Procjena djelotvornosti fizioterapije i upravljanja režima pacijenata na funkcioniranje ramenog zgloba nakon implantacije ukupne reverzibilne endoproteze

Abstract

Aim: The aim of our study was to evaluate the effect of established regime and physiotherapy treatment described by Brems on patients after reverse arthroplasty of shoulder joint, their ability to perform activities of daily living, functional status of the shoulder girdle, and a range of motion. Methods: The research sample consisted of 60 patients, 57±2.9 years, with implanted total reverse endoprosthesis of shoulder joint. To assess the ability of performing the activities of daily living, we used the Simple Shoulder Test. Functional status of shoulder joint was evaluated through a "Constant Score" questionnaire. The range of movement was evaluated through the "Constant Score -Range of Motion" questionnaire. The examined parameters were evaluated before surgery and a month after the surgery. During the one-month post-surgery period, all participants undergone the set of targeted physiotherapy treatment and kept the established regime. After one month of targeted physiotherapeutical treatment and correct regime management we observed significant differences in all examined parameters (p<0.001). Results: After one month of post-surgery physiotherapy, significant differences in the ability to perform certain activities of daily living, functioning of the operated shoulder joint and in the range of movement, have been reported. Conclusion: The results of our study confirmed that if patients follow this specific rehabilitation protocol and cooperate during various stages of recovery, there is a high probability that after one month, they can perform activities of daily living.Sažetak. Cilj: Cilj studije bio je procijeniti učinak uspostavljenog režima i fizioterapeutskog tretmana koji je opisao Brems na pacijentima nakon reverzne artroplastike ramenog zgloba, njihove sposobnosti za obavljanje svakodnevnih aktivnosti, funkcionalno stanje ramena i raspon pokreta. Metode: Uzorak istraživanja sastojao se od 60 pacijenata, 57 ± 2,9 godina, s implantiranom ukupnom reverzibilnom endoprotezom ramenog zgloba. Da bismo procijenili sposobnost pacijenata za obavljanje svakodnevnih aktivnosti koristili smo test Simple shoulder. Funkcionalno stanje ramenog zgloba ocijenjeno je upitnikom "Constant score". Raspon pokreta ocijenjen je upitnikom "Constant score -range of motion". Razmatrani parametri procijenjeni su prije operacije i mjesec dana nakon operacije. Tijekom jednomjesečnog postoperativnog razdoblja svi su sudionici prošli skup ciljanog fizioterapeutskog tretmana i pridržavali se uspostavljenog režima. Nakon mjesec dana ciljanog fizioterapeutskog tretmana i ispravnog Professional article/Stručni članak 275 http://hrcak.srce.hr/medicina J. Čuj et al.: Evaluation of the effectivity of physiotherapy and regime management of patients on functioning of shoulder joint... medicina fluminensis 2019, Vol. 55, No. 3, p. 274-279upravljanja režimom zabilježili smo značajne razlike u svim razmatranim parametrima (p ≤ 0.001). Rezultati: Nakon mjesec dana postoperativne fizioterapije zabilježene su bitne razlike u sposobnosti za obavljan...