Tag: staw ramienny

Shoulder joint function evaluation after reverse total shoulder arthroplasty – preliminary reports

Ewelina Żyżniewska-Banaszak, Magdalena Gębska, Sebastian Sokołowski, Anna Sobczak, Łukasz Kołodziej

E. Żyżniewska-Banaszak, M. Gębska, S. Sokołowski, A. Sobczak, Ł. Kołodziej – Shoulder joint function evaluation after reverse total shoulder arthroplasty – preliminary reports . Fizjoterapia Polska 2021; 21(4); 142-151

Abstract
Introduction. Physiotherapy is an important part of the comprehensive treatment of patients after reverse total shoulder arthroplasty (RTSA). Patients qualified for RTSA struggle with shoulder joint dysfunctions of various aetiologies – most often with irreparable damage to the rotator cuff tendons. The aim of physiotherapy after RTSA is to restore the lost functions of the shoulder joint based on a targeted rehabilitation protocol taking into account the changed biomechanical conditions of the shoulder.
Materials and methods. The study material consisted of 6 patients after RTSA. Patients were examined before the procedure and after rehabilitation with the use of the Constant-Murley Score. The rehabilitation model was implemented on the day before surgery and continued for 12 weeks.
Results. Each patient experienced an improvement in shoulder mobility and a reduction in pain intensity.
Conclusions. Rehabilitation after RTSA improves the functions of the shoulder joint expressed by an increased range of joint mobility, elimination of pain and improved quality of life.
Key words:
shoulder joint, total shoulder arthroplasty, orthopaedics, rehabilitation
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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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