Dynamics of pain and movement amplitude under the influence of physical therapy programs for patients with adhesive capsulitis and myofascial pain syndrome
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Date
2024
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Abstract
Background and purpose To investigate and compare the impact of end-range mobilization and therapeutic exercises combined with ischemic compression on the movement amplitude and pain among patients with adhesive capsulitis of the shoulder joint and thoracic myofascial pain syndrome. Material and methods The study involved 64 patients. Goniometry of the shoulder joint and assessment of pain (numerical scale) when pressing on myofascial trigger points were performed before the intervention, at the end of the first and second weeks, and at the end of the physical therapy program. All the patients were consulted by a physical therapist. The participants of the first group underwent end-range mobilization of the shoulder joint (five times a week, performed by a physical therapist) and ischemic compression of myofascial trigger points (daily, performed without any assistance). Physical therapy program of the first group lasted three weeks. The participants of the second group performed therapeutic exercises (twice a day) and ischemic compression of trigger points (daily, without assistance). The complex of exercises included pendulum and stretching exercises for shoulder joint. Physical therapy program of the second group of patients lasted three weeks. Results Both groups had similar indicators of patients’ age, duration of symptoms, and gender distribution of patients. Initial values of goniometry and pain did not differ statistically. Both groups had positive dynamics of goniometry results, which confirms the effectiveness of therapeutic interventions. At the same time, the second assessment (a week after the therapy) showed significantly better results of the first group. The advantage of the first group was also present in the results of subsequent assessments of movement amplitude in the shoulder joint. Positive dynamics of pain score in myofascial trigger points was established in both groups of patients. Patients of the first group had better pain indicators according to the results of the final assessment. The results of intermediate assessments were statistically the same. Conclusions Combination of end-range mobilization and ischemic compression for restoring mobility in the shoulder joint and reducing pain in trigger points was more effective among patients with adhesive capsulitis and myofascial pain syndrome as compared with the intervention based on combination of therapeutic exercises and ischemic compression.
Description
Publisher Copyright: © Rusanov A, Vitomskyi V, Roi I, Borzykh N, Klavina A, Vitomskа M, Kobinskyi O, 2024.
Keywords
exercises, mobilization, musculoskeletal system, rehabilitation, shoulder joint, trigger points, 3.3 Health sciences, 1.1. Scientific article indexed in Web of Science and/or Scopus database, Complementary and Manual Therapy, Orthopedics and Sports Medicine, Physical Therapy, Sports Therapy and Rehabilitation, Education, Rehabilitation, Occupational Therapy
Citation
Rusanov, A, Vitomskyi, V, Roi, I, Borzykh, N, Kļaviņa, A, Vitomskа, M & Kobinskyi, O 2024, 'Dynamics of pain and movement amplitude under the influence of physical therapy programs for patients with adhesive capsulitis and myofascial pain syndrome', Health, Sport, Rehabilitation, vol. 10, no. 4, pp. 62-73. https://doi.org/10.58962/HSR.2024.10.4.62-73