مريض بعد فتح الصدر الجانبي لاستئصال فص. أي تمرين يمنع تيبس الكتف في جهة العملية؟

After a posterolateral thoracotomy for lobectomy, which exercise prevents shoulder stiffness on the operative side?

1. Arm and shoulder range-of-motion exercises as planned
2. Avoiding arm movement until the sutures are out
3. Lifting heavy weights with that arm from day one
4. Keeping the arm in a fixed sling for a month

Answer: A) Arm and shoulder range-of-motion exercises as planned. A thoracotomy incision crosses shoulder-girdle muscles, so early arm and shoulder range-of-motion exercises are encouraged to prevent a frozen shoulder, without heavy lifting.