Researchers from the NHS in Cornwall, the Peninsula Medical School, the Agency for Health Technology Assessment in Warsaw and the University of Birmingham have analysed 12 studies relating to cardiac rehabilitation and found no difference in health outcomes for patients who receive cardiac rehabilitation in a clinical setting or at home. The research paper is published in BMJ Online. The study, which included data from 1938 participants, from several countries (UK, USA, Canada, Italy, China, Turkey and Iran) found that there was no difference between home based and centre based rehabilitation for a number of issues including mortality, cardiac events, exercise capacity, risk factors that can be modified (such as smoking, high blood pressure, total cholesterol) and quality of life in people at a low risk of further events after myocardial infarction or revascularisation.
Shoulder joint injuries are some of the most common problems that athletes and common people have when doing repetitive activities. Such physical movements that involve the use of arms and shoulders usually carry different problems such as rotator cuff injuries. These movements may cause inflammation and scarring of the structure of a shoulder joint such as muscles, tendons, and junctures. Some other conditions such as tendonitis or "frozen shoulder" and bursitis are very common in people who have lifestyles and jobs that involve the extreme use arms and shoulders to do diverse activities. Most of these painful conditions in the person's shoulder may be treated through a special protocol.
Rotator cuff injuries are very common these days. This happens when the person does repetitive movements of the shoulder. Even though, most of these problems are associated with sports people, it is also very common in people that have jobs that require some physical efforts like lifting heavy boxes. Moreover, this problem is also evident when people are unable to sleep on their shoulder because they hurt after some time. Regardless of the cause, special training is necessary to get over any shoulder problem. In this respect, this dull pain is related to the rotator cuff suffering some tear. This part of the shoulder consists on four different muscles that cover the upper part of the shoulder.
As a Frozen Shoulder is a 3 phase disorder, there is not a one size fits for all frozen shoulder therapy. The frozen shoulder medical term is Adhesive Capsulitis, a reference to the scars called Adhesions of the capsule membrane surrounding the rotator cuff. Such scarred and thickened tissue restricts the space within the shoulder joint mechanics, preventing the arm from moving freely, causing the typical limited range of motion. A frozen shoulder develops in 3 phases: 1) A freezing phase, when the symptoms first occur with pain on the side of the shoulder, especially at night. The pain may spread down to the elbow, depending on gravity.
A rotator cuff treatment based on internal and external rotation movements helps the 4 muscles and tendons of the cuff recover fast, reduce inflammation, eliminate the need for medicines, strengthen the cuff itself and prevent future injuries. It can also be used not only as a stand alone rehabilitation program following surgery, a tear, or a tendonitis, but also as a complementary protocol of general shoulder fitness and conditioning. A strong rotator cuff is to the big deltoid and trapezius shoulder muscles what foundations are to a building. The stronger the foundations, the bigger and heavier the building it can be built upon. A strong cuff assists in all movements while keeping the Humerus, the arm bone, well stabilized into its socket, the Glenoid.
Those of us who have played competitive sports have likely suffered sports injuries at one point or another. I remember time spent in the training room year round as I participated in football in the fall, then wrestling in winter, then baseball and track in the spring. I appreciate the many times I received treatments from college student trainers who taped my ankles, wrapped injured ribs, massaged a sore pitching arm, and helped with rehabilitating muscle injuries. The support I received while playing high school sports came from people who were competent about what they were doing. What all is involved in becoming a physical therapist?