PHYSICAL THERAPY OF PERSONS WITH ADHESIVE CAPSULITIS OF THE SHOULDER JOINT
DOI:
https://doi.org/10.32782/2221-1217-2024-2-01Keywords:
physical therapy, adhesive capsulitis, frozen shoulder syndrome, program, shoulder painAbstract
The aim of the study: to develop and test the effectiveness of a physical therapy program for adhesive capsulitis in people of working age. Research methods: analysis of scientific data and methodical literature on the subject; sociological research methods; medical and biological methods of research; methods of mathematical statistics. Results: After the course of physical therapy, positive dynamics was obtained in all motor skills of the upper limb, which had been lost before. The functions of the affected limb were effectively restored, which made it possible to perform activities of daily living (ADL), including the range of motion of the shoulder joint movements and muscle strength. Repeated goniometry showed that the greatest increase occurred in flexion (124.3°) and abduction (136.3°). The strength of the muscles of the upper extremity after the second examination increased by 69%, in particular the strength of the muscles responsible for internal and external rotation, which at the beginning of the study was 1 point, and at the end – 4.5 points. During the final examination of patients on the VAS scale, it was noted that the pain score decreased by an average of 4.2 points. A positive result is observed in the DASH questionnaire, where during the initial examination the average score of patients for all tasks was 88.2 points. After the physical therapy program, the average score was 8.5, indicating a significant improvement in functionality and increased independence. Statistically, there was an increase in the patients' ability to work and independence according to the CMS (Constant-Murley) scale, which is 70.7 points. Repeated specific tests revealed positive dynamics of changes, namely, the "Shoulder Shrug Test" at the end of the rehabilitation course was positive in only 20% of patients, where the initial indicator was 100%, and the "Coracoid Pain Test" was positive in only 30% of patients, although the initial indicator was 100%. The results of the survey prove that the proposed physical therapy program is effective and reliable.
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