Treatment of shoulder instabilities: retractile capsulitis or frozen shoulder, dislocation and tendonitis

Shoulder, a few reminders:

The shoulder is an articular complex, composed of 3 joints (glenohumeral, acromioclavicular and sternocostoclavicular) and 2 sliding planes (scapulothoracic and subacromioclavicular synovial bursa). This "suspended" articular configuration is consolidated by tissue elements (ligaments, capsule). Mobility is made possible by numerous muscles with a low lever arm, working in precise and complex synergy in order to coordinate all of the rolling and sliding of the different articular planes. This ensemble allows the upper limb to be oriented in the 3 planes of space, in order to achieve the functional objective: prehension. In the aftermath of a trauma or surgery, this fine coordination is often compromised. It is this work of coordination and recruitment of the various motor patterns that can be taken care of by Allyane neuromotor reprogramming.

Pathologies that affect the mobility of the shoulder: dislocation, capsulitis, tendonitis and other shoulder pathologies

Two main types of pathology can be distinguished: mechanical damage to bone and joint integrity, and inflammatory damage to soft tissue.

Impairment of bone and joint integrity

  • Dislocation is often caused by trauma (fall, shock), but also during extreme movements with high kinetic energy (e.g. tennis serve). It can involve the glenohumeral joint (anterior dislocation; the most common, posterior dislocation) but also the acromioclavicular joint (disjunction between the scapular acromion and the clavicle). Beyond the possible need for medical or even surgical treatment, rehabilitation will focus on managing the after-effects and risks of recurrence of the dislocation (unstable shoulder), in relation to the stretched and often reactive muscle structures.
  • Fractures concern the bones: humerus, clavicle, scapula (rarer). After the consolidation phase, rehabilitation is passive (amplitudes), then active with work on tone, strength and motor coordination. Osteoarthritis is the wear and tear of the joint surfaces impacting rather the glenohumeral joint. The pain and the modification of the articular capacities can impact the muscular coordination.
    For these mechanical pathologies, the Allyane method will intervene on the inherent muscular deficits (strength, stability).

Soft tissue injuries

  • Capsulitis is an inflammatory pathology with long and delicate rehabilitation. Because of the pain, muscle mobility is modified. This leads to an alteration of the sliding joint bearings with each movement. The tissue and tendon structures are irritated by friction, which reactivates the inflammation. The priority is then to treat the inflammation.
  • Other inflammatory pathologies include bursitis (inflammation of the subacromial-deltoid bursa) and tendonitis (irritation of the tendons, the structure attaching a muscle to the bone). The rotator cuff is a set of 4 muscles whose tendon insertion, on the top of the humeral head, slides under the acromion of the scapula. They are the most susceptible to tendonitis. This can be due to bone/tendon conflict (subacromial conflict: prominent acromion grating the tendon), wear and tear from repetitive actions (sport, work), physiological ageing. In extreme cases, this can lead to the rupture of one or more tendons.

For these inflammatory pathologies, the Allyane procedure will be useful in a second phase, in the after-effects phase, in order to relearn muscle coordination.

Shoulder rehabilitation with the Allyane method

First of all, the practitioner will carry out a fine and precise biomechanical and muscular assessment, coupled with a video analysis. This allows the elements responsible for the loss of movement to be determined and their possible inclusion in an Allyane neuromotor reprogramming protocol.

Indeed, it is possible to act on the after-effects and recurrences of shoulder pathologies. Once the shoulder is relatively painless and in addition to the rehabilitation, the Allyane method allows us to work on the muscular rebalancing: strength, power, stability, coordination. The objective is to intervene on the genesis of the movement: directly on the initiation of the command at the cerebral level.

To do this, the patient's proprioceptive sensations are integrated into motor imagery(a particular form of mental imagery), coupled with low frequency sounds. These specific sounds generated by a medical device will increase the emission of alpha brainwaves allowing the motor areas to be hyperactivated. In this way, it is the image of the gesture that we are trying to correct.

You suffer from shoulder pathologies and would you like to benefit from an Allyane session?

You would like to know more about these pathologies, how to treat them or make a diagnosis ?

The Allyane method

Addressed motor difficulties

Find below the other pathologies treated by the Allyane method.

Shoulder pathology

The Allyane method can also be used to treat shoulder disorders, including the after-effects of capsulitis, shoulder instability (which can occur following a dislocation or subluxation), as well as disorders related to postoperative effects (amplitude deficit, etc.).

Knee pathology

Our method of neurological and motor rehabilitation allows for the effective treatment of traumatic
traumatic knee pathologies, such as recurrence of sprains, cruciate ligaments
knee prostheses, patellofemoral syndrome or knee flessum.

Elbow pathology

Certain elbow pathologies can also be treated with Allyane's physical medicine and rehabilitation method. These include the after-effects of tendinopathy, elbow stiffness and non-mechanical mobility disorders (flexion, extension and pronosupination).

Neurological pathology

The Allyane method can also be used to rehabilitate certain
neurological conditions, in particular those that may arise following a stroke (Parkinson's), multiple sclerosis, incomplete spinal cord injury,
or in the context of spasticity regulation.

Hip lameness

Defects in active mobility (flexion/extension), stability (insufficiency of the gluteus medius) or lameness induced by a hip prosthesis can be effectively corrected by the Allyane rehabilitation method.

Pathologies of the trunk and spine

Certain pathologies of the trunk and spine such as kyphosis, scoliosis, sciatica and lumbago can be treated with our neuromotor reprogramming method.

Wrist and hand motor skills

The Allyane method allows for effective management and is part of a complete care programme.

Ankle instability

The Allyane method is particularly effective in the context of functional re-education
functional rehabilitation in connection with certain ankle pathologies, in particular: recurrence of sprains, muscular disorders (insufficient lifters), motor inhibitions after immobilisation and post-operative effects.

Video analysis and assessment of your motor skills

Definition of the treatment plan with your Allyane certified practitioner

Neuromotor reprogramming

Video analysis and evaluation of results