition evaluation, and diagnostic testing that was given to a 62-year-old female field worker who had been complaining of pain in her left shoulder. To improve functional mobility and lessen discomfort, the patient underwent physiotherapy. In this instance, a physical therapy program was put in place to treat rotator cuff syndrome (RCS), enhance range of motion (ROM), and promote long-term recovery. Part of the assessment included a detailed examination of the biomechanics and potential mitigating variables for the persistent problems. The intervention plan's multimodal approach comprised physical therapy, stretching, and strengthening exercises, as well as patient counseling and health management education. Throughout the physiotherapy sessions, the patient's functional mobility improved and their level of discomfort gradually decreased. This case adds to the body of knowledge regarding successful physiotherapy techniques for RC injuries by emphasizing the value of a comprehensive approach to help patients with chronic shoulder pain achieve favorable outcomes. It also highlights how crucial it is to treat chronic RCS with a customized physical therapy program that takes into account the patient's unique preferences and characteristics that can exacerbate the problem.

摘要

肩袖(RC)肌肉除了使肩关节产生运动外,还能提供稳定性。本病例报告概述了对一名62岁女性野外工作者的物理康复治疗、病情评估和诊断测试,该患者一直抱怨左肩疼痛。为了改善功能活动度并减轻疼痛,患者接受了物理治疗。在这个病例中,制定了一个物理治疗方案来治疗肩袖综合征(RCS)、增加关节活动范围(ROM)并促进长期康复。评估的一部分包括对生物力学以及导致持续问题的潜在缓解因素进行详细检查。干预计划的多模式方法包括物理治疗、伸展和强化锻炼,以及患者咨询和健康管理教育。在整个物理治疗过程中,患者的功能活动度得到改善,疼痛程度逐渐减轻。本病例通过强调采用综合方法帮助慢性肩痛患者取得良好效果的价值,为有关RC损伤成功物理治疗技术的知识体系增添了内容。它还强调了采用定制的物理治疗方案治疗慢性RCS的重要性,该方案要考虑到患者可能加重问题的独特偏好和特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649f/11344476/bc7aad98a240/cureus-0016-00000065341-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649f/11344476/8ddaf713b388/cureus-0016-00000065341-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649f/11344476/f2b988a71d77/cureus-0016-00000065341-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649f/11344476/bc7aad98a240/cureus-0016-00000065341-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649f/11344476/8ddaf713b388/cureus-0016-00000065341-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649f/11344476/f2b988a71d77/cureus-0016-00000065341-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649f/11344476/bc7aad98a240/cureus-0016-00000065341-i03.jpg

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本文引用的文献

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J Orthop Surg Res. 2024 Mar 4;19(1):165. doi: 10.1186/s13018-024-04657-4.
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The Rehabilitation Journey of a Cricket Player With Partial Rotator Cuff Tear: A Case Report of Pre and Postoperative Physiotherapy.一名肩袖部分撕裂板球运动员的康复历程:术前与术后物理治疗的病例报告
Cureus. 2024 Jan 15;16(1):e52336. doi: 10.7759/cureus.52336. eCollection 2024 Jan.
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Effectiveness of Glenohumeral Joint Mobilization on Range of Motion and Pain in Patients With Rotator Cuff Disorders: A Systematic Review and Meta-Analysis.
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