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

Rusanov, A. P.; Roi, I. V.; Borzykh, N. O.; Kudrin, A. Р.; Vitomskyi, V. V.

doi:10.26693/jmbs07.05.035

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…Фізична терапія (ФТ) відіграє ключову роль у лікуванні пацієнтів з АКПС [10,11,12,13,14] та МБС [15,16], як і при інших патологіях опорно-рухового апарату [17,18,19]. Одним з поширених методів ФТ при АКПС є кінцевоамплітудна мобілізація (КАМ) [14], а при МБС широко застосовують ішемічну компресію (ІК).…”

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Effectiveness оf Mobilization аnd Ischemic Compression in Adhesive Capsulitis and Myofascial Pain Syndrome

Rusanov¹,

Roi²,

Borzykh³

et al. 2023

Ukr. ž. med. bìol. sportu

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The purpose of the study was to investigate the effect of end- range mobilization and ischemic compression on the range of motion and pain scores in patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome in the thoracic spine. Materials and methods. 20 patients participated in the study. Goniometry of the shoulder joint, pain assessment on a numerical scale at the endpoints of the range of motion and trigger points (when applying a pressure of 2.5 kg×cm-2) were performed before the intervention, at the end of the first week of therapy, at the end of the second and third week. Physical therapy began after an examination and consultation with an orthopedic traumatologist. All patients received intensive end-range mobilization performed by a physical therapist and ischemic compression performed by the patient 5 times a week (3 weeks). Mobilization techniques from I to V degrees of intensity according to the Maitland classification system were used. Localization of active and latent trigger points was determined, their marking was carried out on an individual map, which was provided to the patient. The patient was instructed in techniques and methods of influencing trigger points of various locations. Compression was performed with an average or above average pain level and a duration of 30 seconds for each trigger point. Results and discussion. The existence of differences in the results of the amplitude was established, taking into account the time factor. The median score for active abduction increased by 65.5° and for flexion – by 115.5°. The amplitude of active internal rotation increased by 73°, and external – by 72°. According to Friedman's test, similar results were obtained when comparing pain indicators, which were assessed at the endpoints of the range of motion. The dynamics of medians was from 5 to 6 points. The median trigger point pain score decreased by 5.5 points after three weeks of physical therapy. The results obtained when studying the effectiveness of ischemic compression in patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome are consistent with the conclusions of previous studies and complement the data presented in the literature. Conclusion. Physical therapy, which consists of a combination of end-range mobilization and ischemic compression, is effective in increasing passive and active range of motion in the shoulder joint, reducing pain at the end of the range of motion, and reducing pain at trigger points

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Effectiveness оf Mobilization аnd Ischemic Compression in Adhesive Capsulitis and Myofascial Pain Syndrome

Rusanov¹,

Roi²,

Borzykh³

et al. 2023

Ukr. ž. med. bìol. sportu

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Evaluation of the Therapeutic Alliance in Patients With Adhesives Capsulitis and Myofascial Pain Syndrome After Physical Therapy

Rusanov¹,

Vitomskyi²

2023

Scientific and practical journal

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Abstract. The purpose of the study: to investigate the therapeutic alliance that is formed during physical therapy based on therapeutic exercises and ischemic compression in patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome in the thoracic region. Materials and methods. 20 patients participated in the study. None of the patients had a history of intra-articular corticosteroid injections prior to the orthopedic physician's consultation, while 7 (35%) patients received the injection after the physician's consultation prior to physical therapy. Physical therapy began after an examination and consultation with an orthopedic traumatologist. Patients received a physical therapist's consultation, during which they were given information about the specifics of performing therapeutic exercises and ischemic compression of trigger points at home through instruction, demonstration, and trial performance. The patient also received an information booklet. Later, exercises and ischemic compression were performed at home independently. The complex of therapeutic exercises included pendulum exercises and stretching exercises, which were aimed at the shoulder joint and did not aim to move the scapulothoracic joint. Planned counseling of patients by a physical therapist also took place at the beginning of the 2nd and 3rd week of therapy, and the final one at the end of the 3rd week. At all consultations, in addition to providing and clarifying information about physical therapy, information was also received from the patient about the presence of questions, thoughts and feelings related to physical therapy to prevent the existence of unanswered questions and unexpressed thoughts. Goniometry of the shoulder joint and assessment of pain on a numerical scale at trigger points (when applying pressure of 2.5 kg×cm-2) were used before the intervention and after three weeks of physical therapy. The first assessment of the therapeutic alliance was conducted after three weeks of physical therapy, and the second 1.5 months after the first questionnaire. Results. In the course of physical therapy, the indicators of movement amplitudes improved and pain in trigger points decreased statistically. The first assessment of the therapeutic alliance established that the Mе (25%; 75%) indicators of the goal domain were 16 (15; 17) points, the task domain was 15 (14; 17) points, the relationship domain was 16 (15; 17) points, and re-evaluation did not establish changes in key indicators in the distant period. The goals domain scores decreased slightly, while the task and relationship domains increased slightly. Statistical differences were established only in the eighth (in favor of the first questionnaire), ninth and twelfth points of the questionnaire (in favor of the second questionnaire). Conclusions. Physical therapy, which consisted of a series of consultations and independent performance of therapeutic exercises and ischemic compression, had a positive effect on the range of motion in the shoulder joint and pain in trigger points. During the three-week participation in the physical therapy program, a therapeutic alliance was formed, which the patients rated at the level of 47 (46; 48) points, and the remote assessment did not establish its changes over time.

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

Cited by 2 publications

References 19 publications

Effectiveness оf Mobilization аnd Ischemic Compression in Adhesive Capsulitis and Myofascial Pain Syndrome

Effectiveness оf Mobilization аnd Ischemic Compression in Adhesive Capsulitis and Myofascial Pain Syndrome

Evaluation of the Therapeutic Alliance in Patients With Adhesives Capsulitis and Myofascial Pain Syndrome After Physical Therapy

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