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Revista de la Sociedad Española del Dolor
versión impresa ISSN 1134-8046
Resumen
RUBIO-OYARZUN, D. et al. Therapy of judgment of laterality and imagenery of movement and exercises of selective muscular activation glenohumeral in subjects with massive rupture of the rotating sleeve: case series. Rev. Soc. Esp. Dolor [online]. 2018, vol.25, n.4, pp.197-206. ISSN 1134-8046. https://dx.doi.org/10.20986/resed.2017.3610/2017.
Introduction:
Massive tear of the rotator cuff (DMMR) is a degenerative clinical condition, which corresponds to a 5 cm rupture, or one that compromises two or more tendons of the rotator cuff (MR), generating loss of functionality and disabling pain.
Objective:
To describe changes in pain and shoulder function following a 6-week program of lateral-imaging and motion imaging therapy and selective glenohumeral activation exercises in subjects with massive rotator cuff tears.
Methods:
This study is a descriptive research and design of a series of cases, with a sample of 50 participants with diagnosis of rotator cuff mastication. Patients underwent a glenohumeral selective exercise program plus laterality and motion imaging therapy for 6 weeks. The variables of function, pain, abduction ROM and shoulder flexion were measured at sixth week and sixth month of evolution.
Results:
There were significant differences in pain intensity, shoulder function, AROM flexion and shoulder abduction AROM, after the intervention (p > 0.05). Statistically significant differences were found for all outcome measures between the intervention and the sixth follow-up month (p < 0.05). Only the pain of the statistically significant differences between the sixth week and the sixth month of follow-up (p = 0.01).
Conclusion:
The application of laterality trial therapy and motion imaging added to a program of selective exercises stabilizadores glenohumerales during 6 weeks, could improve shoulder function, decrease pain and increase AROM flexion and shoulder abduction in patients with massive rupture of the rotator cuff.
Palabras clave : Graduated motor imaging; therapeutic exercise; chronic pain; massive rupture rotator cuff.