Avaliação e tratamento isocinético no período pós-operatório do manguito rotador: um relato de caso
DOI:
https://doi.org/10.15517/dpykfb50Palavras-chave:
força muscular, lesões do manguito rotador, dor no ombro, torqueResumo
INTRODUÇÃO: Mesmo com uma cirurgia bem-sucedida para reparar o manguito rotador (RC), a imobilização, a dor ou a atrofia muscular podem levar à disfunção e à redução da força. OBJETIVO: Este estudo buscou analisar os efeitos da fisioterapia com exercícios isocinéticos nessa disfunção. METODOLOGIA: Este é um relato de caso de um paciente do sexo masculino de 60 anos com diagnóstico de subluxação da cabeça do úmero e ruptura de espessura total do tendão supraespinhal, com laceração e retração do tendão de aproximadamente 2,4 cm. O paciente foi submetido a um reparo aberto do RC. Após o fracasso da fisioterapia convencional, o indivíduo foi tratado com exercícios isocinéticos. O estado funcional foi avaliado usando o questionário DASH (Deficiências do Braço, Ombro e Mão) e um dinamômetro isocinético foi utilizado para avaliar o desempenho muscular em modo concêntrico, em velocidades de 60, 180 e 300 °/s, em movimentos de flexão/extensão e rotação interna/externa do ombro. RESULTADOS: A diferença mínima clinicamente significante na função foi alcançada. O pico de torque (PT) dos flexores mostrou melhora em todas as velocidades; o grupo extensor melhorou apenas a 180 °/s. Rotadores externos mostraram melhora no PT a 60 e 300 °/s. A razão agonista/antagonista de extensores/flexores a 60 e 300 °/s mostrou percentuais de melhora superiores a 30 %. Para rotadores internos/externos, os resultados do PT também mostraram melhorias em todas as velocidades. CONCLUSÃO: Neste estudo de caso, exercícios isocinéticos prescritos no período pós-operatório, após reparo aberto do RC, tiveram um efeito positivo na recuperação da função e do desempenho muscular.
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Arquivos adicionais
- Assesment data (Inglês)
- Exercise ABD_ADD (Inglês)
- Exercise_DIAG (Inglês)
- Initial Exercise IR_ER (Inglês)
- Initial Exercise FLEX_EXT (Inglês)
- Initial Asses IR_ER (Inglês)
- Initial Asses FLEX_EXT (Inglês)
- Final Exercise IR_ER (Inglês)
- Final Exercise FLEX_EXT (Inglês)
- Final Asses IR_ER (Inglês)
- Final Asses FLEX_EXT (Inglês)
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