Tag: zespół bolesnego barku

The usefulness of physical stimuli in the symptomatic treatment of painful shoulder syndrome

Paweł Przekwas, Agnieszka Idychowska, Renata Skalska-Izdebska, Zbigniew Pawłowski

Paweł Przekwas, Agnieszka Idychowska, Renata Skalska-Izdebska, Zbigniew Pawłowski – The usefulness of physical stimuli in the symptomatic treatment of painful shoulder syndrome. Fizjoterapia Polska 2003; 3(1); 76-84

Abstract
The aim of the study is to consider the available evidence related to clinical effectiveness of several types of physical modalities used in the management of painful shoulder. A systematic critical review from basic science studies evaluating therapeutic effects includes the following treatments: superficial heat, cryotherapy, laser therapy, impulsivemagnetic field therapy, short wave diathermy, transcutaneous electric nerve stimulation (TENS), interferential current therapy, ultrasound therapy, iontopphoresis and phonophoresis. There seems to be evidence from basic science research to suggest that many of the therapies could have potentially therapeutic effects. It is important to note that these conclusions are limited by the methodological considerations of the included studies. However, in the managemet of the painful shoulder treating pain is often the basis of the treatment, it should be implemented with a broad range of physiotherapeutic techniques and manual therapy as well when appropriate.

Key words:
painful shoulder, physical therapy

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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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Effect of Core Stability Exercises on the Acromiohumeral Distance in patients with Shoulder Impingement Syndrome: A Randomized Controlled Trial

Amany M Abbas, Salwa A Fadel, Hamed M El khozamy, Waleed Ewais, Manal Hamisa

Amany M Abbas, Salwa A Fadel, Hamed M El khozamy, Waleed Ewais, Manal Hamisa – Effect of Core Stability Exercises on the Acromiohumeral Distance in patients with Shoulder Impingement Syndrome: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(2); 178-185

Abstract
Purpose. The aim of this study was to investigate the effect of adding the core stability exercises program to the conventional physical therapy program on the acromiohumeral distance in patients with SIS. Material and methods. Thirty male and female patients were diagnosed as SIS, their age ranged between 25-50 years were participated in this study. They would be randomly distributed into two equal experimental groups. Patients in the group (A): Received conventional physical therapy program. (B): Received the core stability exercises combined with conventional physical therapy program. Patients were received 12 sessions over four weeks, three sessions per week. The acromiohumeral distance was measured with 0 degree, 45 degrees’ abduction. Results. Statistical analysis revealed that there was significant increase the acromiohumeral distance at rest with (0° shoulder abduction) in favor of group (B) in compared to group (A). In spite of there was no statistical significant difference in the acromiohumeral distance at rest with (45° shoulder abduction) between group, there was clinical difference and high percent of improvement in favor to group B. Conclusion: Core stability exercises combined with conventional physical therapy program yield improvement in the AHD distance at rest with (zero shoulder abduction) than conventional physical therapy program.

Key words:
Shoulder impingement syndrome, Core stability exercises, The acromiohumeral distance

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Correlation between supraspinatus tendon echo texture, acromiohumeral distance, and pain in patients with shoulder impingement syndrome

Mariam Abdel Rhaman Mohamed Abd Alla, Hatem Mohamed El-Azizi, Hamada Ahmed Hamada Ahmed, Maha Mostafa Mohammed

Mariam Abdel Rhaman Mohamed Abd Alla, Hatem Mohamed El-Azizi, Hamada Ahmed Hamada Ahmed, Maha Mostafa Mohammed – Correlation between supraspinatus tendon echo texture, acromiohumeral distance, and pain in patients with shoulder impingement syndrome. Fizjoterapia Polska 2020; 20(2); 156-159

Abstract
Background. Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain and loss of function among the shoulder problems. All p revious studies have rendered this pathology to the narrowing of the subacromial space or reduced acromiohumeral distance (AHD) as a main cause of symptoms. However, no concern was directed towards the supraspinatus tendon degeneration, and its relation to the patient’s pain or to the narrowing of the subacromial space. Purpose. The objective of this study was to examine if there any correlation between supraspinatus tendon degeneration and AHD both at rest and during motion and the shoulder pain. Methods. A 60 unilateral SIS patients (38 females, 22 male) aged between 25 and 45 years were included in the current study. All patients were examined by ultrasonography (US) for detecting supraspinatus tendon echo texture; hence the grade of the tendon degeneration, and measuring the AHD. Additionally, the patients were evaluated for the intensity of the shoulder pain by visual analogue scale (VAS). Finally, a correlation was carried out to determine if there was any relationship between the supraspinatus tendon echo texture, the AHD, and the VAS scores for shoulder pain. Results. A strong positive correlation (p < 0.05) was found between tendon echo texture and VAS while a strong negative correlation (p < 0.05) was found between tendon echo texture, and AHD both at rest and motion. Conclusion. The degree of supraspinatus tendon degeneration can be an additional source for shoulder pain along with the reduced subacromial space in patients with SIS, and addressing the degeneration of that tendon should be implemented as well as increasing the subacromial space during the rehabilitation of SIS.

Key words:
Subacromial impingement, Supraspinatus tendinopathy, Ultrasonography, Subacromial space, Visual analogue scale (VAS)

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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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Ocena efektywności dwóch programów rehabilitacji u pacjentów z zespołem bolesnego barku

Katarzyna Ogrodzka, Karolina Leśniak, Aneta Bac, Tomasz Ridan, Marek Żak

K. Ogrodzka, K. Leśniak, A. Bac, T. Ridan, M. Żak: Evaluation of the effectiveness of two rehabilitation programmes for the patients with the shoulder impingement syndrome. FP 2015;15(4); 42-52

Streszczenie
Cel pracy. Celem badań było porównanie dwóch programów rehabilitacji stosowanych u pacjentów z zespołem bolesnego barku oraz w jakim zakresie rehabilitacja refundowana jest w stanie przywrócić pacjentowi możliwość odzyskania funkcji w stawie barkowym w porównaniu do programu rehabilitacji utworzonego przez autorów badań.
Materiał i metodyka. Badania zostały przeprowadzone w dwóch grupach, w każdej po 7 pacjentów ze zdiagnozowanym zespołem bolesnego barku. Pierwsza grupa korzystała tylko z zabiegów refundowanych, natomiast druga grupa była prowadzona autorskim programem rehabilitacji dostosowanym do indywidualnych potrzeb każdego z pacjentów.
Wyniki. Po terapii u pacjentów z obu grup zaobserwowano zwiększenie zakresu ruchomości w stawie barkowym, zmniejszenie poziomu bólu w spoczynku, a także w trakcie wykonywania codziennych czynności ruchowych.
Wnioski. Autorski program rehabilitacji okazał się efektywniejszą metodą leczenia w dolegliwościach zespołu bolesnego barku.

Słowa kluczowe:
zespół bolesnego barku, rehabilitacja, sprawność

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