Dynamics of pain and disability under the influence of therapeutic exercises and ischemic compression among patients with adhesive capsulitis and myofascial pain syndrome
DOI:
https://doi.org/10.32782/2077-6594/2023.1/13Keywords:
physical therapy, rehabilitation, manual therapy, musculoskeletal system, shoulder joint, activityAbstract
Purpose: to investigate the effect of therapeutic exercise and ischemic compression on pain and disability scores among patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome in the thoracic region. Materials and methods. 26 patients participated in the study. Goniometry of the shoulder joint, assessment of pain at range of motion endpoints and at trigger points, and the Shoulder Pain and Disability Index questionnaire were used before the intervention and after three weeks of physical therapy. Patients received a physical therapist’s consultation, during which they were given information about the specifics of performing therapeutic exercises and ischemic compression of trigger points at home through instruction, demonstration, and trial performance. The patient also received an information booklet. Later, exercises and ischemic compression were performed at home independently. The complex of therapeutic exercises included pendulum exercises and stretching exercises. Planned counseling of patients by a physical therapist also took place at the beginning of the 2nd and 3rd week of therapy, and the final one at the end of the 3rd week. Results. Final range of motion and pain scores were statistically better compared to baseline. The dynamics of the pain domain was characterized by the fact that the indicators Me (25%; 75%) decreased from 90 (69.5; 100) points to 50 (46; 52) points (Z = -4.461; p<0.001). The disability domain score decreased from 85 (74.06; 95) points to 61.88 (51.25; 74.06) points (Z = -4.462; p<0.001). The presented changes in the results in the domains affected the fact that the results of the Shoulder Pain and Disability Index were also statistically different, namely, they improved from 87.94 (70.34; 96.38) points to 55.75 (47.31; 63.84) point. Conclusions. The use of physical therapy, which included patient counseling and subsequent independent performance of therapeutic exercises and ischemic compression, led to improved outcomes in the domains and total score of the Shoulder Pain and Disability Index.
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