鏡視下腱板修復術後の肩甲上腕リズムの改善−スリングセラピーによる早期自動運動の効果−

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Post-treatment of arthroscopic rotator cuff repair generally involves exercise with passive range of motion (ROM) for 3 weeks before gradually stepping up to performing active exercise. However, issues of muscle excitation in the vicinity of the shoulder/scapula may be occasionally encountered. As a result, apart from cases where contracture around the shoulder joint occurred, clinicians also encountered cases with long-term inability to acquire normal exercise of the joint. As such, we strategically attempted post-surgical rehabilitation using the sling-and-strap method to establish early active exercise with adequate relaxation of the muscles around the shoulder and without exerting stress on the rotor cuff repair sites. Arthroscopic rotator cuff repair cases subjected to surgical treatment between calendar years 2007 and 2008 were divided into 2 groups of 20 each: those treated with either sling-and-strap method incorporating early active exercise (Group 1) or conventional treatment method (Group 2). ROM scores of the shoulder joint at 1, 3, and 6 weeks and scapulohumeral rhythms more than 2 months after surgical treatment were monitored. The outcome revealed that improvements of ROM scores and normalization of scapulohumeral rhythm were obviously more pronounced in Group 1 than Group 2. In cases where the sling-and-strap method was adopted (Group 1), muscles in the vicinity of the shoulder were able to relax, thus effectively facilitating rehabilitation with muscle coordination exercise to eventually normalize the shoulder-joint function.

鏡視下腱板修復術後の肩甲上腕リズムの改善−スリングセラピーによる早期自動運動の効果−

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