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Khadakhanov I.S.

Irkutsk State Medical University

Stepanenko D.A.

Irkutsk State Medical University

Pavlov V.I.

S.I. Spasokukotsky Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine

Kozlova N.M.

Irkutsk State Medical University

Shishonin A.Yu.

Complementary and Integrative Health Clinic of Dr. Shishonin

Vecher A.A.

Dr. Shishonin Clinic

Effectiveness of physical rehabilitation methods based on the impact of eccentric load in upper limb injuries

Authors:

Khadakhanov I.S., Stepanenko D.A., Pavlov V.I., Kozlova N.M., Shishonin A.Yu., Vecher A.A.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(3): 13‑17

DOI: 10.17116/kurort202410103113

Views: 697

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To cite this article:

Khadakhanov IS, Stepanenko DA, Pavlov VI, Kozlova NM, Shishonin AYu, Vecher AA. Effectiveness of physical rehabilitation methods based on the impact of eccentric load in upper limb injuries. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;101(3):13‑17. (In Russ.)
https://doi.org/10.17116/kurort202410103113

 
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The rehabilitation of patients after upper limb injuries is becoming increasingly relevant in current medical practice considering that this pathology is often occurred in professional athletes, elderly people, people with active lifestyle.

OBJECTIVE

To study the effectiveness of isolated therapeutic exercises (TE) with eccentric muscle loads when using rubber cable compared to traditional TE to restore functional capabilities of patients after upper limb injuries.

MATERIAL AND METHODS

The study included 38 patients with upper limb injuries diagnosed by orthopedic surgeon. Patients were randomly enrolled into group of isolated TE with eccentric muscle loads (group A, 20 patients, mean age 40.2±10.8 years) and group of traditional exercises (group B, 18 patients, mean age 38.6±12.3 years). The study consisted of anamnesis taking, clinical examination, functional tests applying (isometric dynamometry, joint mobility tests, functional scales and questionnaires). The rehabilitation effectiveness was assessed by comparing the indicators before and after treatment course.

RESULTS

There has been a significant improvement in muscle strength, movement amplitude and decrease of pain syndrome in patients rehabilitated by eccentric muscle loads. A comparison with a control group using traditional TE methods confirmed the superiority of eccentric exercises in reducing recovery time and improving functional performance.

CONCLUSION

The study confirmed the high effectiveness of eccentric muscular loads in the rehabilitation of patients after upper limb injuries. The method has shown significant improvement in clinical and functional indices, which allows to recommend it for inclusion in standard rehabilitation protocols. Further researches may extend application of this approach and reveal the TE effectiveness in other types of traumas and orthopedic injuries.

Keywords:

rehabilitation exercises
shoulder girdle injuries
exercise band
eccentric muscle contraction
rehabilitation

Authors:

Khadakhanov I.S.

Irkutsk State Medical University

Stepanenko D.A.

Irkutsk State Medical University

Pavlov V.I.

S.I. Spasokukotsky Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine

Kozlova N.M.

Irkutsk State Medical University

Shishonin A.Yu.

Complementary and Integrative Health Clinic of Dr. Shishonin

Vecher A.A.

Dr. Shishonin Clinic

Received:

19.05.2024

Accepted:

26.05.2024

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