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Muscle strength deficits in the lower trapezius muscles are also a common clinical finding in patients with rounded shoulders as it has been speculated to restrict zygapophyseal extension in the middle to lower thoracic spine. [36] Therefore, RSP treatment often targets the symptoms or root causes associated with these problem areas.
Strengthening, especially of (1) the middle and lower back support muscles and scapula retractors, and (2) the longus colli and the deep neck flexor muscles. [35] Stretching muscles that cause neck protrusion, especially of the upper fibres of the trapezius muscle. [36] Lower cervical flexors: sternocleidomastoid, anterior and middle scalene ...
Exercise increases blood flow to the muscles affected which enhances blood flow. Regular exercise is a crucial part of the healing stages of adhesive capsulitis. Specific exercises are highlighted to enhance recovery. Another useful tool can be anti-inflammatory medications. These provide temporary relief which aid in exercise exertion.
Physical therapy treatments would typically focus at maintaining range of movement, improving posture, strengthening shoulder muscles, and reduction of pain. NSAIDs and ice packs may be used for pain relief. [4] [20] Therapeutic exercises might be favorable intervention compared to passive treatment approaches, electrotherapy and placebo.
The face pull is a weight training exercise that primarily targets the musculature of the upper back and shoulders, namely the posterior deltoids, trapezius, rhomboids, Latissimus dorsi as well as the biceps. [1] The face pull is considered an important exercise for shoulder health and stability. [2]
It was considered a first-aid treatment rather than a cure and aimed to control inflammation. [2] It was thought that the reduction in pain and swelling that occurred as a result of decreased inflammation helped with healing. [1] The protocol was often used to treat sprains, strains, cuts, bruises, and other similar injuries. [3]
There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
Scapular winging due to trapezius muscle (spinal accessory nerve) palsy can be treated with an Eden-Lange procedure. Scapular winging due to facioscapulohumeral muscular dystrophy can be treated with a scapulopexy or scapulothoracic fusion.