Management of functional reconstruction of the shoulder girdle requires prophylaxis and rehabilitation of articular, muscular and orthostatic balance not only of the shoulder joint but also of the entire shoulder complex and spine. The study included 51 middle-aged 58-year-old patients with progressive shoulder rigidity and upper cross syndrome after immobilization. In the management of the physiotherapy program, besides purposefully used shoulder exercises, we included corrective exercises for three more areas (cervical spine, scapula and thoracic vertebrae, and lumbar vertebrae). For evaluation of the shoulder mobility was used Simple Shoulder Test (SST). After six months the results from the test states that out of 12 possible motor activities, patients can perform 11. In conclusion, we consider that the thoracic area is an important sector for improving the overall orthostatic stability and functional mobility of the shoulder joint.
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