Особливості фізичної терапії при плече-лопатоковому періартриті

Abstract

The purpose of the study was to develop a comprehensive program of physical rehabilitation to improve the course of shoulder-scapular periarthritis in patients with the help of therapeutic massage with elements of manual therapy. Materials and methods. The paper presents the results of studying the effect of physical therapy in shoulder-scapular periarthritis. The main group included 37 patients aged 50–75 years with shoulder-scapular periarthritis who underwent a complex rehabilitation program proposed by us, including massage. The control group consisted of 33 patients in the same age category who were prescribed a standard rehabilitation program by a physical therapy doctor. Results and discussion. The term humeroscapular periarthritis was first proposed in 1872. This is how the syndrome was characterized, including stiffness and the presence of chronic pain in the area of the shoulder joint that occurs after an injury. The prevalence of humeroscapular periarthritis among the adult population is 4–7%, with age it increases (from 3–4% at the age of 40–44 years to 15–20% at the age of 60–70 years). An important condition for a faster and more effective treatment of humeroscapular periarthritis is massage. Its main task is to prevent the development of limited mobility of the joints and coarse scar tissue, prevent muscle atrophy and restore the functional affiliation of the upper limbs. As a result of the treatment, significant improvement was noted in 26 patients, improvement – in 9 patients, insignificant effect was noted in 2 patients. So, before the operation, pain syndrome according to visual analogue scale was on average 6.4 ± 0.39, in the early postoperative period – 5.1 ± 0.19, in the late recovery period – 1.7 ± 0.14. The effectiveness of complex treatment when affecting the affected limb was 3.4 points in dynamics before and after the massage course. Thus, the comparative characteristics of the two examined groups of patients according to functional results, even according to an incomplete list of clinical and biomechanical indicators of statics and dynamics, showed the effectiveness of conducting a comprehensive program of rehabilitation measures. Taking into account the high prevalence of diseases of the musculoskeletal system, we consider it advisable to use manual therapy methods more widely in patients with shoulder-scapular periarthritis. Conclusion. After a course of massage with elements of manual therapy, the majority of patients noted positive dynamics, elimination of pain syndrome, restoration of the function of the affected limb