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Influence of eccentric exercise and work simulation in the post-traumatic rehabilitation of complicated shoulder girdle fracture-A case report

Eapen, Charu and Kotian, Prem (2008) Influence of eccentric exercise and work simulation in the post-traumatic rehabilitation of complicated shoulder girdle fracture-A case report. Physiotherapy: The Journal of Indian Association of Physiotherapist. pp. 31-42.

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Abstract

Fractures of the scapula account for 3% to 5% of all fractures of the shoulder girdle and make up less than 1% of all fractures. Scapula fractures typically occur after high-energy trauma, and approximately 90% of the patients have associated injuries. The majority of scapula fractures can be treated non-operatively. Almost all scapular fractures, except displaced intraarticular injuries have good outcome. This is a case of 38 year old male, automobile mechanic with multiple fractures of the scapula along with associated injuries to the chest and abdomen, managed conservatively. After 5 and half weeks of immobilization the patient presented with severe restriction of movement, upper limb muscle atrophy and inability to do any activities of daily living. The rehabilitation was divided into three phases which included eccentric exercises and job specific work simulation exercises on BTE PrimusRS isotonic dynamometer. At the end of three weeks of intensive physiotherapy the patient had almost 50% to 60% increase in range of motion, was functionally independent, and went back to his work at his garage. Conclusion- This case stresses the importance of well structured physiotherapy treatment plan following fractures around the shoulder girdle, including emphasis on eccentric control of muscles around the shoulder and specific job specific exercises.

Item Type: Article
Uncontrolled Keywords: Fractures, Shoulder Girdle, Structured treatment, Eccentric Exercises, Job Simulation PHYSIOTH
Subjects: Allied Health > Mangalore Campus > Physiotherapy
Medicine > KMC Mangalore > Orthopaedics
Depositing User: KMCMLR User
Date Deposited: 10 May 2016 14:47
Last Modified: 10 May 2016 14:47
URI: http://eprints.manipal.edu/id/eprint/146009

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