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Most people with arthritis can benefit from sessions with physical therapists who can demonstrate and teach muscle-building and stretching exercises to restore mobility.
In patients with severely expressed asymmetries and symptoms, exercises to restore the muscular equilibrium seem to be the only proper route of treatment [3, 29].
Open image in new window Fig. 7 Exercise to restore upper trapezius/lower trapezius (UT / LT) muscle balance Open image in new window Fig. 8 Exercises to restore upper trapezius/middle trapezius (UT / MT) muscle balance Open image in new window Fig. 9 Exercise to reinforce serratus anterior (SA) muscle.
Treatment included various exercises to restore strength and joint mobility and to improve patients' functional capacity.
In the hospital, a supervised exercise program was developed by physiotherapists and it included various exercises to restore strength and joint mobility, such as walking without crutches, further joint mobility exercises, and strengthening exercises (isometric and dynamic) without external loads [ 1], with an average duration of 78.85 minutes per session (SD 14.48).
Management of shoulder instability typically consists of a combination of immobilization in supportive slings, surgical intervention to repair or tighten damaged capsular, ligamentous and/or labral structures in the shoulder joint, and physiotherapy rehabilitation including strengthening exercises [ 5] and exercises to restore normal dynamic stabilization mechanisms at the shoulder.
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Some of the strategies most commonly used in this therapy include: Gaze stability exercises: This exercise helps to restore the reflexes of the vestibular and ocular systems.
Observing the movements and muscular tonus the patient exercises help to restore the appropriate muscular activity [52 54].
The mechanism by which voluntary breathing, as in these exercises, helps to restore sympathovagal balance is not well understood.
The main objective of the specific exercises is to restore the patterns of muscle contraction, improve movement of spinal muscles, and increase joint protection through muscle contraction.
During hospitalisation, counselling and advice was provided by showing patients how to carry out exercises designed to restore full mobility to the arm, and by encouraging the patient to look at the scar and discuss feelings regarding losing the breast.
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