Rehabilitation in unilateral infraserratus bursitis: a case report

Öz

Infraserratus bursitis is a rare and neglected pathology in the clinic. Decreased scapular kinematics and weakness of the muscles around the scapulothoracic joint lead up to this pathology. A 49-year-old female patient with a pain complaint at the lower end of the scapula due to infrasratratus bursitis was included in the study. Normal range of motion of the shoulder, pain severity, internal and external isokinetic strength of the shoulder, and active joint position sense were evaluated. A program consisting of 6 weeks of manual therapy and 6 months of home exercises was applied to correct scapular kinematics. The pain around the scapula and shoulder decreased, muscle strength and active joint position sense developed after treatment. A physiotherapy and rehabilitation program should be applied for symptoms in infraserratus bursitis, including manual therapy and strengthening the muscles around the scapulothoracic and glenohumeral joint.

Anahtar Kelimeler

• Bursitis
• Scapula
• Rehabilitation
• Exercise.

Tek taraflı infraserratus bursitte rehabilitasyon: vaka raporu

Öz

İnfraserratus bursit klinikte nadir görülen ve ihmal edilen bir patolojidir. Skapular kinematiğin değişmesi, skapulotorasik eklem çevresi çevresindeki kasların kuvvetsizliği bu patolojiye zemin hazırlamaktadır. İnfraserratus bursit nedeniyle skapula alt ucunda ağrı şikayeti olan 49 yaşında kadın hasta çalışmaya dahil edildi. Omuz normal eklem hareket açıklığı, ağrı şiddeti, omuz internal ve eksternal izokinetik kuvveti ve aktif eklem pozisyon hissi değerlendirildi. Skapular kinematiği düzeltmek amacıyla 6 hafta manuel terapi ve 6 ay ev egzersizlerinden oluşan bir program uygulandı. Skapula ve omuz çevresindeki ağrı azaldı, kassal kuvvet ve aktif eklem pozisyon hissi tedaviden sonra gelişti. İnfraserratus bursitte semptomlara yönelik, manuel terapi ile skapulotorasik ve glenohumeral eklem çevresindeki kasların kuvvetlendirilmesini içeren bir fizyoterapi ve rehabilitasyon programı uygulanmalıdır.

Anahtar Kelimeler

• Bursit
• Skapula
• Rehabilitasyon
• Egzersiz

Kaynakça

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