Central European Journal of Sport Sciences and Medicine


ISSN: 2300-9705     eISSN: 2353-2807    OAI    DOI: 10.18276/cej.2017.4-06
CC BY-SA   Open Access   DOAJ  DOAJ

Issue archive / Vol. 20, No. 4/2017
Assessment of the Progress of Treatment Rehabilitation of Patients with Shoulder Joint Diseases

Authors: Anna Świtoń
Jagiellonian University - Medical College, Faculty of Health Sciences, Department of Orthopaedics and Physiotherapy, Cracow, Poland

Agnieszka Wnuk
Jagiellonian University – Medical College, Faculty of Health Science, Department of Ergonomic and Exercise Physiology, Cracow, Poland

Jacek Szumlański
Jagiellonian University - Medical College, Faculty of Health Sciences, Cracow, Poland

Natalia Wogórka
Jagiellonian University - Medical College, Faculty of Health Sciences, Cracow, Poland
Keywords: shoulder joint shoulder impingement syndrome soft tissue damage rehabilitation manual therapy
Whole issue publication date:2017
Page range:8 (53-60)
Cited-by (Crossref) ?:

Abstract

Introduction: Damage to soft tissue in the shoulder area causes significant impairment in the biomechanics of the joint, causing severe pain, inflammation and consequently leading to restricted mobility and functional capacity. The shoulder impingement syndrome is a multifaceted disease entity of diverse etiology. It is assumed that this syndrome is responsible for 44-60% of all ailments in the area of the pectoral girdle. Pathologies of soft tissues in the area of the glenohumeral joint affect 1/3 of the population. The aim of this study was to evaluate the functional capacity of patients with the shoulder area disorder undergoing sanatorium treatment. Materials and Methods: In the study 30 patients were diagnosed with diseases within the shoulder joint before and after rehabilitation treatment. The clinical examination included kinematic measurement of the range of motion (ROM) and the muscle strength of the shoulder joint. Furthermore, the pain intensity was assessed using the VAS. Results: The examination of the range of motion of the affected upper limb demonstrated considerable limitations and statistically significant differences before and after rehabilitation treatment for all the assessed movements. Moreover, the difference between the level of pain according to the VAS before (mean = 6.2) and after physiotherapeutic treatment (mean = 3.7) was demonstrated. The evaluation of linear relationships showed a significant correlation between the VAS and shoulder abduction, shoulder horizontal abduction and muscle strength for internal and external rotation after sanatorium treatment. Conclusions: Progressive changes in the soft tissues of the shoulder joint cause a significant limitation of functional capacity of patients and severe pain. Rehabilitation treatment significantly increases active participation in daily life and improve patient quality of life.
Download file

Article file

Bibliography

1.Bennell, K., et al. (2010). Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: randomized placebo controlled trial. BMJ, 340, c2756. DOI: 10.1136/bmj.c2756.
2.Chen, L., Peng, K., Zhang, D., Peng, J., Xing, F. (2015). Rehabilitation protocol after arthroscopic rotator cuff repair: early versus delayed motion. Int J Clin Exp Med, 6 (8), 8329–8338. DOI: PMC4538011.
3.Chester, R., Shepstone, L., Lewis, J.S., Jerosch-Herold, C. (2013). Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: protocol for a longitudinal cohort study. BMC Musculoskelet Disord, 1 (14), 192. DOI: 10.1186/1471-2474-14-192.
4.Galace de Freitas, D., Marcondes, F.B., Monteiro, L.M., Rosa, S.G., de Moraes Baros Fucs, P.M., Fukunda, T.H. (2014). Pulsed Electromagnetic Field and Exercises in Patients With Shoulder Impingement Syndrome: A Randomized, Double-Blind, PlaceboControlled Clinical Trial. Arch Phys Med Rehab, 95, 345–352. DOI: http://dx.doi.org/10.1016/j.apmr.2013.09.022.
5.Garrido, J., Vas, J., Lopez, D.R. (2016). Acupuncture treatment of shoulder impingement syndrome: Arandomized controlled trial. Complement Ther Med, 25, 92–97. DOI: 10.1016/j.ctim.2016.01.003.
6.Gutierrez, D.D., Thompson, L., Kemp, B., Mulroy, S.J. (2007). The Relationship of Shoulder Pain Intensity to Quality of Life, Physical Activity, and Community Participation in Persons With Paraplegia. J Spinal Cord Med, 30, 251–255. DOI: PMC2031955.
7.Haik, M.N., Alburquerque-Sendín, F., Moreira, R.F.C., Pires, E.D., Camargo, P.R. (2016). Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials. Br J Sports Med, 50, 1–14. DOI: 10.1136/bjsports-2015-095771.
8.Hawker, G.A., Mian, S., Kendzerska, T., French, M. (2011). Measures of Adult Pain. Arthritis Care & Research, 11 (63), 240–252. DOI: 10.1002/acr.20543.
9.Judge, A, Murphy, R.J, Maxwell, R, Arden, N.K, Carr, A.J. (2014) Temporal trends and geographical variation in the use of subacromial decompression and rotator cuff repair of the shoulder in England. Bone Joint J, 70–74.
10.Khan, M., Warner, J.J. (2017). Cochrane in CORR®: Manual Therapy and Exercise for Rotator Cuff Disease. Clinical Orthopaedics and Related Research, 1–7.
11.Koh, E.S., Jae-Young, L. (2013). The management of shoulder pain in the elderly: focusing on clinical characteristics and conservative treatment. J Korean Geriatr Soc, 1 (17), 1–6. Retrieved from: http://dx.doi.org/10.4235/jkgs.2013.17.1.1.
12.Kokosz, M., Sodel, W., Saulicz E., Wolny, T., Knapik, A. (2009). Bezpośrednie i krótkoterminowe efekty mobilizacji z ruchem według B. Mulligana, wykonywanych u pacjentów z niespecyficznymi dolegliwościami przeciążeniowo-bólowymi obręczy barkowej. Fizjoter Pol, 4 (4), 301–311.
13.Kuciel-Lewandowska, J., Wierzchowska, M., Paprocka-Borowicz, M., Kierzek, A., Pozowski, A. (2010). Skuteczność kompleksowej fizjoterapii w zespołach bólowych barku. Ann Acad Med Stetin, 3 (56), 121–125.
14.May, S., Chance-Larsen, K., Littlewood, C., Lomas, D., Saad, M. (2010). Reliability of physical examination tests used in the assessment of patients with shoulder problems: a systematic review. Physiotherapy,-3 (96), 179–190.
15.Park, S.I., Choi, Y.K., Lee, J.H., Kim, Y.M. (2013). Effects of Shoulder Stabilization Exercise on Pain and Functional Recovery of Shoulder Impingement Syndrome Patients. J. Phys. Ther. Sci, 25, 1359–1362. DOI: PMC3881455.
16.Paternostro-Sluga, T., Grim-Stieger, M., Posch, M., Schuhfried, O., Vacariu, G. (2008). Reliability and Validity of the Medical Research Council (MRC) Scale and a Modified Scale for Testing Muscle Strength in Patients with Radial Palsy. J Rehabil Med, 4, 665–671. DOI: 10.2340/16501977-0235.
17.Piechura, J., Skrzek, A., Rożek, K., Wróbel, E. (2010). Zastosowanie zabiegów krioterapii miejscowej w terapii osób z zespołem bolesnego barku. Fizjoterapia, 10 (18), 19–25. DOI: 10.2478/v10109-010-0048-1.
18.Piskorz, J., Iłżecka, I., Wójcik, G., Kozak-Putowska, D. (2014). Interwencyjne metody leczenia bólu w obrębie barku. Zdrowie i Dobrostan, 2, 125–134.
19.Romero, C.R., Lacomba, M.T., Montoro, Y.C., Merino, D.P., da Costa, S.P., Velasco, V.M.J., Pardo, G.B. (2015). Mobilization With Movement for Shoulder Dysfunction in Older Adults: A Pilot Trial. Journal of Chiropractic Medicine, 14, 249–258. DOI: http://dx.doi.org/10.1016/j.jcm.2015.03.001.
20.Rotter, I., Mosiejczuk, H., Żugaj, J., Ptak, M., Lubińska, A. (2015). Assessment of the influence of selected kinesitherapeutic methods on the function of the shoulder girdle in patients with the shoulder impingement syndrome. J Publ Health Nurs Med Rescue, 1, 65–72.
21.Shakeri, H., Keshavarz, R., Arab, A., Ebrahimi, I. (2013). Clinical effectiveness of kinesiological taping on pain and pain-free shoulder range of motion in patients with shoulder impingement syndrome: a randomized, double blinded, placebo-controlled trial. Int J Sports Phys Ther, 6 (8), 800–810. DOI: PMC3867073.
22.Sipko, T., Mraz, M., Demczuk-Włodarczyk, E., Miażdżyk, M. (2005). Próba zastosowania metody PNF w terapii zespołu bolesnego barku. Fizjoter Pol, 1, 41–47.
23.Wroński, Z. (2013). Badanie i terapia barku według zasad koncepcji Maitland. Prakt Fizjoter Rehabil, 42, 18–24.