Pre- and postoperative principles of rehabilitation in arthroscopic treatment of painfull shoulder

Ortop Traumatol Rehabil. 2003 Aug 30;5(4):469-74.

Abstract

Pain of the shoulder is becoming a serious clinical problem. A proper diagnosis, surgical, physiotherapycal, pharmacological and psychological treatment allow to achieve the best result. This shoulder's problem is very common in young, working people, who expect a quick and effective treatment. One of the procedures in the treatment of the painful shoulder is arthroscopy combined with physiotherapy. The very important part of the exercise program is the preparation of the injured extremity for surgical procedure. The time of the immobilization and the beginning of the exercises is being given by the surgeon. Generally it is important to start the exercises as soon as possible and to make it painless if it possible. One of the most effective methods is PNF (Proprioceptive Neuromuscular Fascilitation). It allows for the early beginning of the exercises by using proper patterns and techniques.