Restoration of ankle joint, quality of life dynamics and assessment of achilles tendon rupture consequences

Vitomskyi, V. V.; Лазарєва, Олена; Alalwan, Ra’ad Abdul Hadi Mohammad

doi:10.15561/18189172.2017.0608

Cited by 12 publications

(10 citation statements)

References 16 publications

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“…Few studies have compared CR to more accelerated postoperative rehabilitation protocols. In a prospective cohort study, Vitomskyi et al 43 reported better ATRS and Leppilahti scores with accelerated rehabilitation compared with CR at 16 weeks postoperatively. However, this article does not clearly delineate the nature of the physical therapy interventions that were used, as well as the specific differences between groups with regard to rehabilitation protocol.…”

Section: Rehabilitationmentioning

confidence: 98%

Postoperative Rehabilitation Following Achilles Tendon Repair: A Systematic Review

Gould

Bano

Akman

et al. 2021

Sports Medicine and Arthroscopy Review

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The optimal postoperative management of Achilles tendon (AT) rupture remains unknown. The past 2 decades have witnessed a trend toward less rigid immobilization, earlier weightbearing, and accelerated functional rehabilitation postoperatively. The objective of this study was to identify all highquality studies pertaining to rehabilitation after AT repair and characterize the various rehabilitation protocols that have been described. A systematic review of the English-language literature was performed according to PRISMA guidelines. All included studies represented level 1, 2, or 3 evidence and examined postoperative rehabilitation protocols following the repair of an acute AT rupture. A total of 1187 subjects were included. Surgical technique, rehabilitation protocol, and outcome assessment varied widely between studies. Early postoperative weightbearing with less rigid immobilization appears to accelerate short-term functional recovery. An aggressive rehabilitation program may also be advantageous in the short term, but further studies are needed to determine the long-term effects of these accelerated physical therapy and return-to-play protocols.

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Section: Rehabilitationmentioning

confidence: 98%

Postoperative Rehabilitation Following Achilles Tendon Repair: A Systematic Review

Gould

Bano

Akman

et al. 2021

Sports Medicine and Arthroscopy Review

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“…Вступ. Фізична терапія (ФТ) відіграє значну роль у поліпшенні якості життя, функціонування та активності пацієнтів з захворюваннями опорнорухового апарату [1,2,3]. Існує ряд варіантів лікування адгезивного капсуліту плечового суглобу (АКПС) зі зростаючим ступенем інвазивності, але наявна невизначеність щодо того, коли вони повинні бути застосовані, а також їх клінічна та економічна ефективність [4].…”

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Physical Therapy in the Treatment of Adhesive Capsulitis of the Shoulder Joint

Rusanov¹,

Vitomskyi²

2022

Ukr. ž. med. bìol. sportu

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The purpose of the study was to perform an analysis of the results of research devoted to the study of the effectiveness of physical therapy in the treatment of patients with adhesive capsulitis of the shoulder joint. Materials and methods. This study is the result of an analysis of research devoted to the study of the effect of physical therapy on shoulder range of motion, pain on the visual analog scale, shoulder pain and disability index, Oxford shoulder scale, work capacity in patients with adhesive capsulitis of the shoulder joint, as well as a comparison of effectiveness of physical therapy with other methods of treatment. Results and discussion. There are works which indicate a lack of certainty regarding the superiority of certain treatment methods over others. Systematic reviews identified large gaps in the evidence and indicated the need for high quality research. At the same time, manipulation under anesthesia and arthroscopic capsular release are increasingly used to promote faster recovery, despite the lack of reliable evidence. The analysis of literature sources allowed us to establish that therapeutic exercises and manual therapy are recommended to be used separately or as a supplement to intra-articular injection of glucocorticosteroids, manipulations under anesthesia or arthroscopic capsular release. There are results that indicate a lack of effectiveness in terms of shoulder pain or work capacity from adding manipulation under anesthesia to physical therapy; indicate аn equal effectiveness of manipulation under anesthesia, therapeutic exercises, and structured physical therapy on pain, disability, and function assessments. A large study of the clinical and cost-effectiveness of invasive and expensive surgery and early structured physical therapy found no advantage for either approach during 12 months from the start of treatment, provided all patients received steroid injection. Regarding the comparison of physical therapy with steroid injections, there is evidence of benefit from the use of injections alone or in combination with physical therapy in the short term. However, there are results regarding their equal effectiveness. At the same time, all the considered works indicated the same effect in the long term. Conclusion. The use of physical therapy in the treatment of patients with adhesive capsulitis of the shoulder joint is useful and effective. Physical therapy has no worse effectiveness than surgical interventions and steroid injections. Adding steroid injections to physical therapy may improve the short-term effectiveness of treatment. The conclusions of the vast majority of studies confirm the effectiveness of physical therapy, which should be taken into account when determining treatment tactics

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“…Серед консервативних виділяють різноманітні терапевтичні вправи та мануальні терапії, фізичні фактори (зокрема тепло, електричний струм), внутрішньосуглобові ін'єкції та інші [7,8]. Більшість консервативних методів відноситься до фізичної терапії (ФТ), котра відіграє значну роль у поліпшенні якості життя, функціонування та активності пацієнтів з захворюваннями опорнорухового апарату [9,10,11]. До хірургічних відносять зокрема артроскопічне капсульне вивільнення [12].…”

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The Role of Proprioceptive Neuromuscular Facilitation in the Physical Therapy of Patients with Adhesive Capsulitis of the Shoulder Joint

Rusanov¹,

Roi²,

Borzykh³

et al. 2022

Ukr. ž. med. bìol. sportu

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The purpose of the study was to perform an analysis of the results of studies devoted to the study of the effectiveness of proprioceptive neuromuscular facilitation in patients with adhesive capsulitis of the shoulder joint. Materials and methods. This work is the result of an analysis of studies devoted to the study of the effect of proprioceptive neuromuscular facilitation as monotherapy and as a part of a complex physical therapy or rehabilitation program on the range of motion in the shoulder joint, pain on the visual analog scale, and the shoulder pain and disability index. During the search in scientific databases, the data of 11 studies, which are devoted to the specified issues, were selected. Results and discussion. Studies examining the immediate effects of interventions have found both benefits and no benefits on amplitude measures in groups of patients who received proprioceptive neuromuscular facilitation in addition to physical therapy or as a component of adjunctive therapy. Thus, it is not possible to draw unequivocal conclusions in the question of advantages regarding the immediate effect. Analysis of the effectiveness of programs and courses of treatment for adhesive capsulitis of the shoulder joint established that in the vast majority of studies, the results in the proprioceptive neuromuscular facilitation groups were better at the end of the treatment (3-4 weeks). At the same time, in most studies, scientists noted a significant improvement in pain, amplitude, and functioning indicators in control groups, that is, without the use of proprioceptive neuromuscular facilitation. All of the reviewed papers that analyzed the effectiveness of adding only proprioceptive neuromuscular facilitation to physical therapy programs or adding proprioceptive neuromuscular facilitation as a part of adjunctive therapy found advantages in such groups in terms of pain improvement on a visual analog scale or a pain subscale in questionnaires. Only one such study did not indicate a benefit of proprioceptive neuromuscular facilitation in external rotation. In addition, in most cases, proprioceptive neuromuscular facilitation or combined therapy with proprioceptive neuromuscular facilitation had a better effect on the amplitude of abduction and flexion at the shoulder joint. Conclusion. The developed Ukrainian versions of the questionnaires can be used to assess the level of therapeutic alliance and patient satisfaction in the field of physical therapy and occupational therapy

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Restoration of ankle joint, quality of life dynamics and assessment of achilles tendon rupture consequences

Cited by 12 publications

References 16 publications

Postoperative Rehabilitation Following Achilles Tendon Repair: A Systematic Review

Postoperative Rehabilitation Following Achilles Tendon Repair: A Systematic Review

Physical Therapy in the Treatment of Adhesive Capsulitis of the Shoulder Joint

The Role of Proprioceptive Neuromuscular Facilitation in the Physical Therapy of Patients with Adhesive Capsulitis of the Shoulder Joint

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