Year 2018 / Volume 25 / Number 4

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Trial therapy on laterality and motor imagery and selective glenohumeral muscle activation in patients with massive rotator cuff tear: case series

Rev Soc Esp Dolor 2018; 25(4): 197-206 / DOI: 10.20986/resed.2017.3610/2017

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 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.

Key words: Graduated motor imaging, therapeutic exercise, chronic pain, massive rupture rotator cuff.

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D. Rubio Oyarzún1,2, F. Araya Quintanilla1,3, H. Gutiérrez Espinoza1,4, C. Olguín Huerta1, Y. Fritz1,2 y L. Arias Poblete5 1Escuela de Kinesiología. Facultad de Ciencias de la Salud. Universidad de Las Américas. 2Clínicas Quiroprácticas Raquis. 3Escuela de Kinesiología. Facultad de Ciencias de la Salud. Universidad Gabriela Mistral. 4Hospital Clínico San Borja Arriarán. 5Escuela de Kinesiología. Facultad de Ciencias de la Rehabilitación. Universidad Andrés Bello. Santiago. Chile. Trial therapy on laterality and motor imagery and selective glenohumeral muscle activation in patients with massive rotator cuff tear: case series. Rev Soc Esp Dolor 2018; 25(4): 197-206 / DOI: 1020986/resed20173610/2017

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