Final cover.cdr - National Institute of Naturopathy Pune

an overview
Relaxed Passive Movements:
Patient is placed supine with affected shoulder
abducted maximum and neutral rotation and elbow
in 90 degree flexion.
Grasp the arm below the shoulder joint brings
relaxed passive glide of the head of humerus. Give
mild traction (pull the grasped arm towards you).
Hold the arm in this position. Push the head of
humerus towards the bed with other hand.
Slow and rhythmic circumduction at the glenohumeral
joint, in forward stoop position, effectively
induces relaxation and promotes mobility. Maitland
has found that gentle passive moments in the range
of pain limit bring relaxation. The reduction in pain
occurs because of the neuro-modulation effect on
the mechanical-receptor within the joints.
b) Exercise and Yoga Programme
Special Yoga techniques and Exercise plays
important role in adhesive-capsulitis, thesewhen
adopted on a regular basis can restore the mobility
and regain the use of the joint. It is been found that
contracted soft tissues when subjected to repeated
prolonged mild tension shows extensibility and
tendon elongation. With wise guidance, these will
help to cure the problem in a short span of time.
Frozen shoulder exercises and Yoga postures can be
a better substitute of surgery, if started earlier.
Yoga is slow and gentle technique; the movements
are done with awareness. Yoga is effective through
simple repetition.
Gomukhasana - Stretches your arms and
shoulders, it releases tension from the shoulders, the
hands can be hold with the help of a strap at the back.
The affected side is slowly stretched with the other
hand.
Hasthauthanasana - Cross your arms at the wrists
in front of the body with the palms turned inInhaling
deeply, lift arms high, stop where the shoulder hurts.
Exhale and bring arms back to starting position.
Tadasana - Stand straight lift toes and stretch your
arms above the head and look up. Maintain this
posture for as long as you can.
Sukshmavyayamas - Sukshmavyayamas are the
simple exercises performed mainly with the aim of
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loosening the joints.The exercises helping for the
shoulder are :
Bhujavallisakthivikasaka - Abduction and
adduction movements of shoulder.
Purnabhujasakthivikasaka -
Rotation of shoulder, clockwise and
anti-clockwise directions.
Pendular Exercise - Tie the 1 kg.
weight cuff at the wrist of affected side,
stoop forward, take support with
unaffected hand, circle the affected image 2
hand clock and anti-clock wise.
(image 2)
Shoulder Wheel Exercises - Stand
facing the shoulder wheel. Hold the
handle and rotate the wheel clock and
anti-clock wise. Stand at the side of
shoulder wheel and repeat the exercise image 3
same way. (image 3)
Overhead Pulley - Hold the handles
of the pulley by both the hands. Do
flexion and/or abduction of both
shoulders. It is an active assisted type of
exercise. (image 4)
Towel Exercises - Hold the towel at image 4
your back by both the hands, how you
rub your back after bathing. Move your
hands up and down. (image 5)
Shoulder Ladder Exercise - Put the
affected hand fingers in the ladder fixed
image 5
on the wall. Take the hand maximum up
in the ladder.
C) Passive Mobilization Techniques
Position the patient in supine lying; give traction
to the affected arm towards you. Press the head of
humerus towards bed. Repeat the same pressure for
8 – 10 times. Allow patient to do shoulder movements
actively.
Nisarga Nature Cure Hospital
Nadiggali
Sirsi - 581 401
North Kanara,
Karnataka
Nisargopachar Varta : January 2013