Exercises for the treatment of osteoarthritis of the shoulder joint. Gymnastics for the shoulder joint: exercises, features and recommendations

Exercises for the development of the shoulder joint are aimed at eliminating joint diseases, such as arthrosis and arthritis, at restoring bones and joint tissues after the treatment of injuries, surgical interventions, as well as pathological processes that develop as a result of injury of varying severity.

Physiotherapy exercises include a number of exercises aimed at developing the flexibility of the shoulder joint. At the same time, the muscular frame, on which the ability to painlessly carry out rotational movements depends, is subject to training to no lesser extent. In addition, it is necessary to develop two sides of the body at once, regardless of which one was subject to deformation. Before performing a set of exercises to warm up the muscles, it is advisable to do a warm-up.

Rules for performing therapeutic exercises

In order to obtain the desired result, treatment requires compliance with certain rules:

1. Timeliness.

Systematization and proper organization of the implementation of a complex of physiotherapy exercises are of no small importance for obtaining an effective result. Exercises should be performed regularly, without long breaks. In the case when, after surgery or injury, a person experiences weakness, it is allowed to perform exercises while sitting.

1. To avoid additional injury, physical education must be performed in compliance with safety regulations.

In accordance with this requirement, an individual approach to each patient is necessary, taking into account his capabilities, characteristics of the organism, the nature and degree of complexity of the disease. At first, it is desirable to develop the shoulder cartilage under the supervision of a physician.

1. The exclusion of overloads and too sudden movements makes it possible to systematically restore and rehabilitate the joints without feeling discomfort.

At severe fatigue or the application of additional efforts, it is strongly recommended to take breaks between exercises and rest.

1. Entry into the system with increasing workloads and allocated time for regular classes should be gradual.

You should not fuss, be nervous and rush when doing exercises. The emotional state of the patient should be as close as possible to peace. It should be remembered that it is impossible to speed up the recovery period and restore mobility too quickly. You need to be patient, gradually and systematically increasing the load on the area of ​​​​the shoulder cartilage. Over time, the muscles get used to correct execution exercises, will enter into tone and gain strength. Doing the exercises will become much easier.
After the return of the articular lip to its normal state, the treatment can be considered completed. In this scenario, therapeutic measures for the implementation of exercises can be continued further. This will help maintain the body in excellent condition and prevent the development of pathologies and joint diseases.

Most of the exercises aimed at developing the shoulder joint have the same or similar body movements and are aimed at optimizing after injuries and preventing the development of pathological processes of the entire musculoskeletal system. The best option for performing a complex of therapeutic exercises would be to visit sports hall under the guidance of a coach. However, you can do the exercises yourself, replacing them with morning exercises. For these purposes, it is recommended to use a rug that can be laid on any hard surface. The development of the shoulder joint in arthrosis and arthritis is important for rehabilitation, restoration of mobility and strengthening of the muscular frame.

1. Exercise for bending the fingers on both sides. It is done with some tension until pain occurs 20 times. After that, produced circular rotations wrists for 20 turns.
2. An exercise to bend the injured limb in the joint area is performed with the help of the second hand 10 times. In case of pain, it is recommended to take a break.
3. Smooth squeezing and unclenching with a hand on the painful side of objects with hard surfaces until a feeling of fatigue appears in the forearm. The exercise is usually performed at least 10 times.
4. In a standing position (feet shoulder-width apart), you should raise your arms, holding them at chest level, and bend at the elbows. Without straining, straighten your right arm, taking it to the side. When performing the exercise, you should not change the height of the position of the hand, you should try to keep it at the same level. Then accept initial position. Take your left hand away. Take the starting position again. The exercise is performed 10 times. Then you need to move both hands at the same time and take the starting position. Run 10 times.
5. Starting position: standing, feet shoulder-width apart, arms along the body. Performing circular movements with straight arms at a slow pace. The exercise is performed 20 times in one direction and 20 times in the opposite direction.
6. The starting position is the same as in the previous exercise. You need to take a medium terry towel and pinch its ends in both hands. Hands should be raised up in a straightened state. Then gradually pull back and stay in this position for 5 seconds. The exercise is performed 10 times.
7. The starting position is similar to the previous one. The left hand should take hold of the right shoulder, and right hand, pressing on the bent elbow of the left hand, try to gently move it as far as possible. After completing the exercise, change hands. The exercise is done 20 times on each side.
8. The next exercise is performed in a standing position opposite the back of a chair, feet shoulder-width apart. Grasp the back of the chair with both hands, bend down with straightened arms and pull your shoulders as low as possible. Straighten up. The exercise is performed 10 times with short breaks.
9. You should sit on a chair and put your hands on your knees. The exercise consists in raising your arms up 10 times, after which they need to be bent at the elbows and taken to different sides. Continue the exercise until slight pain in the shoulder joint appears.

Combining classes with other treatments

This approach will make it possible to get rid of progressive inflammation in the joint and enhance the blood circulation process. Besides, general state can be improved by taking therapeutic baths, rubbing the affected area with oils and other natural remedies during massages. For example, it will be very useful to use clay, which contains a lot of minerals. This will speed up the process of restoration of the articular bag and make it possible for the bones to be filled with calcium.
Due to the fact that joint diseases occur against the background of dystrophic changes in bone tissues, which indicates an acute shortage of calcium in the body, experts recommend reconsidering the diet. This approach involves the inclusion in the daily menu of foods high in calcium, phosphorus and protein. These include milk, dairy products, cottage cheese, nuts, fish of any kind, seafood and eggs. It is recommended to add grated egg shells to dishes and eat chalk in its pure form.

A good addition to physical therapy would be the use of homeopathy, the use of alternative medicine recipes, drug therapy aimed at accelerating the flow of lymph and blood.

Gymnastics for arthrosis of the shoulder joint is an integral part of the treatment along with medication and physiotherapy, without which it will not be easy to cure the disease. But do not expect an instant result: the treatment of arthrosis takes a very long time and carefully.

Never self-diagnose or refer to traditional medicine, ignoring traditional methods of treatment. Perforation leads to surgery and replacement of the joint with a prosthesis, after which it will be necessary to perform an expensive operation every 10-15 years. Do not forget that any intervention is stress for the body. With an unfavorable outcome of the operation, you can lose the mobility of the arm. Remember that any strange and atypical pain for you is a signal to see a doctor and need an examination.

Shoulder osteoarthritis: what is this disease

Osteoarthritis is a chronic disease in which cartilage and adjacent tissue wears out and breaks down. The reason is simple - it is inflammation, which can begin for the following reasons:

1. Old or recent shoulder injury. At risk are athletes who often receive microtrauma.
2. Vascular diseases that impair blood circulation and thereby lead to insufficient blood supply to the joint.
3. Strong shoulder load. Arthritis is especially dangerous for loaders and builders.
4. Hormonal, autoimmune failures (psoriasis, etc.).
5. Bad heredity. Children whose parents have osteoarthritis have a higher chance of getting the disease. This group also includes people with similar congenital pathologies.
6. Disruptions in metabolic processes and the endocrine system, in which the joints do not receive the nutrition they need.
7. Other diseases such as arthritis.
8. Upon reaching the age of 50, the risk of getting sick increases several times due to tissue wear.

There are a number of signs by which you can determine the presence of the disease. If you notice similar symptoms, you should consult a doctor, and as soon as possible:

1. Aching pain that appears most often in the morning, sometimes due to a sudden change in the weather. When lifting something heavy, the shoulder also makes itself felt. Gradually, pain begins to appear when feeling the shoulder. In subsequent stages, pain comes just like that, arising in the elbow, back.
2. Limitation of motor function. Because of the pain, it becomes difficult even to simply raise your hand to fix your hair, rotational movements or an attempt to take the limb back are also painful.
3. Crunch and creaks, faint at first, but in later stages they can be heard even from a distance.
4. Swelling, fever of the whole body or locally at the site of the affected joint.
5. General joint hardness.

Treatment of arthrosis

In addition to exercise therapy, there are several more methods of treatment, skillfully combining which can cure arthrosis. First of all, any doctor is obliged to prescribe a complex of drugs, which may include chondroprotectors (drugs for the restoration of cartilage tissue), vitamins, dietary supplements and minerals. In addition to the above, analgesics, muscle relaxants and anesthetics are used to reduce pain. But all this is fraught with side effects. To avoid this, physiotherapy is used, which will help reduce the dosage of drugs, enhance their effect and remove some of the side effects.
Such treatment is carried out in courses, usually once a year, and the type is chosen by a specialist in the absence of contraindications. There are several types of physiotherapy suitable for the treatment of arthrosis:

• electrophoresis;
• cryotherapy;
• laser therapy;
• acupuncture;
• exposure to ultrasound;
• exposure to a magnetic field;
• infrared, ultraviolet and laser radiation.

Separately, it is worth considering massage. An experienced specialist will help to cope with arthrosis, but an independent massage will not be superfluous either. It must be remembered that massage should be carried out only at the final stage of treatment, and if you have undergone surgery, then it is better to consult your doctor about this. Self-massage is not difficult, for example, one of the exercises is working with muscles, stroking, “squeezing” with the edge of the palm or fist, repeated 3-4 times, circular impact on the joint, rubbing. Charging will not hurt either - active flexion-extension of the limb, etc. Usually, massage is combined with therapeutic baths.
Diet plays an important role in the treatment of osteoarthritis. With this diagnosis, it is necessary to reduce the salt content in food, increase the amount of liquid. Do not eat tomatoes, spinach, spicy seasonings. Instead, it is worth increasing the intake of collagen, which is found in meat and fish (especially in offal - bones and cartilage), oranges, gelatin, cashew nuts, blueberries, poultry.

Rules for performing exercises for osteoarthritis of the shoulder joint

It is worth remembering that therapeutic exercises are not available to everyone. It can be practiced only during remission, because. during exacerbation, motor activity is strictly prohibited.
Before starting the exercises, you need to consult with a specialist, show him the complex that you have chosen for yourself.
If you have a high temperature or have a medical condition that prohibits exercise, exercise is not recommended. Avoid exercises that cause pain.
At physical therapy classes a number of rules must be followed:

1. Take your time and enjoy even small results: big pace is fraught with consequences.
2. Never tolerate pain.
3. Exercises should be performed lying down or sitting, slowly.
4. No intense or traumatic movements.
5. It is better to do it for a whole day for a few minutes.

Gymnastics for arthrosis of the shoulder joint is very simple. The complex described below contains 4 stages following each other in the process of improving the condition. Moreover, the first stage does not include any exercises for osteoarthritis of the shoulder joint, implying only drug treatment.

The second stage consists of 6 exercises:

1. Tighten and relax the shoulder muscle 5 times.
2. Squeeze an object with a sick hand.
3. Develop the wrist area in a circular motion 8 times.
4. Squeeze and unclench your fingers 12 times.
5. Helping with a healthy hand, bend the patient 6 times.
6. In the same way, take your hand to the side 6 times.

The third stage is performed while sitting, while the hands are on their knees. Perform each exercise 5 times. Raise the limb forward, then up. Spread your bent arms in different directions. Raise and tighten your shoulders. Bring the limbs behind the back. The fourth stage is best performed together with a light load 10 times. Rotate by hand. Bend and unbend them. Wave your arms back and forth.

With arthrosis of the shoulder joint, there are sharp restrictions in the movement of the arms: it is sometimes very difficult to raise the arm high or take it behind the back because of the pain. The shoulder becomes as if frozen. Injections with NSAIDs and corticosteroids relieve acute pain and inflammation, but do not improve the mobility of the joint itself. To restore all the functions of the shoulder, gymnastics is needed for arthrosis of the shoulder joint.

Gymnastics for shoulder arthrosis: video, exercises

To treat with movement the pain that itself arises with movement seems absurd:

Until exercise therapy, perhaps, when the shoulder hurts, and everything inside cries out for peace. But it is precisely this peace that can be fatal.

Deforming arthrosis leads to ossification of the ligaments and tendons of the joint and its fouling with osteophytes. In the future, complete fusion and immobility of the joint may occur. In this case, only movement can still save

So what kind of therapeutic exercises are we talking about? Maybe then, not sparing the sore joints, do a barbell or dumbbell swing - what could be better for the shoulder?

The fact of the matter is that such exercises are categorically not suitable here:

Therapeutic exercises for the shoulder joint should exclude loads, that is, there can be no talk of any weight lifting and muscle pumping.

Isometric exercises

During the period of exacerbation, only static exercises are allowed, causing tension in the muscles of the forearms, shoulder blades, and radial hand, but the shoulder joint itself should not move or take on an axial load.

Such gymnastics is otherwise called isometric. Its essence is that tension should be combined with relaxation (post-isometric relaxation). The goal is precisely to achieve relaxation in which the pain goes away.

Second option isometric exercises- they are performed either in a completely relaxed state (the sick hand can hang down and swing like a pendulum), or a healthy hand helps the patient.

Examples of static exercises for shoulder arthrosis

Moving the wall

• Stand facing the wall at arm's length
• Press as hard as possible with your palms on the surface of the wall, as if you want to move it
• As you do this, you will feel tension in your forearm and shoulder girdle, the shoulders themselves remain motionless
• Hold the effort from 10 to 30 seconds then relax

Pushing off the wall

• We turn our backs to the wall and, resting our palms, try to push off the surface of the wall
• At the same time we resist it and stay in place
• Just like in the previous (and subsequent) exercises, relaxation follows in the final

Hand hold

• Grasp the affected forearm with the opposite healthy hand
• We are trying to take the forearm to the side, while holding it with our hand
• I put my fingers on the sore shoulder
• Raise your shoulder up, putting pressure on it with your fingers

"Fist fight"

• We bend our elbows in front of us, and the hands into a fist
• We rest our fists against each other and with an effort we press towards each other

Another version of such a battle with yourself:

"Arm wrestling"

• Put both elbows on the table
• We clasp the patient with the palm of a healthy hand and try to put it on the table
• Resist with a sick hand

Pendulum

• Rest your healthy hand on the edge of a chair
• The other hangs freely and swings like a pendulum

Throwing a hand

• Standing, swing the relaxed sore shoulder joint by turning the torso
• The hand is tied and follows the body
• Slowly increase the amplitude of rotation, and at one of the moments throw your hand on the opposite shoulder

Help shoulder

• Put the hand of a healthy hand on deltoid muscle sore shoulder, just below the shoulder protrusion
• With effort we press on the shoulder and take it to the side as far as we can.
• We hold the tension, as in the previous examples, and then relax

A complete set of isometric exercises for the shoulder joint is in the link at the very end of the article.

If you do the exercises correctly, the result will be a decrease in pain and a gradual unlocking of the joint.

Gymnastics of "small" movements

Shoulder-scapular periarthritis and arthrosis can be a source of long-term pain.

Another way to adapt to these conditions, and still practice therapeutic gymnastics, is based on the principle of small gentle movements, in which the load on the joint is minimal. Moreover, movement in the joint occurs even with such exercises, seemingly unrelated to the shoulder joints, as ... walking in place while sitting.

If you are interested, then watch the set of exercises from this video:

Video: Exercise therapy for shoulder-scapular periarthritis

dynamic gymnastics

Dynamic gymnastics for arthrosis of the shoulder joint, in which the shoulder is included in active movement, is performed in the subacute period and during the onset of remission.

This may include the following exercises:

• Shoulder lift and shoulder rotation
• Bringing the shoulder blades together
• The connection of the fingers on the back of the shoulder blade:
  In this case, the hand that is closer to the shoulder blade is placed below it with fingers up, and the far hand is higher with fingers down.
• Indispensable are also exercises with gymnastic stick, the complex with which is shown in the second video

When doing exercise therapy, we must not forget that it is part of the complex treatment of arthrosis and is effective if used in conjunction with other methods of treatment.:

• manual therapy
• massage
• Physiotherapy, etc.

Requirements for exercise therapy for shoulder arthrosis

• Therapeutic exercises are selected by a rehabilitation doctor based on a specific diagnosis.
• She should avoid sudden movements and loads that can damage the shoulder joint.
• Exercise therapy is not performed for pain and in the presence of contraindications

Video: Exercise therapy with a gymnastic stick

With osteoarthritis of the shoulder joint, it is important not only to take the medications prescribed by the doctor, but also to perform exercise therapy exercises.

Along with drugs, physical education helps in the speedy and high-quality rehabilitation of joints, reduces pain and alleviates the general condition of the patient.

Thanks to motor activity the flow of synovial fluid is stimulated, delivering the nutrients necessary for recovery to damaged joints.

Contraindications to exercise therapy

Exercise therapy exercises for arthrosis of the shoulder joint have a number of contraindications that should never be ignored:

1. To perform gymnastics, the disease must be in remission. The patient should not experience acute pain. Otherwise, there will be no positive effect from classes with osteoarthritis, the course of the disease will become more complicated.
2. In the presence of high blood pressure or temperature, classes must be canceled until the body is fully restored. Vascular spasms and hyperthermia can cause pain in the shoulders.
3. Before starting execution exercise therapy complex exercises for osteoarthritis of the shoulder joint, you need to pick it up with the help of a rehabilitation doctor.
4. It is strictly forbidden to perform gymnastics if pain is observed in the area of ​​\u200b\u200bthe damaged joint during exercise.
5. It is important to do gymnastics regularly, and to consolidate the positive effect of it, you can do your own massage of the muscles of the shoulder and adjacent areas. Strengthening the effect of it can be achieved with the help of special for.
6. If a doctor has prescribed exercise therapy for shoulder arthrosis with weight, it is undesirable to immediately use Weight Limit. It is better to gradually increase the weight of the load, observing how you feel.

It should also be remembered that exercise therapy for arthrosis of the shoulder joint of the 2nd degree should be performed strictly under the supervision of the attending physician or rehabilitator.

If the classes are chosen independently, a doctor's consultation is still required, since not all of them are developed by professionals and will be beneficial in each individual case.

Gradual physical rehabilitation

Basically, during rehabilitation for deforming arthrosis, doctors prescribe physiotherapy exercises, which are performed in four main stages.

First stage

At the first stage, one selects exercise stress for the patient. In this case, the doctor takes into account the stage of development of the disease. At this stage, there should be tension in the muscles of the shoulder, but there should not be sharp pains.

Second phase

Is simplified gymnastics exercise therapy with arthrosis of the shoulder joint. This is a special complex, which includes the following classes:

• the shoulder muscle needs to be strained and relaxed 5 times;
• the fingers of the injured hand squeeze some hard object, for example, a dense rubber ball;
• the wrist region is developed with circular movements of the brush 8 times;
• fingers on the arm affected by arthrosis 12 times bend and unbend;
• with a healthy hand, the patient slowly bends at the elbow 6 times;
• 4 times the sick hand is raised and laid aside with the help of a healthy one.

Third stage

At the third stage, all gymnastics is performed in sitting position, with hands folded on knees:

• the sore arm slowly rises forward and then up;
• arms bent at the elbows are bred to the sides;
• shoulders rise and tense;
• hands are slowly wound behind the back.

All exercises are repeated five times.

Fourth stage

At the fourth stage, all physiotherapy exercises are performed in a sitting position, with arms lowered along the body. Repeat all exercises 10 times:

• rotate by hand;
• bend and unbend arms;
• swing them back and forth.

When doing exercises last stage it is allowed to use a small load - so the effectiveness of physiotherapy exercises will be higher.

Other tricks

If there are symptoms shoulder arthrosis the doctor may prescribe and treatment of exercise therapy, which consists of the following classes.

Pulling up to the shoulder blade

The position of the legs shoulder-width apart, raise one arm bent at the elbow. In this case, the fingers should touch the shoulder blades, and the elbow should be pointing up. With the other hand, gently press on the elbow so that the palm drops as low as possible.

Chair exercise

Starting position: feet shoulder-width apart, facing 40 cm away from a regular chair. Further, counting to eight, lower your straight arms on the back of the chair. On a new count, the affected shoulders should be gently pulled towards the floor, holding on to the back of the chair.

On the count of 8, gently return to the starting position. During one session, the exercise is repeated eight times.

hugging

For the next exercise, you need to put your feet shoulder-width apart, and lower your arms down. Each hand must be placed on the opposite shoulder.

Exercise therapy gymnastics is indicated for arthrosis of not only the shoulder, but also the elbow joint.

The main thing is to remember that all exercises must be performed very carefully, while you need to monitor your feelings. With systematic implementation, rehabilitation can be significantly accelerated.

Denial of responsibility

The information in the articles is for general information purposes only and should not be used for self-diagnosis of health problems or for medicinal purposes. This article is not a substitute for medical advice from a doctor (neurologist, internist). Please see your doctor first to know the exact cause of your health problem.

I will be very grateful if you click on one of the buttons
and share this material with your friends :)