ФИЗИЧЕСКАЯ РЕАБИЛИТАЦИЯ ПОСЛЕ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ХРОНИЧЕСКОЙ НЕСТАБИЛЬНОСТИ ПЛЕЧЕВОГО СУСТАВА ДЗЮДОИСТОВ ВО ВТОРОМ ПЕРИОДЕ ПОСТИММОБИЛИЗАЦИОННОГО ЭТАПА

Abstract

The article presents the structure and content of the course of physical rehabilitation after arthroscopic treatment of the usual dislocation of the shoulder joint of judoists in the second period of the post-mobilization stage and its assessment using functional motor tests. Shoulder injuries in judo are among the most common. Among injuries of this region of the musculoskeletal system of fighters with extremely serious consequences, it is necessary to note damage to the rotator cuff, rupture of the acromioclavicular joint and dislocation in the shoulder joint. If the previously listed injuries occur constantly, then this inevitably leads to chronic instability of the shoulder joint - the steady inability of these tissues to hold the head of the humerus in the center of the articular cavity. The habitual dislocation of the shoulder does not allow the judoist to continue his career. The most effective treatment of chronic shoulder instability is surgical. At present, the method of arthroscopy, which is characterized by minimal invasive effects and allows to start physical rehabilitation as soon as possible, has found wide application. The quality of postoperative rehabilitation measures is of particular importance for athletes who need to achieve stable stabilization of the shoulder joint, normal amplitude of movements and recovery of muscle strength. Postoperative physical rehabilitation with habitual dislocation of the shoulder includes the stages of immobilization, post-mobilization and rehabilitation (training). We have developed a course of physical rehabilitation, which was carried out for 4 months in athletes 24–29 years after the surgical treatment of the usual dislocation of the shoulder joint; which includes the developed complex of recovery activities of the second period after the immobilization stage, which includes: morning exercises, physiotherapy, rehabilitation exercises for physiotherapy, therapeutic massage or hydro-massage, classes in a rowing simulator or in the pool. Physical rehabilitation is aimed at fully restoring the mobility of the shoulder joint in all planes and strengthening the stabilizing muscles and other muscle groups from a given area of the musculoskeletal system. We developed a health complex designed for the whole day and was held with a frequency of 5 times a week. Since the main tasks at the stage after immobilization after arthroscopy of the shoulder joint fully restore the mobility of the shoulder joint in all planes and strengthen the muscles stabilizers and other muscle groups of this area of ​​the musculoskeletal system, thus, As diagnostic methods to prove the effectiveness of the developed course of physical rehabilitation, Were selected: a test for removing hands from zero position, a test for falling hands, a test of Dugas for shoulder joint pathology, a transfer Test for Redmet hands bottom back, test placement of direct hands behind his back in a horizontal plane. The results of a comparative analysis of the obtained initial and final indicators of the functional and motor state of the shoulder joint of subjects undergoing arthroscopy indicate that compared with the indicators obtained at the beginning of the pedagogical experiment and in the final results, there is a positive trend in all tests and samples. Thus, we can state the effectiveness of the developed course and physical rehabilitation.