{"id":13585,"date":"2024-02-06T12:32:19","date_gmt":"2024-02-06T11:32:19","guid":{"rendered":"https:\/\/centrekine.com\/capsulitis-adhesiva-que-implica-tenir-lespatlla-congelada\/"},"modified":"2024-02-06T12:57:59","modified_gmt":"2024-02-06T11:57:59","slug":"capsulitis-adhesiva-que-implica-tenir-lespatlla-congelada","status":"publish","type":"post","link":"https:\/\/old.centrekine.com\/ca\/capsulitis-adhesiva-que-implica-tenir-lespatlla-congelada\/","title":{"rendered":"Capsulitis adhesiva. Qu\u00e8 implica tenir l&#8217;espatlla congelada?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">La <\/span><b>capsulitis adhesiva prim\u00e0ria<\/b><span style=\"font-weight: 400;\"> o <\/span><b>espatlla congelada<\/b><span style=\"font-weight: 400;\"> \u00e9s un proc\u00e9s caracteritzat per la p\u00e8rdua progressiva de la mobilitat de l\u2019articulaci\u00f3 glenohumeral (la principal articulaci\u00f3 de l\u2019espatlla), activa i passiva, acompanyada de mal d&#8217;espatlla.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">El consens majoritari pel que fa a la capsulitis adhesiva \u00e9s que el seu origen encara \u00e9s molt desconegut.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">La capsulitis adhesiva t\u00e9 com a caracter\u00edstica m\u00e9s important l&#8217;aparici\u00f3 de mal d&#8217;espatlla acompanyat d&#8217;una disminuci\u00f3 marcada de l&#8217;amplitud de moviment de l&#8217;articulaci\u00f3, ambd\u00f3s limitats per la formaci\u00f3 d&#8217;adher\u00e8ncies de la c\u00e0psula de l&#8217;articulaci\u00f3 glenohumeral.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sol comen\u00e7ar com una reacci\u00f3 inflamat\u00f2ria amb sinovitis associada, que progressa cap a una <\/span><b>contractura fibr\u00f2tica<\/b><span style=\"font-weight: 400;\"> de la c\u00e0psula de l&#8217;espatlla.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Els motius pels quals pot apar\u00e8ixer s\u00f3n:<\/span><\/p>\n<ul>\n<li><b>Calcificacions<\/b><\/li>\n<li><span style=\"font-weight: 400;\"> Patologia del <\/span><b>maneguet rotador<\/b><span style=\"font-weight: 400;\"> o del <\/span><b>b\u00edceps<\/b><\/li>\n<li><span style=\"font-weight: 400;\"> Cops o <\/span><b>traumatismes<\/b><span style=\"font-weight: 400;\">, aix\u00ed com <\/span><b>fractures<\/b><\/li>\n<li><b>Haver patit anteriorment alguna lesi\u00f3<\/b><span style=\"font-weight: 400;\"> al complex de l&#8217;espatlla<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Radiculopaties cervicals<\/span><\/li>\n<li><b>Sedentarisme<\/b><span style=\"font-weight: 400;\">, inactivitat o mobilitat redu\u00efda<\/span><\/li>\n<li><b>Intervenci\u00f3 quir\u00fargica<\/b><\/li>\n<li><span style=\"font-weight: 400;\"> Patir alguna <\/span><b>malaltia neurol\u00f2gica<\/b><\/li>\n<li><span style=\"font-weight: 400;\"> Tamb\u00e9 per <\/span><b>causes sist\u00e8miques<\/b><span style=\"font-weight: 400;\"> com la <\/span><b>diabetis<\/b><span style=\"font-weight: 400;\">, problemes de <\/span><b>tiroide<\/b><span style=\"font-weight: 400;\"> o <\/span><b>malalties card\u00edaques<\/b><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><b>S\u00edmptomes que presenta la capsulitis adhesiva<\/b><\/h2>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Amb l&#8217;espatlla congelada l&#8217;acci\u00f3 de flexi\u00f3 del bra\u00e7 per sobre del cap o per darrere de l&#8217;esquena pot estimular la sensaci\u00f3 de <\/span><b>dolor<\/b><span style=\"font-weight: 400;\"> i <\/span><b>rigidesa<\/b><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">El dolor sol presentar-se com un <\/span><b>dolor sord i dif\u00fas<\/b><span style=\"font-weight: 400;\"> que es pot irradiar cap al b\u00edceps.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">L&#8217;alteraci\u00f3 de l&#8217;amplitud de moviment en flexi\u00f3 anterior, l&#8217;abducci\u00f3 i la <\/span><b>rotaci\u00f3<\/b> <b>externa i interna<\/b><span style=\"font-weight: 400;\"> s\u00f3n les principals troballes cl\u00edniques de la capsulitis adhesiva.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Rigidesa de l&#8217;articulaci\u00f3 per un temps prolongat d\u2019un m\u00ednim de<\/span><b> 4 a 12 mesos<\/b><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><b>Fases de la capsulitis adhesiva<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Sol progressar en <\/span><b>tres fases<\/b><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fase inicial inflamat\u00f2ria<\/span><span style=\"font-weight: 400;\"> (<\/span><b>2 a 9 mesos<\/b><span style=\"font-weight: 400;\">): dolor dif\u00fas, intens \u2013especialment a la nit. M\u00e9s dolor que rigidesa<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fase interm\u00e8dia<\/span><span style=\"font-weight: 400;\"> (<\/span><b>4 a 12 mesos<\/b><span style=\"font-weight: 400;\">): rigidesa i restricci\u00f3 important del rang articular amb disminuci\u00f3 del dolor (m\u00e9s rigidesa que dolor)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fase de \u201cdesgel\u201d<\/span><span style=\"font-weight: 400;\"> (thawing), o <\/span><b>de resoluci\u00f3<\/b><span style=\"font-weight: 400;\">: retorn gradual del rang articular i resoluci\u00f3 del dolor; la durada mitjana del proc\u00e9s total \u00e9s de fins a <\/span><b>30 mesos<\/b><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><b>Tractament de la capsulitis adhesiva<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e8cniques de mobilitzaci\u00f3 intraarticular<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Estiraments passius<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Massatge<\/b><span style=\"font-weight: 400;\"> i alliberament miofascial<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Exercici<\/b><span style=\"font-weight: 400;\"> terap\u00e8utic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diat\u00e8rmia o <\/span><b>Indiba<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Electroestimulaci\u00f3<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antiinflamatoris i analg\u00e8sics<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Pot ser un proc\u00e9s llarg <\/span><b>de fins a 3 anys<\/b><span style=\"font-weight: 400;\">, aix\u00ed que \u00e9s recomanable acudir a un professional que pugui <\/span><b>ajudar a disminuir el temps de rehabilitaci\u00f3<\/b><span style=\"font-weight: 400;\"> o b\u00e9 <\/span><b>reduir la incid\u00e8ncia dels s\u00edmptomes<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Com et podem ajudar a CENTRE KINE?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A Centre Kine disposem de tots els recursos necessaris i fisioterapeutes especialitzats per diagnosticar i tractar aquesta i altres patologies. Et podem oferir atenci\u00f3 especialitzada per diagnosticar i tractar aquesta i altres patologies. Tenim dues cl\u00edniques a Lleida i l&#8217;equip professional i la tecnologia necess\u00e0ria per ajudar-te.<\/span><\/p>\n<p><b>Treballem tamb\u00e9 amb les millors m\u00fatues<\/b><span style=\"font-weight: 400;\">, que cobreixen el servei de rehabilitaci\u00f3 a trav\u00e9s del qual pots beneficiar-te d&#8217;un tractament personalitzat per millorar la simptomatologia i recuperar-te de la teva lesi\u00f3.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T&#8217;han diagnosticat una capsulitis adhesiva i necessites ajuda?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Disposem de <\/span><b>dos centres de fisioter\u00e0pia a Lleida<\/b><span style=\"font-weight: 400;\">. Ens trobar\u00e0s al <\/span><b>Passeig de Ronda 164<\/b><span style=\"font-weight: 400;\"> o al <\/span><b>Carrer Santa Cec\u00edlia 20<\/b><span style=\"font-weight: 400;\">. Tamb\u00e9 ens pots contactar trucant al <\/span><b>973233703<\/b><span style=\"font-weight: 400;\">, escrivint un WhatsApp al <\/span><b>677561659<\/b><span style=\"font-weight: 400;\">, a trav\u00e9s de l&#8217;agenda online de la web, o enviant un correu electr\u00f2nic a <\/span><a href=\"mailto:info@centrekine.com\"><span style=\"font-weight: 400;\">info@centrekine.com<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>BIBLIOGRAFIA<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ramirez J. (2019). Adhesive Capsulitis: Diagnosis and Management. American family physician, 99(5), 297\u2013300.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Redler, L. H., &amp; Dennis, E. R. (2019). Treatment of Adhesive Capsulitis of the Shoulder. The Journal of the American Academy of Orthopaedic Surgeons, 27(12), e544\u2013e554.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ricci M. (2021). Adhesive capsulitis: A review for clinicians. JAAPA : official journal of the American Academy of Physician Assistants, 34(12), 12\u201314.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Costantino, C., Nuresi, C., Ammendolia, A., Ape, L., &amp; Frizziero, A. (2022). Rehabilitative treatments in adhesive capsulitis: a systematic review. The Journal of sports medicine and physical fitness, 62(11), 1505\u20131511.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"La capsulitis adhesiva prim\u00e0ria o espatlla congelada \u00e9s un proc\u00e9s caracteritzat per la p\u00e8rdua progressiva de la mobilitat de l\u2019articulaci\u00f3 glenohumeral (la principal articulaci\u00f3 de l\u2019espatlla), activa i passiva, acompanyada&#8230;","protected":false},"author":15,"featured_media":13583,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[310,786,316],"tags":[1295,1296,1146,623],"acf":[],"_links":{"self":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/13585"}],"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=13585"}],"version-history":[{"count":2,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/13585\/revisions"}],"predecessor-version":[{"id":13587,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/13585\/revisions\/13587"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/media\/13583"}],"wp:attachment":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/media?parent=13585"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/categories?post=13585"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/tags?post=13585"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}