Terapia de juicio de lateralidad e imagineria del movimiento y ejercicios de activación muscular selectiva glenohumerales en sujetos con ruptura masiva del manguito rotador: serie de casos

Abstract

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

Content reporting and effectiveness of therapeutic exercise in the management of massive rotator cuff tears: A systematic review with 490 patients

“…The literature search returned 1223 records after duplicates were removed (Figure 1). Finally, after the screening process, 15 records [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] were included for qualitative analysis in the systematic review. One record 20 constituted a long-term follow-up of a previously published study.…”

“…Four articles had a retrospective design 18,19,25,26 and 10 articles had a prospective design. [20][21][22][23][24][27][28][29][30][31][32] The articles included 490 patients, being 239 women (48.78%, ranging from 33.33% to 80%), with a mean age ranging from 63.2 to 80 years, being equal or greater than 70 years in eight studies 19,21,24,25,[27][28][29][30] (Table 1).…”

“…All the included studies used some kind of diagnostic imaging procedures: arthrography, 19 magnetic resonance imaging, 18,[20][21][22][23][24][25][26]30,32 ultrasound imaging [20][21][22]27,32 and plain radiography. 20,32 Some of the studies used a criterion of a tear involving at least two tendons, 20,21,[23][24][25][26][29][30][31][32] other used a criterion of a tear measuring 5 cm or longer, 19,28 and other both criteria.…”

“…20,32 Some of the studies used a criterion of a tear involving at least two tendons, 20,21,[23][24][25][26][29][30][31][32] other used a criterion of a tear measuring 5 cm or longer, 19,28 and other both criteria. 18,22 One study used stage 3 Patte retraction as unique criteria. 27 Finally, some authors also included a criterion based on stage 3 Patte retraction, 21,23,24,27 and Hamada grade greater than grade 2 19 or grade 4.…”

“…The performed therapeutic exercise programme was described in detail in eight studies. [21][22][23][24][25]27,28,30 The Torbay exercise programme was used in two studies, 27,28 as well as the Reading Shoulder Unit exercise programme 21,24 and the Rockwood protocol was used in one study. 25 The remaining three studies used their own individual programmes.…”