A set of exercises after a fracture of the shoulder joint

A fracture of the shoulder is one of the most common injuries that most often occurs as a result of falling onto an outstretched arm or elbow.

Since the shoulder joint is the most mobile part of the skeleton, its injuries often lead to a decrease in human activity. Fragments from a fracture can injure the muscles, nerves and blood vessels of the hand, and this, in turn, can disrupt the activity and mobility of the fingers and wrists.

The full restoration of the functionality of the humerus depends on how quickly and correctly the process of rehabilitation and development of a damaged limb begins.

Photo 1. Rehabilitation after a fracture takes several months. Source: Flickr (kenga86).

The consequences of a shoulder fracture

The injury is quite serious due to the complex treatment (most often surgical) and a long period of rehabilitation. As a result of the fracture, various complications can occur that lead to loss or limitation of limb functionality:

  • limitation of joint mobility;
  • damage to nerves around a broken bone;
  • severe pain syndrome;
  • infections at the site of bone fusion.

The development of the joint takes 5-6 weeks after removal of the cast. Complete restoration of mobility usually lasts 8-10 weeks.

If during this time mobility restrictions remain, or pain continues in the fracture area, then you must urgently consult a doctor.

How fast is rehabilitation

The recovery time largely depends on the location and degree of complexity of the fracture and can be quite long.

The total duration of treatment for uncomplicated fractures is two to three months, while a plaster cast must be worn for a month or a half. It is necessary to control bone splicing and bone marrow formation; for this, a control x-ray is required once a month.

Complicated fractures, in which surgical intervention is indicated, involves a month of wearing a fixative bandage of a kerchief type, and then 2-3 months of physiotherapeutic treatment and exercise therapy.

Basic recovery methods

The start of treatment, as a rule, coincides with the rehabilitation process. The main goal of rehabilitation methods is to restore mobility and full range of motion. After a long stay without movements, the muscles of the arm atrophy, the limb, and sometimes the fingers, lose their mobility.

For recovery, exercise therapy, physiotherapy and massage are used. Each of these methods is aimed at limb development.

If the recovery process is slow, electrophoresis, phonophoresis, salt baths, etc. are added to these methods.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Physiotherapy exercises and stages exercises

Exercise therapy for a fracture of the shoulder is the most significant method, since it has no contraindications. The rehabilitation process is divided into several stages:

  • Immobilization period. The first 2-3 weeks after injury, when the arm is fixed with a bandage.
  • Functional stage. In the third sixth week, when the fracture can already be considered intergrown.
  • Training phase. It begins at week 7-8 of the rehabilitation period.

Immobilization period

Exercise exercises are performed while standing, leaning forward slightly with slightly bent knees 6-8 times a day, repeating each exercise from 6 to 10 times:

  • Carrying out rotational and flexion movements in the elbow and wrist joint. Such exercises stimulate blood circulation and reduce the likelihood of blood clots.
  • Leaning forward, with a hand in limbo they make movements like a pendulum, relaxing their hand. At the same time, pain is significantly reduced.
  • Performing the approach and distance of the arm or elbow from the body.
  • Claps in front of the chest and behind the back.
  • Crossing hands in front of you.
  • Turns with the clutch of the hands into the lock in front of you.
  • Breathing exercises.

Functional period

During this period, the fracture is already completely fused, and this allows you to increase the load to a normal level.

At this stage, it is important to restore the full range of motion.

The complex is performed 4-5 times a day, repeating exercises 5-10 times:

  • Lifting in front of the body and raising the arms to the side.
  • Swing outstretched arms.
  • Pendulum movements of the injured hand left and right.
  • Bending and pulling the arms back to connect the shoulder blades.
  • Swimming for 10-15 minutes.

Note! Swimming in the pool is the most effective load, helping to restore the functionality of the hand after a fracture of the shoulder joint.

Training period

By this stage, the shoulder functionality is fully restored, which allows you to increase the load to strengthen the muscles and ligaments. At this stage, the exercises are carried out 3-4 times a day for 10 repetitions:

  • The movement of the limb forward in front of you.
  • Raising a straight arm weighed down by a dumbbell weight of up to 5 kg.
  • Vis on the horizontal bar.
  • Fast swings in different directions.
  • Crossing the wall with palms, moving up and to the sides.
  • Swimming.

Physiotherapy

In addition to exercise therapy, physiotherapy is carried out as an additional treatment to reduce pain and relieve tissue swelling and eliminate inflammatory processes.

  • Cryotherapy – exposure to cold is carried out in the immobilization period. Cold is a good painkiller.
  • Ultraviolet irradiation is used to enhance the production of biologically active substances in cells, which accelerates bone restoration.
  • Electrophoresis with lidocaine or calcium chloride. It is used to relieve pain, to reduce swelling and eliminate inflammation.

Massotherapy

Massage improves blood circulation, as a result of its holding, inflammation and swelling are relieved.

Massage can be performed starting from the third day after the fracture.

At first, non-injured areas of the arm are massaged.

After removing the bandage, it is possible to massage at the fracture site by rotational or suction movements.

The duration of any massage is 5-15 minutes.

General rules for home restoration

In order for the recovery to take place quickly and painlessly, the following rules must be observed:

  • start rehabilitation as early as possible;
  • monitor the condition of the broken bone and in case of problems immediately consult a doctor;
  • avo >Photo 2. Sun baths are shown to strengthen bones. Source: Flickr (bark).

Additional recovery tools

Additional treatments include medications and nutritional adjustments. Medications are prescribed mainly for symptomatic treatment – relieving pain, swelling, etc.

The following drugs help speed up recovery:

  • Vitrum Osteomag is a complex of minerals and vitamins for the prevention and treatment of osteoporosis.
  • Calcium D3 Nycomed – helps prevent fractures, replenishes the lack of calcium in the body;
  • Collagen Ultra – a food supplement to improve the musculoskeletal system;
  • Calcemin is a vitamin-mineral complex that replenishes calcium deficiency;

To speed up the rehabilitation process, you should adhere to the following diet:

  • exclude fatty foods from the diet;
  • should reduce the intake of salty and spicy foods;
  • eat foods that contain more calcium and phosphorus: fish, seafood, dairy products, nuts.

Shoulder fracture rehabilitation

Mandatory rehabilitation should be carried out after a fracture of the shoulder. First of all, it includes the immobilization of the affected limb, which is the creation of immobility. In order for the recovery period to proceed faster, the patient will need to unconditionally follow all the doctor’s prescriptions. The patient will be prescribed physical therapy and physiotherapy.

Duration of rehabilitation of the humerus after fracture

The duration of the rehabilitation period is directly related to both general and local factors. The first include:

  • patient age
  • mental and physical condition
  • body type,
  • endocrine system activity,
  • metabolism.

If we talk about local factors, first of all we are talking about a comparison of bone fragments and blood supply. In addition, when making a prediction, doctors take into account the results of radiography. If a person has an open fracture of the humerus with a displacement, then the likelihood of infection is not excluded. As a result of this, the recovery may be significantly delayed. On average, rehabilitation after a fracture of the humerus takes about 3 months.

Stages and methods of the recovery period

Immobilization

After a fracture of the shoulder or large tubercle without displacement, a plaster cast is applied to the patient. It will take at least 3 weeks to wear. At this time, you will need to resort to the help of gymnastics, which will not allow muscle tissue to atrophy. At the same time, it is important for a person to sleep on a healthy side. The set of exercises is established by the attending specialist, taking into account the physical data of the patient. You will need to do at least 5 times a day. At the initial stages of exercise therapy, a fracture is performed under the supervision of a specialist. Then training is acceptable at home.

If such an injury occurred in elderly patients, most often it can not do without surgery. After the surgery, they are prescribed a more gentle gymnastics than young patients.

How is gymnastics going?

The patient should assume a standing position, bending forward. Classes begin with breathing exercises. Then proceed to neat rotations of the upper limbs clockwise and counterclockwise. After they make pendulum movements with their hands. With the help of them, it is possible to relieve pain. Doctors recommend alternating adduction and abduction of the upper limb to the body. If the bandage allows, it is permissible to carry out claps behind the back and in front of the chest.

In addition, when a patient has a fracture of a surgical neck of a shoulder, medical physical culture will need to be combined with physiotherapy methods. Often resort to the help of magnetotherapy or cold treatment, which can relieve pain, relieve swelling and get rid of inflammatory processes.

The second stage

At this point, a fracture of the humerus is considered already fused, which is noticeable by the results of radiography. Rehabilitation in the second stage will restore the former range of motion in the affected area. The doctor expands the previous set of exercises, while the starting position remains the same. A person will need to gradually straighten the torso in order to perform exercises in an upright position. They resort to gymnastics about 4 times a day.

Doctors recommend raising straight limbs in front of you, doing hand swings to the sides. In addition, special simulators are used to restore and develop the shoulder joint. Treatment during this period involves a visit to the pool. A person will need to engage not only in swimming, but also perform various exercises. It is important to do this under the guidance of an instructor. With the help of water procedures, it is possible to improve blood circulation in the upper limbs, which enhances the effect of exercise.

At this stage, in order to better develop the affected limb, the patient is prescribed balneotherapy. A person will need to attend at least 10 sessions.

The final stage

Mostly by this period, almost complete recovery occurs after a fracture of the left or right neck of the shoulder. Rehabilitation is based on strengthening muscle tissue, restoring the full range of movements. They resort to training at least 3 times a day. Exercises are performed in an upright standing position. Rises of straight limbs are made in front of them, they lead and bring their hands to the body. It is allowed to hang on the horizontal bar, perform push-ups. The development of a hand after a fracture of the humerus allows the use of light dumbbells, whose weight is not more than 5 kg. Training after injuring the head of the shoulder continues until the deltoid muscle and cuff are strengthened. Treatment at this stage still involves physiotherapeutic procedures prescribed by the attending physician. You need to continue to visit the pool, choosing the most convenient style of swimming.

If the patient unquestioningly complies with all the doctor’s recommendations regarding the rehabilitation period, recovery takes no more than 3 months. As soon as the shoulder is fully restored, it is permissible to switch to medical physical culture, which will allow you to return to its former physical strength, endurance and stretching. In addition, the patient will need to systematically use vitamin-mineral complexes, which can be purchased in pharmacy chains. You need to pay attention to the diet, adding a large amount of vegetables and fruits to it. In addition, you should eat food, which contains calcium and phosphorus, which favorably affect the entire musculoskeletal system. Such foods include, for example, dairy products and fish.

Shoulder fracture rehabilitation

Mandatory rehabilitation should be carried out after a fracture of the shoulder. First of all, it includes the immobilization of the affected limb, which is the creation of immobility. In order for the recovery period to proceed faster, the patient will need to unconditionally follow all the doctor’s prescriptions. The patient will be prescribed physical therapy and physiotherapy.

Duration of rehabilitation of the humerus after fracture

The duration of the rehabilitation period is directly related to both general and local factors. The first include:

  • patient age
  • mental and physical condition
  • body type,
  • endocrine system activity,
  • metabolism.

If we talk about local factors, first of all we are talking about a comparison of bone fragments and blood supply. In addition, when making a prediction, doctors take into account the results of radiography. If a person has an open fracture of the humerus with a displacement, then the likelihood of infection is not excluded. As a result of this, the recovery may be significantly delayed. On average, rehabilitation after a fracture of the humerus takes about 3 months.

Stages and methods of the recovery period

Immobilization

After a fracture of the shoulder or large tubercle without displacement, a plaster cast is applied to the patient. It will take at least 3 weeks to wear. At this time, you will need to resort to the help of gymnastics, which will not allow muscle tissue to atrophy. At the same time, it is important for a person to sleep on a healthy side. The set of exercises is established by the attending specialist, taking into account the physical data of the patient. You will need to do at least 5 times a day. At the initial stages of exercise therapy, a fracture is performed under the supervision of a specialist. Then training is acceptable at home.

If such an injury occurred in elderly patients, most often it can not do without surgery. After the surgery, they are prescribed a more gentle gymnastics than young patients.

How is gymnastics going?

The patient should assume a standing position, bending forward. Classes begin with breathing exercises. Then proceed to neat rotations of the upper limbs clockwise and counterclockwise. After they make pendulum movements with their hands. With the help of them, it is possible to relieve pain. Doctors recommend alternating adduction and abduction of the upper limb to the body. If the bandage allows, it is permissible to carry out claps behind the back and in front of the chest.

In addition, when a patient has a fracture of a surgical neck of a shoulder, medical physical culture will need to be combined with physiotherapy methods. Often resort to the help of magnetotherapy or cold treatment, which can relieve pain, relieve swelling and get rid of inflammatory processes.

The second stage

At this point, a fracture of the humerus is considered already fused, which is noticeable by the results of radiography. Rehabilitation in the second stage will restore the former range of motion in the affected area. The doctor expands the previous set of exercises, while the starting position remains the same. A person will need to gradually straighten the torso in order to perform exercises in an upright position. They resort to gymnastics about 4 times a day.

Doctors recommend raising straight limbs in front of you, doing hand swings to the sides. In addition, special simulators are used to restore and develop the shoulder joint. Treatment during this period involves a visit to the pool. A person will need to engage not only in swimming, but also perform various exercises. It is important to do this under the guidance of an instructor. With the help of water procedures, it is possible to improve blood circulation in the upper limbs, which enhances the effect of exercise.

At this stage, in order to better develop the affected limb, the patient is prescribed balneotherapy. A person will need to attend at least 10 sessions.

The final stage

Mostly by this period, almost complete recovery occurs after a fracture of the left or right neck of the shoulder. Rehabilitation is based on strengthening muscle tissue, restoring the full range of movements. They resort to training at least 3 times a day. Exercises are performed in an upright standing position. Rises of straight limbs are made in front of them, they lead and bring their hands to the body. It is allowed to hang on the horizontal bar, perform push-ups. The development of a hand after a fracture of the humerus allows the use of light dumbbells, whose weight is not more than 5 kg. Training after injuring the head of the shoulder continues until the deltoid muscle and cuff are strengthened. Treatment at this stage still involves physiotherapeutic procedures prescribed by the attending physician. You need to continue to visit the pool, choosing the most convenient style of swimming.

If the patient unquestioningly complies with all the doctor’s recommendations regarding the rehabilitation period, recovery takes no more than 3 months. As soon as the shoulder is fully restored, it is permissible to switch to medical physical culture, which will allow you to return to its former physical strength, endurance and stretching. In addition, the patient will need to systematically use vitamin-mineral complexes, which can be purchased in pharmacy chains. You need to pay attention to the diet, adding a large amount of vegetables and fruits to it. In addition, you should eat food, which contains calcium and phosphorus, which favorably affect the entire musculoskeletal system. Such foods include, for example, dairy products and fish.

Exercise for the shoulder joint after fracture v >

Types of exercise therapy for fracture of the humerus

The medical complexes for the shoulder joint after the fracture, which can be performed at home, consist of the following forms:

  • breathing exercises;
  • special movements;
  • exercises with various subjects;
  • swimming in the pool.

Rehabilitation after a fracture of the shoulder in the form of breathing exercises is of great importance to prevent the development of stagnation in the lungs. It is especially useful for those patients in whom the type of dressing covers the entire chest or part of it.

Recommended breathing exercises:

  • “DD” – abdominal or diaphragmatic breathing. The type of breathing, when the stomach is bulged out when inhaling, and when it is exhaled, is pulled into itself as much as possible. The chest remains stationary.
  • “No, no, no” – a short breath with your nose when you turn your head to the right. Jerky exhalation through the mouth and sniffing is done when turning the head to the left. When performing this exercise, the head is not held in the center.
  • “Ay-yay-yay” – when tilting the head to the right shoulder, one should inhale noisily and briefly through the nose. It is necessary to exhale through the mouth when the head returns to an upright position. This respiratory cycle is preferably repeated with the head tilted to the left.
  • “Pendulum” – the chin must touch the sternum, and take a short breath. Next, throw your head back and take a breath again. An exhalation occurs by itself between two breaths.
  • “DD”
  • “Slips” – feet shoulder width apart. The left leg is set forward, and the right back. Take a simultaneous short breath with the transfer of body weight forward, and bending the left supporting left leg. Next, you need to transfer the body weight back to the right leg, while it should be slightly bent. At the extreme point of this movement, take a short exhale and sniff.
  • “Steps in place with half-squats” – inhale briefly while lifting the left knee and simultaneously squatting on the right leg, and returning to the starting position, make a short exhalation. Perform another inhale-exhale, raising and lowering the right knee.
  • “DD”

All breathing exercises are performed up to 6-8 times. If you have any difficulties, you need to pause. If a modern orthosis is used to fix the injury, then for the duration of breathing exercises it is advisable to loosen the chest straps.

The entire recovery period is divided into three stages:

Three weeks are allotted for each of these stages, but the training should be continued until all functions of the limb are fully restored.

The first stage

At the first stage of rehabilitation, exercises are performed for thirty minutes five times a day. To do this, take the starting position – lean forward and further:

  • To eliminate the risk of a blood clot, you should rotate, bend, unbend, rotate the brush, elbow joint.
  • Rotational movements of the hand clockwise and against it.
  • To stop the pain, you must perform the pendulum exercise with your hand.
  • Take your arm or elbow from the body back, left, right, and return it back.
  • Clap in front of the chest and behind the back.
  • Hands are locked in the lock in front of the chest, turn the body to the side.

During this recovery phase, you can only remove your arm from the bandage for the duration of the exercise. Physiotherapeutic procedures can be supplemented by cryotherapy to reduce pain.

The second stage

At the second stage, all measures are aimed at ensuring that motor activity in the damaged limb is fully restored. The load on the arm increases. The starting position, as in the first stage, but gradually you need to try to engage without tilt.

  • Raise straight arms in front of you.
  • Swing his arms to the side, forward, backward.
  • If it is possible to engage in a gym, then exercises on block simulators, with the breeding of bent arms to the sides, lowering and raising arms will be very useful.
  • Bend your arms at your elbows and raise them to chest level, then they are bred so that the shoulder blades are as close to each other.

The third stage

The third stage is due to the strengthening of muscle tissue and the complete restoration of motor activity. All exercises should be performed while in a vertical initial position:

  • Raise a straight hand up and stretch it in front of you.
  • To make various swings and rotations with an injured hand.
  • Hanging on the crossbar, swedish wall.
  • It is allowed to do exercises with dumbbells no more than five kilograms.
  • Stretching exercise.
  • Walking with a gymnastics stick behind.

When performing the exercise, hands must be raised to a level of 90 °. This will help to avoid compression of the suprascapular nerve and the associated occurrence of pain. You should be aware that the term for the healing of a fracture of the humerus with a shift is approximately two months after the injury, but the recovery period lasts up to six months.

Modern medicine most often with a fracture of the main shoulder bone in the middle or lower part of it, to fix the fragments using the Elizarov apparatus. This immobilization allows you to perform all possible types of movements in the joints of a broken arm, which will allow you to make the design of the device, from the second day of injury. Allowed exercises with different emphasis on the hands, and you can not work with dumbbells.

After removal of the apparatus or other compression-distraction device, rehabilitation takes from a month to two. At this time, it is necessary to perform special gymnastic exercises daily, but they should take place without hanging on the horizontal bar and lifting weights.

After a fracture of the neck of the shoulder and other parts of the humerus during the recovery period, the use of additional funds is allowed.

  • Gymnastics stick. With its help, they lift their hands up, through the sides above the head. Also make imitation of rowing, imitation of fishing, spinner.
  • Swedish wall. Climbing the crossbars, in a position turning to face her, squats, holding on to the shell.
  • It is allowed to crawl along the wall in a standing position, helping the patient with a healthy hand.

Swimming

Recovery after a fracture of the humerus at the last stage is preferably carried out in the pool. Swimming styles allowed for hand development:

  • Crawl, breaststroke on the back, “saplings” are made after intra- or periarticular fractures of the shoulder joint.
  • The usual breaststroke, on the back of the breaststroke and “dog-like” after diaphyseal shoulder fractures.

The load is selected individually, taking into account the general physical fitness, swimming skills and the state of the cardiovascular system.

Starting from the water on the back is especially recommended for people with fractures of the shoulder joint. It can become an additional therapeutic exercise for them. However, it should be remembered that this type of movement requires the permission of a doctor who has suffered other injuries of the humerus.

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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