The treatment of computer middle fre-quency on periarthritis of shoulder

BACKGROUND: Periarthritis of shoulder is thought as a common disease of middle-aged in motor system, which chief clinical manifestations are shoulder pain, dysfunction of joint and muscular atrophy. The main treatments of periarthritis of shoulder are kine-sitherapy, physiotherapy, massage and pharmacotherapy.OBJECTIVE: To observe therapeutic effects of computer middle frequency on periarthritis of shoulder.UNIT: Department of Rehabilitation, Shenyang General Hospital of PLA.SUBJECTS: 98 patients suffered from periarthritis of shoulder were adopted, 43 males and 55 females, aged 37 to 70 years. The course of disease ranged between 6 days to 18 years. All the cases have action restriction and cannot raise shoulder actions like dressing and combing are difficult to do. Some patients had extensive tenderness.     

正红花油配合超短波改善肩周炎患者关节活动障碍

Background: There are a lot of naturopathies for shoulder scorching. Ultrashort waves cure quickened circulation of blood. Safflower oil diminish inflammation and turgidity and pain.     

饮食指导对血液透析患者营养状态及日常生活活动能力的影响

Background: The shoulder and hand symptoms are secondary complaints characterized by swelling and pain of the hand of the sick side after stroke. According to statistics, its rate is 12.5％～ 73.0％ among patients with hemiplegia. Most of them happens in 1～ 3 months after stroke and the pain will hamper the complete rehabilitation of the patients. If it not treated in time, it would cause permanent deformities of hands and fingers and hamper hand function and daily living activities.     

Experience of comprehensiye rehabili-tation treatment on 60 cases of muscle strain at neck and shoulder

BACKGROUND: In treatment of muscle strain at neck and shoulder, dynamic balance disturbance must be dealed with and needle can detach adhesion, relax muscle, resume local blood circulation. Combined physiotherapy can improve local circulation and promote absortion of exudation.OBJECTIVE: To explore the effects of needle combined with physiotherapy on muscle strain at neck and shoulder.UNIT: Department of Physiotherapy, 285th Hospital of PLASUBJECTS: 60 patients with muscle strain at neck and shoulder were investigated including 16 males and 44 females aged 35 - 56 (mean: 45) years old with diseases course, 3 months to 10 years. Patients with disease course over 3 months were selected as treatment subjects by needle.     

Analysis of local pain after cranial deficiency repair：1 case report

Background:Radical clearance of cervical lymph nodes is an effective method to treat malignant tumor of maxillofacial region and prevent diffusion and relapses.But postoperative contour and dysfunction of shoulder due to dysfunction of trapezius muscle that is caused by injury of accessory nerve affect patients‘ lining qualinty.Objective:To explore therapeutic method of dysfunction of shoulder after radical clearance of cervical lymph nodes of maxilloracial region.Unit:Oral Medical College,Fourth Military Medical University.Subjects:21 males and 17 females aged 49-71 years old were investigated,among which were 14 cases of carcinoma of tongue,1 cases carcinoma of cheek,9 cases of carcinoma of gingival ,others,5 cases.All cases were treated by radical clear ance of unilateral cervical lymph nodes.Intervention:(1)Local massage:Affected trapezius muscle region was massaged from 2th day after operation.Soft concentric massage and local rubbing were taken by nurses and families,times every day to prevent atrophy or muscles.(2)Passive and active movement training:Moving training began within 1 week,Passive training of shoulder was taken t first,under instruction of nurses and cooperation of families,including shrugging of shoulder,elevation and abduction of upper limb.Same moving was taken under instruction to healthy shoulder to experience voluntary moving.If atrophy of affected trapezius muscle was obsered.active movement training was taken supplied with passive moving and transited to active moving successively,3-5 times every day and 5-10 minutes every time.(3)Occupational training:Occupational training was to take muscle exercises using functional movement of shoulder which effect was superior to simple muscle exerciese.When antagonistic effect was found,fitful external force was adopted to antagonist moving of affected shoulder and promote recovery of muscle.(4)Physical therapy:Local radiation infrared ray was adopted 1 week after operation,once a day,2 weeks as a therapeutic course and kept for 3-5 therapeutic courses.Results:Dysfunction evaluation of affected shoulder after 6 months of follow-up survey.Affected degrees were divided into 4 grades;Grade I,no influence compared with that before operation,3 cases;Grade,Ⅱ,mild influence,20 cases;Grade Ⅲ，moderate influence,13 cases;Grade Ⅳ ,serious influence, cases ,Function evaluation of shrugging,evaluawtion abductor of upper limb,patients could accomplish common moving besides 2 cases of patients with grade Ⅳ.Conchlusion:Systematic rehabilitation nursing could effectively promote recovery of postoperative function of affected shoulder.     

手法治疗偏瘫侧肩关节半脱位25例疗效观察

Background:Incidence of semiluxation of shoulder in hemiparalysis was 0% -81% , and it was reported that 3 weeks after onset of stroke, erect siting position X-ray examination of all patients with panplegia of upper limbs showed varying degrees of semiluxation. Due to existing of hemiparalysis , shoulder dysfunction, partial symptoms and signs of semiluxation were covered up, doctor ,nurse,patient and family often overlooked this problem and clear diagnosis couldn't be made in time, which would delay treatment, influence the function recovery of upper limbs, moreover whole body, prolong rehibilitationprocess.This article investigated the manual treatment of semiluxation of shouder.     

Treating effects of comprehensive treatment on post-stroke shoulder and hand symptoms

Background：The shoulder and hand symptoms are se condary complaints characterized by swelling and pain of the hand of the sick side after stroke．According to statistics，its rate is １２．５％～７３．０％among patients with hemiplegia．Most of them happens in１～３months after stroke and the pain w ill hamper the complete rehabilitation of the patients．If i t not treated in time，it would cause permanent deformities of hands and fingers and hamper hand function and daily living activitie s…     

颈肩肌劳损60例综合康复治疗体会

BACKGROUND:In treatment of muscle strain at neck and shoulder,dynamic balance disturbance must be dealed with and needle can detach adhesion,relax muscle,resume local blood circulation.Combined physiotherapy can improve local circulation and promote absortion of exudation.     

Treatment of facial peripheral paralysis with wasp cream guasha in 42 cases

Peripheral facial paralysis is a common disease with facial nerve paralysis,facial mimetic muscle dyscinesia,and deviation of the eye and mouth.It is commonly considered that peripheral facial paralysis might be correlated with virus infection,rheumatism,ischemia,immunity.Pathological changes included edema,denaturation,atrophy,and ischemia of facial nerve.In traditional Chinese medicine,Peripheral facial paralysis is caused by stagnation of qi and blood,malnutrition of channels and vessels,and cizhongbusou.Curing rheumatism,warming yang and supplementing qi,relaxing stagnation,regulating qi and blood should be emphasized in treatment.Guasha belongs to massage and is characterized by easy operation,and reliable therapeutic effect.Guasha can stimulate nerve strongly,improve metabolism,and enhance immunity and promoting blood circulation.“Head is the center of all yangs”.According to principle of acupoint selection along channels,guasha of channels distributed in neck,shoulder,hand,and region with yang channels of hand and foot,in combination with external wasp cream with antiinflammation and removing stagnation,self local massage,and functional exercise of facial muscles are effective in improving blood circulation of head and face,remove edema of facial nerve,promote recovery of facial muscles.     

Diagnosis and Management of the Painful Shoulder. Part 1: Clinical Anatomy and Pathomechanics

Abstract : Distinctive anatomical features can be witnessed in the shoulder complex, affording specific pathological conditions. Disorders of the shoulder complex are multifactoral and features in both the clinical anatomy and biomechanics contribute to the development of shoulder pain. The sternocalvicular, acromioclavicular, glenohumeral, and scapulothoracic joints must all participate in function of the shoulder complex, as each biomechanically contributes to functional movements and clinical disorders witnessed in the shoulder region. A clinician's ability to effectively evaluate, diagnose, and treat the shoulder is largely reliant upon a foundational understanding of the clinical anatomy and biomechanics of the shoulder complex. Thus, clinicians are encouraged to consider these distinctions when examining and diagnosing disorders of the shoulder.     

Predictors of shoulder pain in manual wheelchair users

BackgroundManual wheelchair users rely on their upper limbs to provide independent mobility, which leads to high muscular demand on their upper extremities and often results in shoulder pain and injury. However, the specific causes of shoulder pain are unknown. Previous work has shown that decreased shoulder muscle strength is predictive of shoulder pain onset, and others have analyzed joint kinematics and kinetics, propulsion technique and intra-individual variability for their relation to shoulder pathology. The purpose of this study was to determine in a longitudinal setting whether there are specific biomechanical measures that predict shoulder pain development in manual wheelchair users.MethodsAll participants were asymptomatic for shoulder pain and categorized into pain and no pain groups based on assessments at 18 and 36 months later. Shoulder strength, handrim and joint kinetics, kinematics, spatiotemporal measures, intra-individual standard deviations and coefficients of variation were evaluated as predictors of shoulder pain.FindingsIndividuals who developed shoulder pain had weaker shoulder adductor muscles, higher positive shoulder joint work during recovery, and less trunk flexion than those who did not develop pain. In addition, relative intra-individual variability was a better predictor of shoulder pain than absolute variability, however future work is needed to determine when increased versus decreased variability is more favorable for preventing shoulder pain.InterpretationThese predictors may provide insight into how to improve rehabilitation training and outcomes for manual wheelchair users and ultimately decrease their likelihood of developing shoulder pain and injuries.     

State of the Art Priciples in Shoulder Rehabilitation

Theprimarygoalofshoulderrehabilitationistorestoreoptimalpain-freeshoulderfunction.Ingeneralterms,shoul鄄derrehabilitationinvolvescontrolofpainandinflammation,earlynon-traumaticmotion,musclereactivation,strengthen鄄ingofshouldergroupmuscles,andrestorationofnormalshoulderfunctionwithinthekinetic-kinematicchain.Final鄄ly,sportsandactivity-specificrehabilitativeexercisearees鄄sentialtomaximizefunctionandreturnthepatienttotheirpriorsportoractivitywithoutdeficit.Thisdiscussionwillre鄄viewrecentresea…     

人工肩关节假体修复肩关节损伤

背景：肩关节置换成功的关键是尽可能重建肱骨近端的解剖结构,目前人工肩关节假体种类繁多,疗效差异较大。目的：总结人工肩关节假体在肩关节损伤修复中的应用进展。方法：由第一作者用计算机检索万方数据库、中国期刊全文数据库（CNKI）和PubMed数据库,检索时间为1999/2012,检索词分别为＂肩关节,人工假体＂和＂should erjoint,Artificial falsebody＂。从人工肩关节假体的类型,设计,应用及并发症方面进行总结,全面介绍人工肩关节假体在肩关节损伤修复中的应用进展。共检索到86篇文章,按纳入和排除标准对文献进行筛选,共纳入25篇文章。结果与结论：目前常用的人工肩关节假体中,UNIVERS3-D和Aequalis骨折型肩关节假体临床效果较好,置换后并发症及翻修率低,生物相容性较好。DeltaⅢ逆置式肩关节假体植入后因肩胛盂下凹槽形成及脱位等并发症,而致翻修率较高,生物相容性较差。因此,正确选择病例、熟悉肩关节的解剖学机制和肩关节特殊的重建技术,并在此基础上制定周密的置换方案可以降低人工肩关节假体置换并发症的发生,从而提高假体和宿主的生物相容性。     

Intra-articular lidocaine for the reduction of posterior shoulder dislocation

Anterior shoulder dislocations are the most common major joint dislocation seen in emergency departments. Intra-articular lidocaine is a useful method of analgesia for facilitating the reduction of anterior shoulder dislocations. Posterior shoulder dislocations represent a small minority of shoulder dislocations. We present the case of a posterior shoulder reduction in an elderly female whose reduction was performed following the intra-articular injection of lidocaine. Intra-articular lidocaine represents a useful alternative to facilitate the reduction of shoulder dislocations, particularly in patients at higher risk for complications from sedation.     

Complications of shoulder dislocation.

Dislocations of the shoulder are the most common joint dislocations seen in the emergency department, and complications of shoulder dislocations are more frequent than is generally believed. It is vital that emergency physicians have current knowledge of complications associated with shoulder dislocations because of their important role in recognition and prevention. Delayed recognition of complications can have an impact on the long-term outcome of patients. Prompt recognition and follow-up are essential. Most references address reduction methods rather than recognition of specific complications. Emergency physicians have few opportunities to update their knowledge of complications of shoulder dislocations. This article briefly reviews mechanisms of shoulder dislocation and discusses complications in light of the mechanisms of injury.     

浮肩损伤保守与手术治疗的Meta分析

背景:浮肩损伤在创伤疾病中较罕见,关于其治疗方法存在较多争议,至今仍无权威性的临床指导供学者达成共识.目的:对采取保守与手术治疗浮肩损伤的疗效进行系统评价.方法:通过计算机检索CNKI数据库,Web of Science数据库,以"floating shoulder"或"浮肩损伤"为关键词.收集所有相关对照试验,并评价纳入研究的方法学质量.采用RevMan4.2软件进行Meta分析,观察森林图显示的分析特征和结果.结果与结论:无论保守还是手术治疗均可取得满意的治疗效果;两种治疗方法相比较,在疗效获优方面,手术治疗稍占优势;在总体疗效优良方面,保守与手术治疗两者效果相当.     

9. Painful Shoulder Complaints

Painful shoulder complaints have a high incidence and prevalence. The etiology is not always clear. Clinical history and the active and passive motion examination of the shoulder are the cornerstones of the diagnostic process. Three shoulder tests are important for the examination of shoulder complaints: shoulder abduction, shoulder external rotation, and horizontal shoulder adduction. These tests can guide the examiner to the correct diagnosis. Based on this diagnosis, in most cases, primarily a conservative treatment with nonsteroidal anti‐inflammatory drugs possibly in combination with manual and/or exercise therapy can be started. When conservative treatment fails, injection with local anesthetics and corticosteroids can be considered. In the case of frozen shoulder, a continuous cervical epidural infusion of local anesthetic and small doses of opioids or a pulsed radiofrequency treatment of the nervus suprascapularis can be considered.     

脑卒中肩部并发症的评价

脑卒中的肩关节并发症主要有肩手综合征和肩关节脱位,正确的评价这些并发症对脑卒中的综合评价、治疗和预后起着重要的作用,文章重点介绍脑卒中肩关节并发症的评价。     

Shoulder forearm support for the subluxed shoulder

Subluxation of the shoulder is a common problem in patients who have had a stroke. Of the shoulder supports that are being used, many do not reduce the subluxation, and patients continue to complain of shoulder pain. The shoulder support designed for this study reduces subluxation, is custom fit, costs less, and is more comfortable than conventional slings. The sling is difficult to don but patients are able to perform self-ROM exercises without removing the sling. The sling consists of two parts: a shoulder support and forearm support. Both portions are worn when the patient is ambulating or standing. Only the shoulder support is worn when the patient is sitting with a lapboard. X-rays confirmed the reduction of subluxation, and patients reported decreased shoulder pain.