The rationale for the joint use of osteopathic correction and kinesiotherapy in the humeroscapular periarthrosis syndrome (humeroscapular periarthropathy) treatment

Abstract

Introduction. The humeroscapular periarthrosis syndrome (humeroscapular periarthropathy) is characterized by a high prevalence — shoulder pain is observed in 7–26 % of the population, such patients account for up to 18 % of paid sick leave. The term «humeroscapular periarthrosis» combines lesions of both the muscles and the joint capsule itself. To date, the scientific literature notes that in most cases the conservative therapy is effective in the form of pharmacotherapy and non-drug methods, including manual therapy, osteopathy and kinesiotaping. It should be noted that today there are no studies aimed to study the combination of osteopathic correction and kinesiotaping method, each of which is individually recognized as sufficiently effective in the treatment of the humeroscapular periarthrosis syndrome (humeroscapular periarthropathy).The goal of research — is to substantiate the feasibility of combining osteopathic correction and kinesiotaping in the treatment of the humeroscapular periarthrosis (humeroscapular periarthropathy).Materials and methods. The study was conducted in the period from February 1, 2018 to January 1, 2019 in the Neurological Department of the Rehabilitation Center Tula Regional Clinical Hospital. The study involved 43 patients with the syndrome of humeroscapular periarthrosis, duration of the disease — 1–5 months. By simple randomization the patients were divided into two groups: experimental — 22 patients receiving osteopathic correction in combination with kinesiotaping; control — 21 patients receiving only osteopathic correction. In both groups, at the beginning and at the end of the study, an osteopathic examination was performed with the formation of an osteopathic conclusion, the severity of pain on a visual-analog scale, and the shoulder joint state was assessed by the Swanson scale. The obtained data were processed using parametric (student′s t-test for independent groups and student′s paired t-test) and nonparametric (McNemar′s criterion and Fisher′s exact test) statistics.Results. Both osteopathic correction and combination of osteopathic correction and kinesiotaping are accompanied by a statistically significant (p<0,05) decrease in the detection frequency of some dysfunctions at the regional and local level, a decrease in the pain intensity, and an improvement in the shoulder joint state. The combination of osteopathic correction and kinesiotaping is accompanied by a statistically significant (p<0,05) more pronounced improvement in the shoulder joint state.Conclusion. Statistically significantly more pronounced improvement in the shoulder joint state of the experimental group patients compared with the control group patients suggests that the combination of osteopathic correction with kinesiotaping could be more effective in the treatment of the humeroscapular periarthrosis syndrome (humeroscapular periarthropathy).