Sunday, 10 December 2017

SHOULDER IMPINGEMENT SYNDROME(SWIMMER'S SYNDROME) AND ITS PHYSIOTHERAPY INTERVENTION



Shoulder Impingement Syndrome:

Shoulder impingement syndrome, is a condition which occurs when the tendons of the Rotator cuff muscles become irritated and inflamed as they pass through the subacromial space, the passage beneath the Acromion . This can result in pain, weakness and loss of movement at the shoulder.
The symptoms of impingement syndrome are difficulty reaching up behind the back, pain with overhead use of the arm due to weakness  of shoulder muscles.
If tendons are injured for a long period of time, the tendon can actually tear in two, resulting in a injury over rotator cuff. This causes significant weakness and may make it difficult for the person to elevate his or her arm. Some people can have rupture of their tendon of biceps muscle as part of this continuing impingement process. 
Excercises to improve the mobility and to do prevention are:
 1. shoulder external rotation in lying position.
In side lying position on the unaffected , elbow on the chest supported by soft towel, and move the arm outwards to the body, You can add weight for further resistance
2. Internal rotation of the shoulder in lying position: 
In side lying position on the affected side, elbow and forearm on the floor or couch , and move the arm inwards to the body, You can add weight for further resistance
3.External rotation in abduction position:
Elbow rest on the table , while maintaining right angle with the body, and move the forearm backwards.You can add weight for further resistance
 4. Chest stretch:
Place ur both hands on each side of corner, and move the chest forwards. hold it for 20 -30 secs 
5.Anterior shoulder stretch:
Hold your hand on height, then move the chest forwards. You feel the stretch and hold it for 20 -30 secs  
6. Posterior shoulder stretch. 
Place your hand of affected side on your opposite shoulder. then then gently push the elbow of affected side by unaffected hand . If you feel the stretch, then hold it for 20-30 secs 

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