Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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만성 견관절통에 대한 정형외과적 재활치료

Orthopaedic Rehabilitation in Chronic Shoulder Pain

  • 태석기 (중앙대학교 의과대학 정형외과학교실) ;
  • 이기현 (중앙대학교 의과대학 정형외과학교실)
  • Tae, Suk-Kee (Department of Orthopaedic Surgery Chung-Ang University College of Medicine) ;
  • Lee, Kee-Hyun (Department of Orthopaedic Surgery Chung-Ang University College of Medicine)
  • 발행 : 2003.12.01
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초록

Disorders of the shoulder in which conservative management is indicated as a primary treatment include idiopathic frozen shoulder, atraumatic instability. acute calcific tendinitis , subacromial impingement syndrome, partial thickness or small full thickness tear of the rotator cuff, and chronic rotator cuff tear in elderly population. Aside from medication and various physical modalities used for relief of pain, the mainstay of orthopaedic rehabilitation consists of stretching of the tendons and capsulologamentous complex, and strengtnening of rotator cuff muscles as well as surrounding muscles. However, orthopaedic rehabilitation in chronically painful conditions of the shoulder differs in detail according to the specific diseases or injuries, And it is important to make the rehabilitation program that can be undertaken by the patients rather than adhering to a fixed schedule. Also the program should be changed as the condition of the patient improves or deteriorates. Nevertheless there are basic rules of stretching and strengthening , which should always be observed in applying orthopaedic rehabilitation treatment.

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참고문헌

  1. Arrigo CA and Wilk KE: Shoulder exercises: a criteria-based approach to rehabilitation. In: Orthopedic therapy of the shoulder. Kelly MJ and Clark WA(eds). Philadelphia, JB Lippincott Co:337-470, 1995.
  2. Binder AI, Bulgen DY, Hazleman BL and Roberts S: Frozen shoulder: a long term prospective study. Ann Rheum Dis, 43:361-364, 1984. https://doi.org/10.1136/ard.43.3.361
  3. Blair B, Rokito AS, Cuomo F, Jarolem K and Zuckerman JD: Efficacy of injections of corticosteroids for subacromial impingement syndrome. J Bone Joint Surg, 78-A:1685-1689, 1996.
  4. Burkhart S: Flouroscopic comparison of kinematic pattemrs in massive rotator cuff tears. Clin Orthop, 284:144-152, 1992.
  5. Burkhead WZ and Rockwood CA Jr: Treatment of instability of the shoulder with an exercise program. J Bone Joint Surg, 74-A:890-896, 1992.
  6. Clarke GR, Willis LA, Fish WW and Nochols PJR: Preliminary studies in measuring range of motion in normal and painful stiff shoulders. Rheumatol Rehab, 14:39-46, 1975. https://doi.org/10.1093/rheumatology/14.1.39
  7. Comfort TH and Arafiles RP: Barbotage of the shoulder with image intensified fluoroscopic control of needle placement for calcific tendinits. Clin Orthop, 135:171-178, 1978.
  8. Hawkins RH and Dunlop R: Non-operative treatment of rotator cuff tears. Clin Orthop, 321:178-179, 1995.
  9. Inman VT, Saunders JR and Abbott LC: Observations on the function of the shoulder joint. J Bone Joint Surg, 26:3-32, 1944.
  10. Itoi E and Tabata S: Conservative treatment of rotator cuff tears. Clin Orthop, 275: 165-173, 1992.
  11. Jobe FW and Moynes DR: Delineation of diagnostic criteria and a rehabilitation for rotator cuff injuries. Am J Sports Med. 10:336-339, 1982. https://doi.org/10.1177/036354658201000602
  12. Kisner C and Kolby LA: Therapeutic exercise: foundation and techniques. Philadelphia, FA Davis, 1985.
  13. Kottke FJ: Therapeutic exercise to maintain mobility. In: Kottke FJ and Lehman JF(eds), Krusen's handbook of physical medicine and rehabilitation. 4th ed. Philadelphia, WB Sauders Co:436-451, 1990.
  14. Matsen III FA, Lippit SB, Sidles JA and Harryman II DT: Practical evaluation and management of the shoulder. Philddelphia, WB Saunders:19-109, 1994.
  15. Misamore GW, Sallay PI and Didelot W: A longitudinal study of patients with multidirectional instability of the shoulder with seven to ten year follow-up. Proceedings, 2nd Biennial Shoulder and Elbow Meeting, Miami Beech, Am Acad Shoulder Elbow Surg:271, 2000.
  16. Morrison DS, Frogameni AD and Woodworth P: Non-operative treatment of subacromial impingement syndrome. J Bone Joint Surg, 79-A:732-737, 1997.
  17. Murnaghan JP: Primary adhesive capsulitis of the shoulder. Orthop Trans, 7:137, 1983.
  18. Neer CS II: Cuff tears, biceps lesions and impingement. In: Shoulder reconstruction. Philadelphia, WB Saunders Co:41-142, 1990.
  19. Poppen NK and Walker PS: Forces at the glenohumeral joint in abduction. Clin Orthop, 135:165-170, 1978.
  20. Shaffer B, Tibone JE and Kedan RK: Frozen shoulder, a long-term follow-up. J Bone Joint Surg, 74-A:738-746, 1992.
  21. Sharkey NA and Marder RA: The rotator cuff opposes superior translation of the humeral head. Am J Sports Med, 23:270-275, 1995. https://doi.org/10.1177/036354659502300303
  22. Tae SK, Jung YB, Kim KW and Kim TH: Treatment of acute calcific tendonitis of the shoulder with barbotage. J Kor Shoulder Elbow Soc, 5:42-46, 2002. https://doi.org/10.5397/CiSE.2002.5.1.042
  23. Tae SK, Jung YB, Lim JI, Ryu TY and Han JN: A comparative study on the natural course of idiopathic frozen shoulder and the effectiveness of conservative treatment. Proceedings, 70th Annual Meeting, New Orleans, Am Acad Orthop Surg:636, 2003.
  24. Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA and Middleton WD: Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg, 10:199-203, 2001. https://doi.org/10.1067/mse.2001.113086