The effectiveness of additional treatment methods for post-stroke periarthropathy of the shoulder joint

The article provides an overview of instrumental methods and technical means allowing to evaluate some of the proven effects of osteopathic correction, such as an increase in the range of motion in the joints, normalization of muscle tone, postural balance and walking, anti-inflammatory effect and improvement of blood circulation in patients with amputation defects of the lower extremities. The article provides an overview of instrumental methods and technical means used for diagnostic purposes in the rehabilitation of patients with amputation defects of the lower extremities. The possibility of it to verify some of the osteopathic correction effects, such as an increase in the range of motion in the joints, normalization of muscle tone, postural balance and walking, anti-inflammatory effect, and improvement of blood circulation, has been evaluated.Purpose — to present instrumental methods applicable to assess the results of osteopathic correction in the rehabilitation process of patients with amputation defects of the lower extremities.

Instrumental methods and technical means for assessing the results of osteopathic correction in patients after lower limb amputation

Kolyshnitsyn¹,

Мохов

2022

The use of osteopathic correction in the complex rehabilitation of patients with acute cerebrovascular accident

Белаш¹,

Gritsay

Musina³

2022

Introduction. Acute disorders of cerebral circulation - strokes - are the most important medical and social problem, due to their high proportion in the structure of morbidity and mortality of the population, signiﬁ cant indicators of temporary labor losses and primary disability. In this regard, one of the main tasks of Russian healthcare is to slow down the increase in the disability of the population, which is carried out through the active development of the rehabilitation system in our country, including neurorehabilitation. Osteopathic correction can become one of the new areas of rehabilitation for this group of patients. There have already been made previous attempts to study the osteopathic status in patients with acute cerebrovascular accident and to assess the possible contribution of somatic dysfunctions to the pathogenesis of this disease. At the same time, there are no publications in the available scientiﬁ c literature about the possibility of osteopathic correction using in the rehabilitation of patients with acute cerebrovascular accident in the early recovery period. All of the above predetermined the purpose of the study.The aim of the study is to substantiate the possibility of osteopathic correction methods using in the complex rehabilitation of patients with acute cerebrovascular accident in the early recovery period.Materials and methods. A prospective randomized controlled study was conducted from February 2019 to March 2020 on the basis of the neurorehabilitation department of the State Clinical Hospital № 11 (Omsk). 40 patients with a diagnosis of acute cerebrovascular accident, early recovery period were under observation. The sample was entire. Patients, depending on the method of used treatment, were divided with using the method of simple randomization into two comparable groups of 20 people: main and control. All patients received complex rehabilitation treatment, which included drug therapy, physiotherapy, kinesiotherapy, massage, and acupuncture. Additionally, patients of the main group received osteopathic correction (3 sessions). All patients, regardless of the group, before the start, as well as after the completion of the rehabilitation course, were assessed for osteopathic status, the level of self-care, daily activity and mobility of patients was determined using functional scales, and muscle strength of the hands was studied using dynamometry.Results. Patients with ischemic stroke in the early recovery period are characterized by the presence of somatic dysfunctions, mainly at the global and regional levels. 100 % of the examined participants had a global rhythmogenic cranial disorder. The most characteristic regional somatic dysfunctions were of the neck region, the structural component (29 %), and of the dura mater region (24 %). After completion of rehabilitation, global rhythmogenic cranial somatic dysfunction remained in all patients (100 %), however, in the group that received osteopathic correction, its severity was statistically signiﬁ cantly reduced (p<0,05). Also, in the main group, the average number of regional somatic dysfunctions and their severity changed statistically more signiﬁ cantly (p<0,05). At the background of complex rehabilitation treatment, all patients had an increase in the level of self-care, daily and physical activity according to neurorehabilitation scales, and also increased arm muscle strength according to dynamometry. However, in the group receiving additional osteopathic correction, these indicators were statistically signiﬁ cantly higher (p<0,05).Conclusion. Rehabilitation of patients with vascular pathology, including those with ischemic stroke, is one of the most important directions in the development of the modern healthcare system. This dictates the need to search and study new methods and means of rehabilitation, one of which could be osteopathy. This study showed that the inclusion of osteopathic correction in the program of complex rehabilitation of patients with ischemic stroke in the early recovery period will achieve better results in terms of restoring lost functions and improving self-care skills. In order to introduce the new method more widely, it is advisable to continue the study on an even larger sample.

Substantiation of the possibility of using osteopathic correction in the complex treatment of patients with shoulder-shoulder pain syndrome

Emelyanova¹,

Zolkova²,

Kozlova

2022

Introduction. Shoulder pain is one of the most common causes of disability in the population. Modern approaches to the treatment of shoulder pain syndrome give preference to the use of drug therapy. However, frequent side effects remain relevant the wider introduction of non-pharmacological methods of treatment. Osteopathy is one of such promising method. In this regard, the assessment of the effectiveness of osteopathic correction of patients with humeroscapular pain syndrome is in demand.The aim to substantiate the possibility of using osteopathic correction in the complex treatment of patients with shoulder pain syndrome.Materials and methods. The study involved 40 patients with shoulder pain syndrome. By the method of randomization using randomization envelopes, the 20 patients were included in the control group and the 20 patients in the main group. Participants of the control group received standard drug and physiotherapy treatment, participants of the main group additionally received a course of osteopathic correction. In both groups, before and after treatment, there were assessed the osteopathic status, the severity of pain syndrome by a 10-point visual analogue scale, the state (functioning) of the shoulder joints, and daily life activities by a 30-point Swanson scale. The duration of temporary disability in both groups was also recorded.Results. At the start of the study, a number of regional (most often — the neck region, structural component, and the chest region — visceral and structural component) and local (most often — the shoulder joint and temporomandibular joint) somatic dysfunctions were detected in patients with humeroscapular syndrome. After treatment in the main group, a statistically significant (p<0,05) positive dynamics was recorded in relation to disorders of the neck region (structural component), thoracic region (visceral and structural component), and pelvic region (structural component). In the control group, significant positive dynamics was observed only in relation to disorders of the thoracic region (visceral component). The groups began to differ significantly (p<0,05) by the disorders detection frequency of the neck and pelvis region (structural component). Also a statistically significant (p<0,05) positive dynamics was recorded in relation to disorders of the shoulder joint and temporomandibular joint in the main group, and in the control group it was detected only in relation to the shoulder joint disorders. At the start of the study, patients in both groups were characterized by a fairly intense pain syndrome (mean score over seven in both groups). After treatment, significant (p<0,05) positive dynamics was observed in both groups, but in the main group the result was significantly (p<0,05) more pronounced: 1,6±0,89 points in the main group versus 2,7±0,86 points in the control group. The shoulder joints state and the daily life activity at the study start moment were characterized by relatively low rates — the average total value was no more than 15 points in both the control and main groups. After the treatment, significant (p<0,05) positive dynamics was observed in both groups, but in the main group the result was more pronounced: 28,0±1,86 points in the main group versus 22,1±2,34 points in the control group (p<0,05). The average duration of temporary disability in days was 8,1±1,07 days in the main group and 15,0±1,84 days in the control group, the difference between the groups is statistically significant (p<0,05).Conclusion. Based on the obtained results, it can be assumed that osteopathic correction included in the complex treatment contributes to faster recovery of the patient, improvement of the shoulder joint functioning, pain relief and increased daily life activity, and this allows us to recommend it for use in patients with such pathology.