Tag: painful shoulder syndrome

Acromioclavicular arthropathy – the painful shoulder syndrom

Marek Łyp, Wojciech Maciak, Anna Cabak, Adam Ogonowski

Marek Łyp, Wojciech Maciak, Anna Cabak, Adam Ogonowski – Acromioclavicular arthropathy – the painful shoulder syndrom. Fizjoterapia Polska 2006; 6(1); 51-57

Abstract

Background, The painful shoulder syndrom is very difficult and makes problems even to experiences clinicians. Based on our knowledge of the structure and topography of the acromioclavicular joint two tests to assess the joint were used. These were the passive forced flexion of the upper extremity in the horizontal plain and forced elevation by adduction. Material and methods. The homogenous group of twenty probands with acromioclavicular arthropathy was separated based on the criterion that no other reason of the painful shoulder was observed. The first step of the therapy was an advice to the patients to reduce the movement in the joint and simultaneously the series of treatment with 2,5% ketoprofen was applied. Patients who were not fully recovery were given one or two injection in the joint with 1 ml triamcinolone acetonite and 1 ml 1%-lignocaine. For the subjective assessment we use four steps verbal pain scale. For the objective assessment authors use the special tests for the acromioclavicular arthropathy in physical examination. Results. After ten phonophoresis treatments a full recovery of six patients was observed. Next in 14 patients who was not observed full recovery we use one or two injection with 1 ml triamcinolone acetonite and 1 ml 1%-lignocaine. After the first injection ten of fourteen patients reported no pain in the shoulder region. The four patients who still claimed the pain in the shoulder were given the second injection after a week. The full recovery was observed in two of the cases. The two patients reported an improvement. Conclusion. The correct diagnosis builds the basement of the successful therapy. Phonophoresis with 2,5% ketoprofenem with additional local injection of anaestheticum with glucocorticosteroid (1 ml triamcinolone acetonite and 1 ml 1%-lignocaine) is an effective method of therapy the acromioclavicular arthropathy. The study should be continued with larger groups of patients to present objective results.

Key words:
painful shoulder syndrome, acromioclavicular arthropathy, fonoforesis, injection with glucocorticosteroid
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Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections

Mateusz Curyło, Katarzyna Cienkosz, Jan W. Sosnowski, Andrzej Szczygieł, Irena Szczepańska, Piotr Wróbel, Magdalena Wilk-Frańczuk,  Jan W. Raczkowski

M. Curyło, K. Cienkosz, J. W. Sosnowski, A. Szczygieł, I. Szczepańska, P. Wróbel, M. Wilk-Frańczuk,  J. W. Raczkowski – Evaluation of the therapeutic effects in the patients with the glenohumeral joint dysfunction treated according to Brian Mulligan concept and with the pectoral girdle muscle tapping as well as circumarticular injections. FP 2017; 17(1); 116-124

DOI: https://doi.org/10.56984/8ZG075474

Abstract

Introduction. Sedentary lifestyle connected with the civilizational development and the work in sitting position cause glenohumeral joints dysfunction, most often in the form of overload-pain ailments.
Purpose of this study. The purpose of this study was to compare the physiotherapeutic effects with the application of mobilization with motion according to Brian Mulligan and the pectoral girdle muscle tapping, and the used circumarticular injections.
Material and Methods. The research included 27 patients. The first group (16 persons) was treated with the circumarticular injections of medicines of the corticosteroids group. In the second group (11 persons) the manual therapy according to Brian Mulligan’s concept and the muscle tapping were used. The examinations were performed before the therapy and after three weeks. The used measurements included the shoulder pain and disability index SPADI, provocative tests HIN, HIB, POP, Job, “painful arc” (70°-120°), “belly–press”, goniometric measurement and the subjective pain feeling at the night time. In order to check if the used therapy type had any effect on the upper limb function improvement, the statistical analysis was made in the variance with a_mixed scheme, where the inter-group factor was the type of therapy, and the intra-group factor was the measurement moment: before and after completion of the therapy. Data were processed using Microsoft Excel and Statistica software.
Results. The applied therapy methods influenced improvement of the glenohumeral joint movement range in both groups. The group 2 had better results in reduction of periodic pain ailments and sleep disturbances.
Conclusions. Both used therapeutic programs improves functioning and reduce pain ailments in the investigated group, however the use of 2 therapeutic techniques in the group 2, according to Mulligan’s concept and the muscle tapping, brought significantly greater improvement in the clinical condition evaluation and in the patients’ subjective assessment.

Key words:
painful shoulder syndrome, manual therapy, physiotherapy

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