Tag: artroskopia

Analysis of the impact of deep tissue massage on the functional state of the shoulder joint after arthroscopy

Joanna Zabłocka, Wojciech Kułak, Andrzej Julian Niewiński

J. Zabłocka, W. Kułak, A. J. Niewiński – Analysis of the impact of deep tissue massage on the functional state of the shoulder joint after arthroscopy. Fizjoterapia Polska 2020; 20(2); 132-141

Abstract
Introduction. Shoulder joint physical therapy after arthroscopy is a complex process, and one of the possible actions used by therapists is deep tissue massage.
Purpose. The purpose of the study was to analyze the impact of deep tissue massage on the functional state of the shoulder after arthroscopy.
Materials and methods. Patient examinations were carried out from July 1, 2014 to February 28, 2015 among patients of the Artros physical therapy clinic in Bialystok. We used a questionnaire containing 10 open questions. The study group included 16 patients who underwent shoulder arthroscopy – 9 men and 7 women.
Results. The largest increase in muscle strength measured by the Lovett scale was recorded during abduction of the upper limb (by 2.5 ± 1.15); in terms of mobility the best results were obtained in abduction (by 79.5° ± 49.40°) and flexion of the limb (by 76° ± 48.33°).
Conclusions. Deep tissue massage, combined with kinesitherapy and physical therapy, increases muscle strength and range of motion in the shoulder joint and reduces pain.

Key words:
shoulder joint, arthroscopy, deep tissue massage

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Effect of Immediate Versus Gradual Exercises Program on Maximum mouth opening Post Temporomandibular Joint Arthroscopy: A randomized controlled trial

Zeinab A. Ali, Marwa M. Eid

Zeinab A. Ali, Marwa M. Eid – Effect of Immediate Versus Gradual Exercises Program on Maximum mouth opening Post Temporomandibular Joint Arthroscopy: A randomized controlled trial. Fizjoterapia Polska 2020; 20(2); 52-57

Streszczenie

Objective. The purpose of this study was to compare two physiotherapy programs for rehabilitation of patients after temporomandibular joint (TMJ) arthroscopy. Methods: Sixty patients diagnosed with closed lock and treated with arthroscopic lysis and lavage participated in this study, patients were divided into two groups: Group A (immediate program): included thirty patients rehabilitated with immediate full range of motion self-exercises. Group B (gradual program): included thirty patients rehabilitated with progressively increasing range of motion self-exercises. Outcome Measures. Maximum mouth opening (MMO) by measuring distance between the upper and lower incisors while the patient actively opens the mouth were assessed by Ruler, Pain assessment was done by using visual analogue scale. The measurements taken by the end of first month of treatment, analyzed and compared between the two groups. Results. Statistical analysis showed significant improvement in MMO and pain outcomes for the immediate group than for the gradual group. Conclusion. Based on the obtained results this study concluded that, a physiotherapy program consisting of immediate postoperative full range of motion mobilizations achieves better results (in terms of pain and mouth opening) than a physiotherapy program consisting of gradual and controlled increases in range of motion of closed lock of the TMJ after arthroscopic treatment.

Słowa kluczowe: Temporomandibular Joint, Arthroscopy, Maximum mouth opening

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