| Popis: |
A 33-year-old man suffers a radius head fracture after a bicycle fall. Surgically operation with OSTEOSYNTHESIS with two cannulated screws was performed. These fractures, can be a complication in this sport for the technical gesture necessary for the practice of swimming, which needs the recovery of the strength and the complete articular range. Objectives: The objective of the present work is make a proposal of a rehabilitation program focused on the recovery of joint range, strength and adaptation work to swimming. Methods: A systematic review of the scientific literature of the databases of Medline, PubMed, Scopus, PEDRO and SPORTDiscus was carried out. Results: It was designed a rehabilitation protocol specialized in elbow joint mobilization in flexo-extension and prono-supination, joint and soft-tissue manual therapy, electrotherapy and analgesic measures, muscular strengthening work (isometric, concentric and eccentric) and proprioceptive work In different joint ranges. Spine and shoulders: Manual joint and soft tissue therapy in cervical-dorsal spine, scapular and glenohumeral articulations, strengthening of the external rotator shoulder and scapular stabilizers muscles and flexibilization of the dorsal spine. Integration in technical movements: in water (Swimming technique and swimming simulation), functional work (with elastic bands), integration of the elbow movements in the lumbopelvic stabilization work and functional movements (ball launches and receptions). The program was evaluated by goniometric measurement, recordings of the technical gesture and comparative evaluation of the strength. Conclusion: The triathlete recovered the ROM and strength necessary to make the gesture of swimming correctly as well as the return to the competition of high level, reason why the protocol proposed can be useful.Limitation of the work: lack of research on this topic (which limits its justification). |
