Periarthritis of shoulder joint, also known as "fifty shoulders" and "chilblain"

Shoulder ","shoulder leakage "and" shoulder condensation "are all a kind of shoulder clearance.

Aseptic inflammation of soft tissue around joints belongs to scapulohumeral periarthritis in traditional Chinese medicine.

Bi ","shoulder coagulation "and other categories. Physical rehabilitation therapy

Simple and safe, short course of treatment, good curative effect, etc., has become

Main treatment methods of scapulohumeral periarthritis. This text

Principles and key points of sports rehabilitation for periarthritis of shoulder

The methods and matters needing attention in the first phase of physical rehabilitation are discussed.

Hope to give full play to the sports and health care function of scapulohumeral periarthritis.

The curative effect of compound prescription.

1 course of periarthritis of shoulder

The course of scapulohumeral periarthritis can last for several months to two months.

Years or so, it stopped to varying degrees, the pain disappeared, and the shoulder

Joint activity gradually recovered. If you are active during your illness,

Exercise and other treatments have short course of disease and quick recovery.

All right.

2. The principle of physical rehabilitation therapy.

Physical rehabilitation exercise can improve the local shoulder joint.

Blood circulation, strengthen metabolism, relieve muscle spasm.

Contraction, to achieve anti-inflammatory and analgesic effects. You can relax your shoulders at the same time.

Adhesion and recovery of muscles, ligaments and joint capsules around joints

Motor function of compound shoulder joint [3].

3 Physical rehabilitation methods

Active and effective physical rehabilitation therapy can shorten the time.

The course of the disease is accelerated and the functional recovery is relatively complete.

All right. Patients at different stages of disease, treatment methods and rehabilitation means.

Each has its own emphasis [4~6].

3. 1 Pain should be relieved in physical rehabilitation.

Pain symptoms and prevention of shoulder joint dysfunction are the main purposes.

Yes, this problem is mainly active. Joint motion amplitude

From small to large, try to be the greatest.

(1) All patients with shoulder joint movement in supine position are supine. First,

Raise your arm above your head, then rotate it externally, then rotate your upper arm internally, coronal position.

Outreach. Repeat 10~20 times, the movement is slow, and the amplitude is in

The range that does not cause obvious pain is as large as possible.

Exercise is simple and low intensity, usually in the early stage of treatment.

Use within two days or as a future physical rehabilitation therapy.

Preparatory activities for treatment. (2) Codman pendulous swing action.

The body bends forward 90 degrees, the affected limb droops and swings back and forth, inside and outside.

Swing, and then make an animation circle. Pay attention to muscle relaxation,

Swing from small to large. Every time you wave it until your fingers are slightly weak.

Until you feel numb. If you have high blood pressure, it is not appropriate to bend forward.

It's too low. (3) Practice the left hand cloud hand in situ: body rotation.

To the left, make a left lunge, and at the same time, the left hand will pass forward (high

But eyebrow) press to the left; Turn your right hand down.

Square (front of abdomen) arc to left shoulder. Put your right hand back,

After continuous operation left and right 10 times, rest, and repeat 2~

Three times. (4) When practicing, arms are surrounded, legs are upright and shoulder-width.

Arms droop naturally. Swing your arms back and forth with your shoulders as the axis.

Loop each time 10, which can be repeated 2~3 times. (5) Support with both hands

Stand in the air, cross your fingers and slowly lift from the front of your abdomen.

After leveling, palm forward and continue to lift to the maximum limit.

Degree, hold for a moment, hands apart, two upper limbs to one side.

The arc falls on the side of the body and is repeated for 8~ 10 times. (6) Finger crawling

Wall movement: The patient stands upright facing the wall with a distance of about 70cm.

The affected arm is slightly bent forward, and the finger sticks to the wall. Affected arm heel

Fingers crawl up and gradually straighten their arms when they can no longer

When you go up, hold the wall with your palm, bend your legs and work towards the wall.

Front shoulder pressing action; Then switch to the side, the action is the same.

Let's go Repeat the front and side exercises 3~5 times each. Slow down,

The range of joint movement is large, and mild pain can occur.

Try to stick to it. (7) Boxing practice knees slightly bent, legs apart.

Stand shoulder width apart, clench your waist with your fists, and put your fists on your heart.

Up, left and right hands alternately punch forward and sideways,

Do four 8 beats for the above actions. (8) ignition match moves to separate legs.

Stand upright and shoulder-width, and hang down naturally with fire sticks in both hands.

Relax your shoulders and move your left and right arms forward and backward at 45 degrees respectively.

45. Swing alternately for 8 consecutive beats; Stand up straight with your legs apart

Shoulder width, put your hands across the fire stick and put your shoulders.

Loose, swing your arms sideways and lift them horizontally, and return to the ready posture.

Do eight eight beats.

3.2 Freezing period: During this period, the body recovers with loose viscosity.

Links and smooth joints are the main ones. Exercise should be active and passive.

Combination, increase instrument movements and upper limb muscle strength training.

Xi。 30 to 40 minutes each time. (1) Patients' rib exercise doubled.

Hold your hands under the front ribs and squat, and pull the affected limb with your weight.

Straighten up; Hold the ribs of the affected hand and squat down, and pull with your own weight.

Lift the affected limb to one side; Hold the ribs at the back with both hands as a support.

Stretch the chest and abdomen and pull the affected limb back. Four and eight beats each.

(2) Hold the stick with both feet shoulder width, and hold the stick with both hands.

Shoulder width, lift forward, look up and restore;

Keep your feet shoulder-width apart and hold the stick with both hands (palms facing each other).

The two arms swing alternately from the front to the left and right; Feet apart

Stand shoulder-width apart, put your hands behind your back, hold your cane and bend your elbows.

Lift the stick and restore it; Feet shoulder width apart, hands apart.

The width from shoulder to shoulder is wider than the back of the body. Hold the cane forward and lift it gently with force.

Chest out, restore; Feet shoulder width apart, hands forward.

The stick is shoulder-width, the arms are raised horizontally in front, and the right arm is twisted downward.

Punch up, twist your left arm and punch up, stick to it

Twist the front of the body vertically to the level and return to the front of the arm.

Lift up and then twist the arm in the opposite direction; Feet shoulder width apart, hands close to body.

The front grip is shoulder width, and both arms swing 45 to the right, then

Swing 45 degrees to the left and lift your arm from the right to the left.

Go to the front of the body and reverse the ring; Feet shoulder width apart, hands

Hold the stick shoulder-width in front of you, and lift and bend your arms in front of you.

Put your arms and sticks behind your neck, hold your chest slightly and straighten your arms.

Lift up and reduce by falling in front of your body. Four 8 beats per quarter.

(3) Side pulling pulley: straighten your arms and lift the grip ring horizontally.

Then pull the rope up and down; Forward pull: the arms are straight and the grip ring is straight.

Lift and then pull the rope up and down; Pull back: legs open, limbs healthy.

The holding ring in front of the body is slightly higher than the shoulder, and the affected limb flexes and holds it behind the body.

Ring, and then pull the rope up and down. Make four 8-beat erasers each.

Muscle training can be used to pull rubber bands backwards, sideways and forwards.

Stretch the rubber band and stroke your arm. Four and eight beats each. (5)

Practice of Puller The patient holds the handle of the puller and pulls it out face to face.

Pull hard and pull backhand. Weight with joint function

Raise and increase, but also change the direction of pulling (up, down, outward

Expansion, adduction, etc. It can not only train the muscle strength of the shoulder strap, but also increase it.

Range of motion of shoulder joint.

3.3 The thawing period can be appropriately increased according to the functional situation.

The intensity and amplitude of joint movement with a large amount of exercise, and pay attention to increase it.

Shoulder muscle strength training. The practice time is about every

About every 40 minutes.

4 Preventive measures

When physical rehabilitation training is carried out on the shoulder joint,

We should follow the principle of gradual progress, perseverance and difference from person to person.

Training principles. The range and range of motion of shoulder joint should be

Gradually increase to avoid obvious pain, especially.

Do not pay attention to the recovery of abduction, external rotation and internal rotation of shoulder joint.

Re-exercise Physical rehabilitation must choose the stage according to the course of disease.

It should mean that you should choose to exercise with your bare hands and freeze during the pain period.

At the end of the period, you can choose instrument practice as the main method. During equipment practice,

Be prepared for activities in advance, and your body will feel hot.

After that, you can start practicing. Be sure to control the amount of exercise.

Strength, so as not to cause new harm. As a swing practice,

Try to relax your muscles. As an exercise to increase the range,

Move slowly and reach the full range. After each practice, let

The patient made a measurement of climbing the wall to enhance his confidence in exercise.

Heart. At the end of each exercise, you should increase stretching activities and stick to it.

Do some relaxation activities. In addition, physical rehabilitation training should

Combined with manual therapy, drug therapy, block therapy and acupuncture therapy.

Therapy, physical therapy and other treatments for scapulohumeral periarthritis include

Machine combined with use, in order to improve the therapeutic effect.

refer to

[1] Tianjia. Chinese medicine [M]. Chengdu Institute of Physical Education.

Materials Committee, 1996.82~85

Qu Mianyu, Gao, Bo Junzong, et al. Practical sports medicine

Xue [m]. Beijing: People's Sports Publishing House, 1982.343~

344

[3] Sports Health Science Writing Group. Sports health science [M]. Beijing:

Higher Education Press, 1987.438+03 ~ 3 17.

[4] Li Zongshu. Exercise rehabilitation [M]. Chengdu: Sichuan Education

Press,1995.205 ~ 211

[5] Ran Dezhou. Massage and functional exercise of scapulohumeral periarthritis [J]. Chengdu

Journal of Institute of Physical Education, 198 1, 7 (1): 85 ~ 89.

[6] Ding Tongying. My opinion on the treatment of scapulohumeral periarthritis by massage and physiotherapy [J]. succeed

Journal of Du Institute of Physical Education, 1994, 1 (supplement): 2 1~22.

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