Evaluación y tratamiento isocinético en el postoperatorio de la enfermedad del manguito rotador: un reporte de caso
DOI:
https://doi.org/10.15517/dpykfb50Palabras clave:
fuerza muscular, lesiones del manguito rotador, dolor de hombro, torqueResumen
INTRODUCCIÓN: Incluso con una cirugía exitosa para reparar el manguito rotador (MR), la inmovilización, el dolor o la atrofia muscular pueden provocar su disfunción y reducción de su fuerza. OBJETIVO: Este estudio buscó analizar los efectos de la fisioterapia mediante ejercicios isocinéticos en estas disfunciones. METODOLOGÍA: Se presenta el caso de un paciente masculino de 60 años con diagnóstico de subluxación de la cabeza humeral y desgarro de espesor completo del tendón del supraespinoso, con laceración y retracción tendinosa de aproximadamente 2.4 cm. El paciente se sometió a una reparación abierta del MR. Tras el fracaso de la fisioterapia convencional, se trató con ejercicios isocinéticos. El estado funcional se evaluó mediante el cuestionario DASH (Discapacidades del Brazo, Hombro y Mano) y se utilizó un dinamómetro isocinético para evaluar el rendimiento muscular en modo concéntrico, a velocidades de 60, 180 y 300 °/s, en movimientos de flexión/extensión y rotación interna/externa del hombro. RESULTADOS: Se alcanzó la diferencia mínima clínicamente significativa en el estado funcional. El torque máximo (TM) de los flexores mostró una mejoría a todas las velocidades; el grupo extensor mejoró solo a 180 °/s. Los rotadores externos mostraron una mejora en el TM a 60 y 300 °/s. La relación agonista/antagonista de extensores/flexores a 60 y 300 °/s mostró porcentajes de mejora superiores al 30 %. Para los rotadores internos/externos, los resultados del TM también mostraron mejoras a todas las velocidades. CONCLUSIÓN: En este estudio de caso, los ejercicios isocinéticos prescritos en el período postoperatorio, después de una reparación abierta de RC, tuvieron un efecto positivo en la recuperación del estado funcional y el rendimiento muscular.
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Archivos adicionales
- Assesment data (Inglés)
- Exercise ABD_ADD (Inglés)
- Exercise_DIAG (Inglés)
- Initial Exercise IR_ER (Inglés)
- Initial Exercise FLEX_EXT (Inglés)
- Initial Asses IR_ER (Inglés)
- Initial Asses FLEX_EXT (Inglés)
- Final Exercise IR_ER (Inglés)
- Final Exercise FLEX_EXT (Inglés)
- Final Asses IR_ER (Inglés)
- Final Asses FLEX_EXT (Inglés)
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