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Six-week physical rehabilitation protocol for anterior shoulder dislocation in athletes

机译:运动员前肩脱位的六周物理康复方案

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摘要

Anterior shoulder dislocations are common in young athletes. The mechanism for the first or primary shoulder dislocation may involve a collision or a fall typically with the arm in an abducted and externally rotated position. The aim of this study was to design a physical rehabilitation program using the elastic band and resistive exercise to improve joint strength and range of motion in individuals diagnosed with a first-time shoulder dislocation. Twelve physically active males with a first-time acute shoulder dislocation were asked to volunteer. Participants began a physical rehabilitation program 2 weeks after the shoulder dislocation, which was confirmed by a referring physician. The rehabilitation program was 6 weeks in duration and required the participants to engage in progressive resistive loads/duration using elastic bands and weights 5 days per week. Pretest and posttest measures included shoulder strength and range of motion. All outcome measures were compared between the injured and uninjured shoulder, which served as the control condition in this study. There were statistically significant differences between the injured and uninjured shoulder for measures of strength and range of motion during pretests (P<0.01) but not post-tests (P<0.53). Finally, there were no differences between shoulders in regards to the volume measure suggesting that any changes in muscle atrophy or swelling were not detected. The physical rehabilitation program proposed in this study was effective at improving strength and range of motion in the injured shoulder as evidenced by the similarity in posttest values between the injured and uninjured shoulder.
机译:前肩关节脱位在年轻运动员中很常见。第一次或主要肩关节脱位的机制可能涉及到碰撞或跌倒,通常手臂处于外展和外旋位置。这项研究的目的是设计一种使用松紧带和抵抗运动的身体康复计划,以提高初次肩关节脱位的患者的关节强度和运动范围。 12名首次出现急性肩关节脱位的体育锻炼男性被要求做志愿者。肩关节脱位2周后,参与者开始进行身体康复计划,该计划得到了转诊医生的确认。康复计划为期6周,要求参与者每周5天使用橡皮筋和负重进行渐进的阻力负荷/持续时间。测试前和测试后的措施包括肩部力量和运动范围。在受伤和未受伤的肩膀之间比较所有结果指标,作为本研究的对照条件。在测试前(P <0.01)但在测试后(P <0.53),力量和运动范围的测量结果显示受伤和未受伤的肩膀之间存在统计学差异。最后,肩膀之间在体积测量方面没有差异,表明未检测到肌肉萎缩或肿胀的任何变化。这项研究中提出的身体康复计划有效地提高了受伤肩部的力量和运动范围,这一点可以通过受伤和未受伤肩部的测试后值的相似性来证明。

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