Reeducación postural global en lesiones de hombro. Estudio piloto

Résumé

Introduction Global Postural Re-education (GPR) involves a series of movements with the active participation of the patient and is based on the integral concept of the muscular system. Due to the relationship of the joint complex with different structures, a treatment approach is established using this approach. Objective To evaluate the results of a treatment of injuries located at the level of the shoulder joint complex using the RPG method. Methodology A controlled clinical trial was conducted on 20 subjects divided into 2groups, with Group 1 consisting of healthy subjects, and group 2 with patients who had a shoulder injury. Two evaluations (pre- and post-treatment) were performed, with 3weekly sessions of 30minutes. Three positions were examined in each session. Results There was a significant improvement in Group 1 (P<.05) in the values of flexion and external rotation, the finger-floor test, and Schober test. There was no evidence of significance in the other results (P>.05). An increase in shoulder joint complex mobility was obtained in Group 2, with progress in dorsal and lumbar spine, as well as a decrease in pain. Conclusions The GPR method could be useful to treat injuries that are located at shoulder joint complex level. It seems to be a valid therapy to be introduced into the therapeutic intervention program in susceptible individuals to physical therapy treatment in joint complex injuries, as well as a prevention and maintenance therapy of healthy subjects.