Identification and Kinesitherapy Treatment of Shoulder Injury : Undergraduate Thesis

Cilj ovog rada jest identificirati ozljedu ramena dvadesetjednogodišnjeg studenta kineziološkog fakulteta u Splitu koju je zadobio na skijanju u siječnju ove godine. Naime, nakon gotovo više od mjesec dana nema puni raspon pokreta u lijevom ramenu, ne može se baviti fizičkim aktivnostima koje uključuju korištenje tog ramena te su mu mišići lijevog ramena i mišići nadlaktice atrofirali. Nakon utvrđenog uzroka nastanka boli započinje se sa rehabilitacijom. Prvi korak je dijagnostika mišićno-koštanog sustava, a to podrazumijeva analizu posture kroz sve tri ravnine, ROM zglobova, jakost mišića odnosno testiranje funkcionalnih pokreta te skup testova Functional Movement Assessments odnosno SFMA testovi koji nam brzo i efikasno dijagnosticiraju stanje klijenta. Dijagnostika je pokazala da klijent ima upalu tetive m.supraspinatusa te će se prema toj dijagnozi napraviti plan i program rehabilitacije koja bi nakon njene provedbe trebala klijentu omogućiti puni raspon pokreta u lijevom ramenu i to bez boli, vraćanje mišićne mase koju je izgubio nekorištenjem lijevog ramena. Plan i program će se provesti u četiri etape te nakon njih klijent može nastaviti bavljenje sportom i tjelesnim vježbanjem bez ikakvih restrikcija.Main goal of this paper is to identify shoulder injury of 21-years-old student of kinesiology in University of Split which he has received on skiing this January. Almost over a month he doesn’t have full range of motion in his left shoulder, he is unable to do physical activities which include utilization of that shoulder and because of that, his left shoulder and upper arm muscles have atrophied. After determining cause of pain, rehabilitation may begin. First step is diagnosing musculoskeletal system which includes posture analysis through all three planes, joint ROM and muscle strength using Functional Movement Screening (FMS) and bundle of tests called Selective Functional Movement Assessments (SFMA) which can give us quick and precise diagnosis of client’s status. Diagnostics have shown that the client has tendinitis of supraspinatus muscle and based on that, the rehabilitation plan and program will be made in which after it’s implemented, should provide the client with pain free, full ROM of his left shoulder and regaining muscle mass he has lost during the period of not using the shoulder. Plan and program is going to be split into four phases which after they’re finished, client should be able to continue with sports and physical activities without any restrictions