Effect of Home-based Rehabilitation Training on Posterior Shoulder Dislocation with Reverse Hill-Sachs Lesion: A Case Report
10.3969/j.issn.1006-9771.2021.02.018
- VernacularTitle:肩关节后脱位并发反Hill-Sacks损伤术后居家康复训练个案分析
- Author:
Luo-zhi-fei ZHOU
1
;
Xiao-sheng XIA
1
;
Zi-li WANG
1
Author Information
1. The Third Xiangya Hospital of Central South University, Changsha, Hunan 410000, China
- Publication Type:Research Article
- Keywords:
posterior shoulder dislocation;
reverse Hill-Sacks lesion;
home-based rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2021;27(2):230-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of home-based rehabilitation training on a patient with posterior shoulder dislocation with reverse Hill-Sacks lesion. Methods:According to the preoperative and postoperative evaluation and the operation way, a four-phase home-based rehabilitation training plan was developed for the patient, which included the training of muscle strength and range of motion, and proprioceptive sensation training and so on. The patient was followed up in rehabilitation department regularly. The range of motion was measured, and were also evaluated with Manual Muscle Test, Visual Analogue Score (VAS) and modified Rowe Score. Results:Six months after operation, the active range of motion of flexion, extension, adduction, abduction and external rotation of his shoulder reached to the normal range, the active internal rotation reached to level L3, the muscle strength recovered to the normal level, the VAS decreased from six preoperative to 0 postoperative, and the modified Rowe Score improved from 16 preoperative to 91. Ten months after operation, his active internal rotation reached to level L1, and the modified Rowe Score was 93. Conclusion:Individualized remote guidance and reasonable home-based rehabilitation training might be effective on posterior shoulder dislocation with reverse Hill-Sacks lesion.
