Tek taraflı infraserratus bursitte rehabilitasyon: vaka raporu

Yıl 2021, Cilt: 8 Sayı: 2, 198 - 203, 10.09.2021

Mahmut Çalık , Defne Kaya , İrem Düzgün

https://doi.org/10.15437/jetr.665533

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

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

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.

Proje Numarası

Yok

Kaynakça

• 1. Conduah AH, Baker CL, Baker CL Jr. Clinical management of scapulothoracic bursitis and the snapping scapula. Sports Health. 2010;2:147-155.
• 2. Warth RJ, Spiegl UJ, Millett PJ. Scapulothoracic bursitis and snapping scapula syndrome: a critical review of current evidence. Am J Sports Med. 2015;43:236-245.
• 3. Lefèvre-Colau MM, Nguyen C, Palazzo C, et al. Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain, and clinical implications. Ann Phys Rehabil Med. 2018;61:46-53.
• 4. Kibler WB, Sciascia A, Wilkes T. Scapular dyskinesis and its relation to shoulder injury. J Am Acad Orthop Surg. 2012;20:364-372.
• 5. Kuhn JE, Plancher KD, Hawkins RJ. Symptomatic scapulothoracic crepitus and bursitis. J Am Acad Orthop Surg. 1998;6:267-273.
• 6. Dzian A, Skaličanová M, Fučela I, et al. Bilateral cystic lesions of the chest wall: Presentation of scapulothoracic bursitis. Int J Surg Case Rep. 2019;54:116-119.
• 7. Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain. 2011;152, 2399-2404.
• 8. Kolber MJ, Hanney WJ. The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report. Int J Sports Phys Ther. 2012;7, 306-312.
• 9. Hazar Kanik Z, Gunaydin G, Pala OO, et al. Translation, cultural adaptation, reliability, and validity of the Turkish version of the Penn Shoulder Score. Disabil Rehabil. 2018;40:1214-1219.
• 10. McDevitt A, Young J, Mintken P, et al. Regional interdependence and manual therapy directed at the thoracic spine. J Man Manip Ther. 2015;23:139-146.
• 11. Petersen J, Thorborg K, Nielsen MB, et al. Preventive effect of eccentric training on acute hamstring injuries in men's soccer: a clusterrandomized controlled trial. Am J Sports Med. 2011;39:2296-2303.
• 12. Manske RC, Reiman MP, Stovak ML. Nonoperative and operative management of snapping scapula. Am J Sports Med. 2004;32:1554-1565.
• 13. Moseley JB, Jobe FW, Pink M, et al. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med. 1992;20:128-134.
• 14. Colado JC, Garcia-Masso X, Triplett NT, et al. Construct and concurrent validation of a new resistance intensity scale for exercise with Thera-Band® elastic bands. J Sports Sci Med. 2014;13:758-766.
• 15. Senbursa G, Baltaci G, Atay A. Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee Surg Sports Traumatol Arthrosc. 2007;15:915-921.
• 16. Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther. 2000;30:126-137.
• 17. Gaudet S, Tremblay J, Begon M. Muscle recruitment patterns of the subscapularis, serratus anterior and other shoulder girdle muscles during isokinetic internal and external rotations. J Sports Sci. 2018;36:985-993.
• 18. O'Sullivan PB, Burnett A, Floyd AN, et al. Lumbar repositioning deficit in a specific low back pain population. Spine (Phila Pa 1976). 2003;28:1074-1079.
• 19. Yang JL, Chen S, Jan MH, et al. Proprioception assessment in subjects with idiopathic loss shoulder range of motion: Joint position sense and a novel proprioceptive feedback index. J Orthop Res. 2008;26:1218-1224.