Segmental Neuromyotherapy for the Succesful Treatment of Shoulder Pain and Dysfunction

摘要

Shoulder pain and dysfunction due to degeneration, injury, or disease of one or more of its structures, or referred from a distant site, follows the clinical frequency of low back pain, neck pain and headache (Bonica, 1990). Shoulder girdle stability is maintained due to the complex integration of numerous muscles, ligaments and tendons (Bonica, 1990). The most common painful disorders include rotator cuff impingement or tear, biceps tendinitis, subacromial bursitis, glenohumoral and acromioclavicular arthritis, adhesive capsulitis, acromioclavicular injury, and instability or dislocation of the glenohumoral joint. Shoulder pain is a common complication in stroke patients (Chae et al., 2007) with a reported prevalence of 5-84% (Bender, 2001; Turner-Stokes 2002). Post-stroke shoulder pain is associated with reduced quality of life (Chae et al., 2007), but not with motor impairment or activity limitation (Chae et al., 2007).