Infl uence of osteopathic correction on range of motion and quality of life in patients with arthrosis of the shoulder joint of I–II degrees

Abstract

Introduction. Shoulder pain in the shoulder joint arthrosis is a diffi cult problem to treat. The search for effective therapy of the shoulder region pathology is an urgent medical and socio-economic task, since the peak of morbidity is during the period of active human labor activity — 40 years. As a rule, nonsteroidal anti-infl ammatory drugs and glucocorticoid drugs are used to treat patients with shoulder pain syndrome and arthrosis of the shoulder joint of I–II degrees, but it is associated with potential risk of adverse reactions. Therefore, the search for non-drug methods of treatment is in demand. Osteopathic correction has proven itself well in the complex therapy of a number of degenerative joint diseases and pain syndrome. At the same time, there are currently few works devoted to the problem of restoring function in the shoulder joint and the life quality of a patient with the shoulder joint arthrosis of I–II degrees from the position of osteopathic correction. The aim of the study was to investigate the effect of osteopathic correction on the motion range and life quality of patients with the shoulder joint arthrosis of I–II degrees.Materials and methods. The study involved 26 patients with arthrosis of the shoulder joint of I–II degrees. The study was conducted from January 2020 to December 2021 at the «Tuya» Center of Traditional Medicine, Ufa. Using the method of randomization envelopes in a ratio of 1:1, there were formed two groups: control (13 patients) and main (13 patients too). All participants received standard conservative treatment. The participants of the main group additionally received a course of osteopathic correction (3 sessions, an interval is 2–3 weeks, and the duration of treatment is 1–2 months). Before and after the treatment, there were assessed the pain syndrome intensity using a 10-point visual-analog scale, the motion range in the diseased joint using a goniometer, the severity of pain syndrome and limitations in the shoulder joint using the Oxford Shoulder Score questionnaire, the life quality using the SF-36 questionnaire, and the osteopathic status according to approved clinical recommendations.Results. Standard treatment of patients in the control group was accompanied by a statistically signifi cant (p<0,05) decrease of the pain syndrome intensity, an increase of the motion range in the shoulder joint and a decrease of restrictions in the shoulder joint area. The inclusion of a osteopathic correction course in the treatment was accompanied by a statistically signifi cant (p><0,05) more pronounced positive dynamics in all of these indicators. In addition, patients of the main group were characterized by a signifi cant (p><0,05) improvement in the life quality by all indicators according to the SF-36 questionnaire. In most of the examined patients, the regional somatic dysfunctions (SD) of the thoracic region (structural and visceral components), and the dura mater region were revealed. In 100 % of patients, local SD of the shoulder joint were detected. The course of osteopathic correction was accompanied by a signifi cant (p><0,05) decrease of the detection frequency of thoracic region and dura mater regional SD, and of the local SD of the shoulder joint. There was no signifi cant dynamics in the control group. Conclusion. It is recommended to include a course of osteopathic correction in the complex treatment of patients with arthrosis of the shoulder joint of I–II degrees.><0,05) decrease of the pain syndrome intensity, an increase of the motion range in the shoulder joint and a decrease of restrictions in the shoulder joint area. The inclusion of a osteopathic correction course in the treatment was accompanied by a statistically signifi cant (p<0,05) more pronounced positive dynamics in all of these indicators. In addition, patients of the main group were characterized by a significant (p<0,05) improvement in the life quality by all indicators according to the SF-36 questionnaire. In most of the examined patients, the regional somatic dysfunctions (SD) of the thoracic region (structural and visceral components), and the dura mater region were revealed. In 100 % of patients, local SD of the shoulder joint were detected. The course of osteopathic correction was accompanied by a signifi cant (p<0,05) decrease of the detection frequency of thoracic region and dura mater regional SD, and of the local SD of the shoulder joint. There was no signifi cant dynamics in the control group.Conclusion. It is recommended to include a course of osteopathic correction in the complex treatment of patients with arthrosis of the shoulder joint of I–II degrees.