{"id":12666,"date":"2023-01-24T18:00:52","date_gmt":"2023-01-24T17:00:52","guid":{"rendered":"https:\/\/centrekine.com\/lesio-a-lespatlla-tendinitis-del-supraespinos\/"},"modified":"2023-03-23T23:36:04","modified_gmt":"2023-03-23T22:36:04","slug":"lesio-a-lespatlla-tendinitis-del-supraespinos","status":"publish","type":"post","link":"https:\/\/old.centrekine.com\/ca\/lesio-a-lespatlla-tendinitis-del-supraespinos\/","title":{"rendered":"Lesi\u00f3 a l&#8217;espatlla: tendinitis del supraespin\u00f3s"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Avui al <\/span><a href=\"https:\/\/centrekine.com\/blog\/\"><span style=\"font-weight: 400;\">blog <\/span><\/a><span style=\"font-weight: 400;\">de <\/span><b>Centre Kine<\/b><span style=\"font-weight: 400;\"> parlarem de la tendinopatia o \u201c<\/span><b>tendinitis\u201d del supraespin\u00f3s<\/b><span style=\"font-weight: 400;\">, una <\/span><b>lesi\u00f3 de l&#8217;espatlla dolorosa<\/b><span style=\"font-weight: 400;\"> molt freq\u00fcent. A m\u00e9s, analitzarem quines s\u00f3n les causes, com podem evitar que se&#8217;ns danyi el tend\u00f3 i el tractament que apliquem a <\/span><a href=\"https:\/\/centrekine.com\/blog\/\"><b>Centre Kine<\/b><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>L&#8217;espatlla i la tendinopatiadel m\u00fascul supraespin\u00f3s<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p><b>L&#8217;espatlla <\/b><span style=\"font-weight: 400;\">\u00e9s una<\/span><a href=\"https:\/\/www.cigna.com\/es-us\/knowledge-center\/hw\/hombro-aa55625#:~:text=El%20hombro%20se%20compone%20de,extremo%20(acromion)%20del%20om%C3%B3plato.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> estructura complexa<\/span><\/a><span style=\"font-weight: 400;\"> i est\u00e0 compost per diferents ossos, m\u00fasculs i tendons que s&#8217;encarreguen de la mobilitat, for\u00e7a i estabilitat d&#8217;aquest. Tamb\u00e9 \u00e9s una de les <\/span><b>articulacions amb major mobilitat<\/b><span style=\"font-weight: 400;\"> del cos hum\u00e0. Per aix\u00f2 els elements que ho componen han d&#8217;estar en equilibri.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">D&#8217;aquesta manera, qualsevol causa de desestabilitzaci\u00f3 entre les seves parts provoca desequilibris que poden donar lloc a <\/span><b>lesions<\/b><span style=\"font-weight: 400;\">. Per exemple, la <\/span><b>tendinopatia del supraespin\u00f3s.<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">El <\/span><b>dolor d&#8217;espatlla<\/b><span style=\"font-weight: 400;\"> \u00e9s la 3a causa de dolor a nivell m\u00fascul-esquel\u00e8tic en les consultes d&#8217;Atenci\u00f3 Prim\u00e0ria, en els quals m\u00e9s del <\/span><b>45% dels casos<\/b><span style=\"font-weight: 400;\"> es troben la <\/span><b>tendinopatiatendinitis del supraespin\u00f3s<\/b><span style=\"font-weight: 400;\"> o del <\/span><a href=\"https:\/\/www.google.com\/imgres?imgurl=https%3A%2F%2Fmedlineplus.gov%2Fspanish%2Fency%2Fimages%2Fency%2Ffullsize%2F21755.jpg&amp;imgrefurl=https%3A%2F%2Fmedlineplus.gov%2Fspanish%2Fency%2Farticle%2F000438.htm&amp;tbnid=0m7ZxCbFB8wroM&amp;vet=12ahUKEwjKip20j8D8AhVomycCHbJ6BmwQMygAegUIARDUAQ..i&amp;docid=IvSOsWVUF8jf2M&amp;w=400&amp;h=320&amp;q=manguito%20rotador%20hombro&amp;ved=2ahUKEwjKip20j8D8AhVomycCHbJ6BmwQMygAegUIARDUAQ\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">manegotniguet rotador<\/span><\/a><span style=\"font-weight: 400;\">, impingement subacromial i artrosi acromioclavicular. <\/span><span style=\"font-weight: 400;\">D&#8217;aquests casos nom\u00e9s el 50% dels casos t\u00e9 una <\/span><b>resoluci\u00f3 completa al cap de 6 mesos<\/b><span style=\"font-weight: 400;\"> i la resta continuen presentant <\/span><b>s\u00edmptomes despr\u00e9s d&#8217;un any<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Com es produeix la tendinitis del m\u00fascul supraespin\u00f3s?<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Segons diverses teories acceptades,la <\/span><b>tendinopatia del supraespin\u00f3s<\/b><span style=\"font-weight: 400;\"> \u00e9s un <\/span><b>trastorn dolor\u00f3s<\/b><span style=\"font-weight: 400;\"> freq\u00fcent que es pot desenvolupar per dos motius:<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"padding-left: 40px;\"><b>1. Origen metab\u00f2lic<\/b><\/p>\n<p><span style=\"font-weight: 400;\">La tendinopat\u00eda del supraespin\u00f3s pot comen\u00e7ar com una <\/span><b>insufici\u00e8ncia vascular<\/b><span style=\"font-weight: 400;\"> el que significa que no est\u00e0 arribant sang de manera adequada a la zona m\u00e9s vulnerable del tend\u00f3. Aix\u00f2 facilita els processos d<\/span><b>&#8216;inflamaci\u00f3<\/b><span style=\"font-weight: 400;\">,<\/span><b> degeneraci\u00f3 i lesi\u00f3<\/b><span style=\"font-weight: 400;\"> d&#8217;aquest. Es creu que fins al 60% d&#8217;elles s\u00f3n per aquest motiu.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"padding-left: 40px;\"><b>2. \u00das excessiu del m\u00fascul<\/b><b><\/b><\/p>\n<p><span style=\"font-weight: 400;\">En aquest cas, la s&#8217;atribueix m\u00e9s a un <\/span><b>\u00fas excessiu<\/b><span style=\"font-weight: 400;\"> o a una <\/span><b>compressi\u00f3<\/b><span style=\"font-weight: 400;\"> a partir d&#8217;una biomec\u00e0nica alterada de l&#8217;espatlla, que a una utilitzaci\u00f3 excessiva del bra\u00e7 en una ocasi\u00f3 concreta.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><em><b>Tipus de tendinopaties en l&#8217;espatlla<\/b><\/em><\/h3>\n<p><span style=\"font-weight: 400;\">D&#8217;altra banda, les<\/span><b> tendinopaties<\/b><span style=\"font-weight: 400;\"> poden classificar-se en 3 tipus, dependr\u00e0 de l<\/span><b>&#8216;estat del teixit<\/b><span style=\"font-weight: 400;\"> i en quin moment es troba la lesi\u00f3, parlem d&#8217;un <strong>tend\u00f3<\/strong>:\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reactiu:<\/b><span style=\"font-weight: 400;\"> fase de molt de dolor, s&#8217;<\/span><b>acumulen l\u00edquids<\/b><span style=\"font-weight: 400;\"> per aix\u00f2 la zona creix, per\u00f2 no hi ha <\/span><b>inflamaci\u00f3<\/b><span style=\"font-weight: 400;\"> en la zona.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Desestructurat<\/b><span style=\"font-weight: 400;\">: no sol ser dolor\u00f3s, desordre fibril\u00b7lar.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Degenerat:<\/b><span style=\"font-weight: 400;\"> nom\u00e9s hi ha <\/span><b>dolor<\/b><span style=\"font-weight: 400;\"> en situaci\u00f3 de sobrec\u00e0rrega.<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h2><b>Signes i s\u00edmptomes de la tendinopatia del supraespin\u00f3s<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Per a saber si patim aquest tipus de <\/span><b>lesi\u00f3 en l&#8217;espatlla<\/b><span style=\"font-weight: 400;\"> hem d&#8217;estar atents a aquests s\u00edmptomes:<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Dolor en l&#8217;espatlla<\/b><span style=\"font-weight: 400;\">: en la cara lateral i anterior, a m\u00e9s s&#8217;est\u00e9n cap al bra\u00e7 i el coll amb bastant freq\u00fc\u00e8ncia.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Impot\u00e8ncia funcional<\/b><span style=\"font-weight: 400;\">: sobretot a la <\/span><b>separaci\u00f3 i elevaci\u00f3 del bra\u00e7 i rotaci\u00f3.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>P\u00e8rdua de for\u00e7a<\/b><span style=\"font-weight: 400;\"> i de rendiment muscular.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dificultat per a<\/span><b> moure l&#8217;espatlla<\/b><span style=\"font-weight: 400;\"> que pot acabar degenrant enel que es coneix com a <\/span><a href=\"https:\/\/orthoinfo.aaos.org\/es\/diseases--conditions\/hombro-congelado-frozen-shoulder\/\" target=\"_blank\" rel=\"noopener\"><b>espatlla congelada<\/b><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Qu\u00e8 puc fer perqu\u00e8 no es danyi m\u00e9s el meu tend\u00f3<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Primerament, per a <\/span><b>evitar lesions en el manegot rotador<\/b><span style=\"font-weight: 400;\"> s&#8217;ha de tenir <\/span><b>for\u00e7a suficient a la musculatura<\/b><span style=\"font-weight: 400;\"> del complex articular de l&#8217;espatlla, una bona <\/span><b>mobilitat articular<\/b><span style=\"font-weight: 400;\"> i <\/span><b>flexibilitat de la musculatura<\/b><span style=\"font-weight: 400;\">. Per a aconseguir aquestes condicions \u00e9s aconsellable:<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Entrenar<\/b><span style=\"font-weight: 400;\"> la for\u00e7a i anar augmentant la c\u00e0rrega d&#8217;entrenament progressivament.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fer un treball de mobilitat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Evitar el <\/span><b>sedentarisme<\/b><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Evitar postures mantingudes.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><b>Com tractem aquesta patologia a Centre Kine<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">A <strong>Centre Kine<\/strong> estem acostumats a tractar aquest tipus de patologia i apliquem un tractament integral.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Creiem en un<\/span><b> tractament global,<\/b><span style=\"font-weight: 400;\"> no solament des d&#8217;un punt de vista passiu en la llitera, ja que les <\/span><b>patologies de tend\u00f3<\/b><span style=\"font-weight: 400;\"> necessiten un treball actiu per part del pacient per a ser recuperat. Al principi i per a fer un correcte seguiment,<\/span><a href=\"https:\/\/centrekine.com\/treatments1\/ecografia-musculoesqueletica\/\"> <b>utilitzarem l&#8217;ec\u00f2graf<\/b><\/a><span style=\"font-weight: 400;\"> per a poder observar correctament l&#8217;evoluci\u00f3 i estat del tend\u00f3.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Necessitarem almenys de <\/span><b>8 a 10 setmanes<\/b><span style=\"font-weight: 400;\"> d&#8217;<\/span><b>exercici diari<\/b><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/centrekine.com\/fisioterapia-a-domicilio\/\"><span style=\"font-weight: 400;\">domiciliari<\/span><\/a><span style=\"font-weight: 400;\"> o presencial) combinat amb altres <\/span><a href=\"https:\/\/centrekine.com\/tratamientos\/\"><b>tractaments<\/b><\/a><span style=\"font-weight: 400;\"> per a garantir una recuperaci\u00f3 \u00f2ptima, com per exemple:<\/span><b><\/b><\/p>\n<ul>\n<li><b>Electroter\u00e0pia<\/b><\/li>\n<li><b>Punci\u00f3 seca<\/b><\/li>\n<li><a href=\"https:\/\/centrekine.com\/treatments1\/ondas-de-choque\/\"><b>Ones de xoc<\/b><\/a><\/li>\n<li><a href=\"https:\/\/centrekine.com\/treatments1\/indiba\/https:\/\/centrekine.com\/treatments1\/indiba\/\"><b>Diat\u00e8rmia<\/b><\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Si t\u2019han diagnosticat aquesta patologia et recomanem que ens visitis en els nostres centres per a ajudar-te.. Ens trobar\u00e0s de <\/span><b>dilluns a divendres de 8.00 h a 21.00 h<\/b><span style=\"font-weight: 400;\"> al\u00a0 <\/span><a href=\"https:\/\/www.google.com\/maps\/d\/embed?mid=13Rd-cV0r3PpbC6tO2LbONu0MMxY\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Passeig de Ronda, 164<\/span><\/a><span style=\"font-weight: 400;\"> i al <\/span><a href=\"https:\/\/www.google.com\/maps\/d\/embed?mid=13Rd-cV0r3PpbC6tO2LbONu0MMxY\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Carrer Sant Cec\u00edlia, 20<\/span><\/a><span style=\"font-weight: 400;\">, de Lleida.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Tamb\u00e9 pots posar-te en <\/span><b>contacte amb nosaltres<\/b><span style=\"font-weight: 400;\"> a trav\u00e9s del:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b><a href=\"https:\/\/centrekine.com\/contacto\/\">Formulari<\/a> <\/b><span style=\"font-weight: 400;\">en l\u00ednia.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tel\u00e8fon 973 233 703<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">WhatsApp: 677 56 16 59.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><b>Refer\u00e8ncies<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Ellenbecker TS, Cools A. Rehabilitation of shoulder impingement syndrome and rotator cuff injuri\u00efs: an evidence-*based review. BJSM. 2010 Apr;44(5):319-27.<\/span><\/li>\n<li>Lewis JS. Rotator cuff tendinopathy\/subacromial impingement syndrome: is it estafi for a new method of assessment?. Br J Sports Med. 2009;43(4):259-264.<\/li>\n<li>Jan Dommerholt\/C\u00e9sar Fern\u00e1ndez-de-les-Penyes. Punci\u00f3 seca en els punts de gallet. Elsevier, Segona Edici\u00f3, 2018.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"&nbsp; Avui al blog de Centre Kine parlarem de la tendinopatia o \u201ctendinitis\u201d del supraespin\u00f3s, una lesi\u00f3 de l&#8217;espatlla dolorosa molt freq\u00fcent. A m\u00e9s, analitzarem quines s\u00f3n les causes, com&#8230;","protected":false},"author":15,"featured_media":12655,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[310,786,315],"tags":[945,642,1020,1021,948,1019,775,643,1022,1023,1024,1025,1026,1027,902,1028,1010,1029,1031,1030],"acf":[],"_links":{"self":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/12666"}],"collection":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/comments?post=12666"}],"version-history":[{"count":1,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/12666\/revisions"}],"predecessor-version":[{"id":12667,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/12666\/revisions\/12667"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/media\/12655"}],"wp:attachment":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/media?parent=12666"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/categories?post=12666"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/tags?post=12666"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}