Innovative technologies in the treatment of humeroscapular pain syndrome at a health resort rehabilitation stage

AIM. To focuses on the relevance of using, along with natural healing factors, traditional and innovative transformed physical factors, which can significantly improve the effectiveness of health resort treatment. INTRODUCTION. Globally recognized achievements of Russian balneology are first of all connected with strictly scientific approaches to development of therapeutic methods and complex programs of physiotherapeutic treatment, implemented for many decades in health resort organizations throughout the country. The richest deposits of natural mineral waters and mud were mastered, studied and adapted for treatment of chronic diseases of inflammatory and degenerative-dystrophic nature, for rehabilitation of patients after vascular accidents, injuries and operations, as well as for rehabilitation of virtually healthy persons with reduced functional reserves. The results obtained on the basis of randomized clinical trials represent the evidence base for inclusion of various methods of physiotherapy in the Clinical Guidelines for various nosologies. The successful development of physiotherapy requires not only a profound scientific approach, consolidation of researchers, manufacturers of physiotherapy equipment and practitioners, but also further improvement of the regulatory framework. Thus, a great achievement of 2022 can be considered the drafting of an Order on providing medical care to the population in the profile of «physiotherapy».

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Sustaining and Development of Physiotherapy as an Important Condition for Health Resort Treatment Effectiveness Increasing: a Review

Кончугова

Fesyun

Никитин

et al. 2023

Bulletin of Rehabilitation Medicine

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The Effectiveness of Robotic Mechanotherapy in the Rehabilitation of Patients with Shoulder Joint Pathology: Randomized Clinical Trial

Yashkov,

Polyakov,

Shelyhmanova

et al. 2023

Bulletin of Rehabilitation Medicine

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INTRODUCTION. Prolonged inactivity associated with exacerbation of a chronic disease or immobilization of the upper limb after injuries and operations leads to the development of functional disorders in the shoulder joint and the development of secondary changes, such as muscle atrophy, contractures, osteoporosis. Therefore, the early application of functional methods of treatment is pathogenetically justified, among which mechanotherapy on robotic devices occupies an important place. AIM. To study the effectiveness of using the FLEX-F04 device in diseases and injuries of the shoulder joint. MATERIALS AND METHODS. According to the inclusion criteria, 60 patients were under our supervision. By random sampling, all patients were divided into two groups of 30 people each. All patients underwent a clinical examination, assessed algofunctional index on the VAS scale, the degree of dysfunction in the arm, shoulder and hand according to the DASH questionnaire, electrothermometry. RESULTS. As a result of treatment and rehabilitation measures, there was a significant increase in the angles of flexion, horizontal adduction, abduction, external and internal rotation in the shoulder joint, a decrease in pain syndrome and an increase in daily activity according to the DASH questionnaire in patients of both groups. In the main group, these indicators were significantly better than in the comparison group. The increase in thermal radiation as a result of the robotic mechanotherapy procedure averaged 0.6 0.1C. DISCUSSION. Robotic mechanotherapy allows movement in the shoulder joint in accordance with its biomechanics, reduces the load on the musculoskeletal system and thereby prevents the appearance or strengthening of the pain component during the procedure. This contributes to an active increase in the amplitude of movements and improvement of the functional capabilities of the shoulder joint, which has a positive effect on daily activity. An increase in thermal radiation in the shoulder joint area during the procedure can serve as an indirect sign of improved microcirculation and neuro-vascular regulation. CONCLUSION. The use of the FLEX-F04 robotic mechanotherapy device of the upper extremities according to the proposed method increases the volume of movements in the shoulder joint, reduces pain syndrome, increases blood circulation of the shoulder joint area and improves neuro-vascular regulation, increases daily household activity. Early inclusion of the device in the rehabilitation process makes it possible to shorten the duration of rehabilitation treatment and achieve a functional range of movements in the shoulder joint.

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Effectiveness of Physiotherapy Methods in Medical Rehabilitation of Patients with Shoulder and Scapular Pain Syndrome in a Sanatorium: a Randomized Clinical Study

Pavlovskiy,

Fesyun,

Konchugova

et al. 2023

Bulletin of Rehabilitation Medicine

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INTRODUCTION. The high prevalence of shoulder pain syndrome (SPS) determines the relevance of the development of new comprehensive methods of rehabilitation of this category of patients. AIM. To evaluate the clinical effectiveness of shockwave therapy (SWT) and pulsed low-frequency electrostatic field (PLEF) in patients with SPS undergoing medical rehabilitation in a sanatorium-resort organization in comparison with traditional health resort treatment. MATERIALS AND METHODS. The comparative analysis of medical rehabilitation efficiency was carried out in 90 patients with SPS aged 31–68 years undergoing medical rehabilitation in the health resort complex “Vulan” — a clinical branch of National Medical Research Center for Rehabilitation and Balneology. All patients were divided into 3 groups of 30 persons each by the method of simple randomization. Group 1 patients (control) received traditional health resort treatment, including ozokeritotherapy, physical exercise therapy, electrotherapy with sinusoidal modulated currents and manual massage. Patients of the second group (comparison) received against the background of the above complex 3 SWT procedures on the shoulder joint once a week. Group 3 patients (main group) received, in addition to traditional treatments, 3 SWT and 8 field PLEF treatments administered every other day. The effectiveness of rehabilitation was evaluated according to the severity of pain syndrome (VAS scale), Swanson’s scale for the shoulder. Movement volume before and after rehabilitation was measured with an orthopedic angle gauge. Microcirculation state was assessed by laser Doppler flowmetry (LDF). Leukert scale was used to assess the state of well-being. The results of the study were assessed 18 days after the beginning of rehabil itation measures. RESULTS AND DISCUSSION. Patients who additionally received SWT and PLEF against the background of traditional health resort treatment noted a significant reduction in the severity of pain syndrome, while in the main group pain regression was noted earlier (on day 4–5), whereas in the comparison group the same results were obtained by the day 14th . In the control group, patients noted significant changes on the VAS scale only by the end of the rehabilitation course. On the Swanson scale, the most significant positive results were also obtained by the patients in the main group: the pain decreased on average 2.6-fold, the volume of active movements in the shoulder joint increased 2.7-fold, and activity in everyday life 1.9-fold. Statistical differences in the Swanson Scale scores with the comparison group were obtained with regard to pain syndrome and volume of active movements. When comparing with the control group, reliable differences were revealed in all Swanson’s scale indicators in both the main group and the comparison group. When studying the dynamics of microcirculation according to LDF data, it was noted that reliable changes in the main indices of the LDF-gram were revealed only in the groups that received innovative physical therapy interventions. CONCLUSION. Thus, the inclusion of modern physiotherapeutic techniques of SWT and PLEF into the program of health resort treatment of patients with SPS allows to increase significantly the efficiency of medical rehabilitation carried out in the sanatorium organization.

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Innovative technologies in the treatment of humeroscapular pain syndrome at a health resort rehabilitation stage

Cited by 4 publications

References 1 publication

Sustaining and Development of Physiotherapy as an Important Condition for Health Resort Treatment Effectiveness Increasing: a Review

Sustaining and Development of Physiotherapy as an Important Condition for Health Resort Treatment Effectiveness Increasing: a Review

The Effectiveness of Robotic Mechanotherapy in the Rehabilitation of Patients with Shoulder Joint Pathology: Randomized Clinical Trial

Effectiveness of Physiotherapy Methods in Medical Rehabilitation of Patients with Shoulder and Scapular Pain Syndrome in a Sanatorium: a Randomized Clinical Study

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