COMPARING THE EFFECT OF CONVENTIONAL PHYSIOTHERAPY AND RADIAL SHOCKWAVE THERAPY IN PATIENTS WITH CAPSULITIS ADHESIVE ON SHOULDER JOINT

  • R. Madzharova Medical University Pleven
  • E. Simeonov Medical University Pleven
Keywords: Capsulitis adhesive, physiotherapy, radial shockwave therapy

Abstract

Purpose: Capsulitis adhesive is a degenerative disease of soft tissues around the shoulder joint. Characterized by pain and limited movements in the shoulder joint. It has always been considered important because of the impact on the quality-of-life and long period of illness. Therefore, the use of noninvasive and safe techniques that can speed up the healing process of the disease is important.

The aim of the follow-up the effect on pain and range of motion (ROM) after conventional physiotherapy versus radial shockwave therapy (RSWT) in the same patients with Capsulitis adhesive.

Method: 10 patients ware treated for 2 months with a conventional physiotherapy without improvement and followed 6 weeks treatment with RSWT. Visual analogy scale (VAS) used for pain assessment, goniometry for the ROM and Neer test, Upper limb Activity of daily living (ADL) to objectitize the patient state before and after both therapies.

Results: The patient's condition has not improved after conventional therapy. The treatment with RSWT provides a significant reduction of pain, increase ROM in the shoulder joint and improve ADL for the upper limb.

Conclusions: Usage of RSWT alone is much better option compared to the conventional physiotherapy in patients with Capsulitis adhesive.

Author Biographies

R. Madzharova , Medical University Pleven

MD

E. Simeonov , Medical University Pleven

PhD

References

(1) Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ 2005; 331:1453-6
(2) Walmsley S, Rivett DA, Osmotherly PG. Adhesive capsulitis: Establishing consensus on clinical identifiers for stage 1 using the delphi technique. Phys Ther 2009;89:906-917
(3) Kelley M, Mcclure P, Leggin B. Frozen shoulder: Evidence and a proposed model guiding rehabilitation. J Orthop Sports Phys Ther 2009;39: 135-148.
(4) Bal A, Eskioglu E, Gulec B, Aydog E, Gurcay E, Cakci A. Effectiveness of corticosteroid injection in adhesive capsulitis. Clinical Rehabilitation 2008; 22:503-512.
(5) Gaspar P, Willis B. Adhesive capsulitis and dynamic splinting: a controlled, cohort study. BMC Musculoskeletal Disorders 2009;10:111.
(6) Boyles RE, Flynn TW, Whitman JM. Manipulation following regional intrascalene anesthetic block for shoulder adhesive capsulitis: A case series. Man Ther 2005:10;164-171.
(7) Cleland J, Durall CJ. Physical therapy for adhesive capsulitis: Systematic review. Physiotherapy 2002;88:450-457.
(8) Vermeulen HM, Rozing PM, Obermann WR, Cessie S, Vlieland T. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: Randomized clinical trial. Phys Ther 2006;86:355-368.
(9) Jewell DV, Riddle DL, Thacker LR. Interventions associated with an increased or decreased likelihood of pain reduction and improved function in patients with adhesive capsulitis: A retrospective cohort study. Phys Ther 2009;89:419-429
(10) Kline CM. Adhesive capsulitis: clues and complexities. JAMA Online 2007;2-9.
(11) Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003; 2: CD004258– CD004258.
(12) Lee SB, Kwon DJ, Song YJ, et al. : Shockwave therapy for tennis elbow. J Korean Orthop Assoc, 2004, 39: 142–145
(13) Lee SB, Kwon DJ, Song YJ, et al. : Shockwave therapy for tennis elbow. J Korean Orthop Assoc, 2004, 39: 142–145. [Google Scholar] (14) Kudo P, Dainty K, Clarfield M, et al. : Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy (ESWT) device: a North American confirmatory study. J Orthop Res, 2006, 24: 115–123.
(15) Hammer DS, Rupp S, Ensslin S, et al. : Extracorporal shock wave therapy in patients with tennis elbow and painful heel. Arch Orthop Trauma Surg, 2000, 120: 304–307
(16) Classifications and Scores of the shoulder, Peter Habermeyer, Petra Magosch, Sven Lichtenberg, Springer, ISBN 978-3-540-35142-9 (17) Kинезиология и патокинезиология на опорно-двигателния апарат, Николай Попов, НСА ПРЕС, ISBN: 978-964-718-245-5
Published
2020-12-14
How to Cite
Madzharova , R., and E. Simeonov. 2020. “COMPARING THE EFFECT OF CONVENTIONAL PHYSIOTHERAPY AND RADIAL SHOCKWAVE THERAPY IN PATIENTS WITH CAPSULITIS ADHESIVE ON SHOULDER JOINT ”. EurasianUnionScientists 2 (11(80), 4-7. https://doi.org/10.31618/ESU.2413-9335.2020.2.80.1100.