Unit:
Κατεύθυνση Φυσική Αποκατάσταση-ΧειροθεραπείαLibrary of the School of Health Sciences
Author:
Matsanis Vasileios
Supervisors info:
Μιχάλης Κουτσιλιέρης Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αναστάσιος Φιλίππου Αναπληρωτής Καθηγητής Ιατρική Σχολή, ΕΚΠΑ
Ευστράτιος Παπαδέλης, Ορθοπεδικός, EUC Instructor
Original Title:
Νέα δεδομένα στη τενοντοπάθεια στροφικού πετάλου. Από τη διάγνωση στη θεραπεία
Translated title:
New evidence on rotator cuff tendinopathy from diagnosis to treatment
Summary:
Rotator cuff tendinopathy is the first most common cause of shoulder pain and the third most common cause of musculoskeletal pain after back pain and knee pain.
It is defined as a complex, multifactorial and painful condition in the area of the rotator cuff of the shoulder and is characterized by pain, reduced functionality but also reduced endurance in exercise. The purpose of this study is to investigate the important aspects of rotator cuff tendon disease, which includes the identification of the pathophysiology mechanism, the most valid and reliable clinical evaluation tests, the most effective therapeutic approach and the prescribing parameters of therapeutic treatment. Health professionals are able to implement a comprehensive treatment of patients with rotator cuff tendon disease with the most modern and effective interventions. A complete search was conducted in 4 electronic databases: Pubmed, ScienceDirect, EMBASE and Cochrane Library Databases. The surveys were conducted in English with a time limit of 10 years.
Of the 6 studies analyzed such as progressive tendon loading and high-intensity aerobic exercise lead to better results in levels of pain and neovascular function and endurance both short-term and long-term.Prescribing therapeutic exercise with progressive increase in load, volume, resistance but also high-intensity aerobic exercise leads to better clinical results in levels of pain and function over a period of 6 weeks to 6 months. The gradual increase of exercise parameters seems to be more effective in relation to non-progressive exercise.In addition, greater volume and intensity help reduce tendon thickness and neovascularization. Finally, aerobic intense intensity (HIIT) is a promising therapeutic intervention that helps increase blood flow and improve tendon tension. in relation to conventional therapeutic exercise.
Main subject category:
Health Sciences
Keywords:
Shoulder impingement,Rotator cuff,Exercise therapy,Strength training,Isometric contraction,Isotonic contraction,Eccentric contraction
Number of references:
101
