Return to Job of A Construction Worker by Comprehensive Functional and Vocational Rehabilitation

Background: Employees in the construction industry perform a variety of tasks. In order to accomplish this work, individuals must repeatedly lift and carry objects overhead. To perform this work efficiently complete shoulder range of motion anad strength of the rotator cuff muscles are important components. Here a patient with displaced two-part fracture of greater tuberosity and rotator cuff tear treated surgically has already reduced shoulder ROM and strength it is leading cause of absenteeism from work. This imposes a greater socioeconomic burden on patient. The purpose of this study was to improve range of motion and rotator cuff muscle strength as he has to resume his work as soon as possible. Case description: The patient was a 37 years old male, a construction worker by profession who sustained a shoulder injury as the result of fall. After the investigations, he was diagnosed with an isolated greater tuberosity fracture and rotator cuff tear. He was treated conservatively for 4 weeks, without success. Later, he was undergoing surgical treatment and referred for physiotherapy. Patient came with complaint of shoulder pain while performing shoulder movement and difficulty in initiating shoulder movement. Early Physiotherapy was given to reduce the pain, and improve strength of rotator cuff muscles and regain the range of motion and vocational rehabilitation.

Keywords:

Overhead activities, Rotator cuff tear, muscular imbalance Gleno -humeral force couple, joint stiffness,

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