Sąnarių mobilizacijos ir tempimo pratimų poveikis peties sąnario sukamosios manžetės (ankštumo) sindromui

Totorytė, Margarita

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Sąnarių mobilizacijos ir tempimo pratimų poveikis peties sąnario sukamosios manžetės (ankštumo) sindromui

Totorytė, Margarita

URI: http://dspace.kaunokolegija.lt//handle/123456789/398

Data: 2018-06

Santrauka:

Pečių skausmas yra labiausiai paplitęs tarp vyresnio amžiaus žmonių apie 40 metų asmenims. Jis pasireiškia daugiau negu 16–21 proc. pasaulio žmonėms (Dudonienė ir kt., 2012). Pats dažniausias sindromas yra peties sąnario ankštumo sindromas . Po mentės petine atauga atsiranda lėtinis dirginimas, vystosi uždegimas, asmuo pradeda jausti didelius skausmus, kurie neleidžia atlikti judesio pilna amplitude. Todėl PSAS sukelia funkcijos praradimą ir nedarbingumą.

Description:

The relevance of the paper. The pain of shoulder joint is the most common ailment among people over the age of 40. It develops to more than 16 to 21 % of the world‘s population (Dudonienė ir kt., 2012). One of the most common shoulder joint pathologies is the shoulder joint shoulder impingement syndrome . When chronic irritation develops to inflammation under the scapula, a person starts to feel pain that prevents full-motion amplitude. Therefore, PSAS couses loss of function and incapacity (Dudonienė ir kt., 2012). In the literature there is not sufficient attention to the detection, prophylaxis and treatment of early stages of shoulder joint ailments. It is evidenced by the fact that around the world today arthroscopic surgery of the shoulder joint is performed more often than 5 years ago. Therefore, it can be said that not all is done at the first stage of the determination of the shoulder impingement syndrome and in the treatment of minor injuries but could also have possible restoration of the shoulder joint function using conservative methods. Physiotherapy – is one of the methods of conservative treatment and rehabilitation of the major shoulder joint impingement syndrome. In accordance with the stage and severity of the disease, using the appropriate amount of physiotherapy load it is possible to stabilize the shoulder joint and reduce the possibility of the damage to the joint in the future. A physiotherapist, working with a person who is diagnosed with shoulder disorders, can restore the shoulder movements and improve patient‘s work and daily activities. The purpose of the paper: to evaluate the effect of joints mobilization and stretching exercises on the shoulder joint rotator cuff ( impingement) syndrome. Objects of the paper: To evaluate the effect of shoulder joint mobilization on the function of the shoulder joint rotator cuff (impingement) syndrome after the physiotherapy in the first group. To evaluate the effect of stretching exercises on the funcion of the shoulder joint rotator cuff (impingement) syndrome after the physiotherapy in the second group. To compare the effects of joints mobilization and stretching exercises in the first and second groups. Empirical research methodology The study involved 22 subjects with a diagnosis of shoulder joint rotator cuff (impingement) syndrome. The first and second groups consisted of 11 subjects each. The tests were carried out at the begining and at the end of the study. For the trial were used – Apley, Defusiveness/Compression (Neer), Hawkins-Kennedy tests. A goniometer was used to evaluate flextion, extension, adduction, abduction, external and internal rotation amplitude of the shoulder joint. An Oxford scale from 0 to 5 was used to determine the muscle strength of the arm. The scale of visual analogues was used to determine the intensity of the pain. A survey was used to determine the level of pain. To assess the scores on a scale form 0 to 10, closed questions were provided, eg. Does the pain limit your daily movements? Do you feel pain at rests state? Is the pain getting worse at night? The results of the paper The results of this study showed that in individuals, with a diagnosis of rotator cuff syndrome, after physiotherapy and joint mobilization flextion, extension and external rotation increased (reliability p<0.05). The results of the second group showed that only the amplitude of adduction increased – at the begining of the study was evaluated at 4 (3,82±1,08)° and at the end of the study 5 (4,64±0,51)°. Muscle strength results showed that the results of the test and second group were statistically significant (p<0.05). After analyzing the results of the questionnaire it was determined that pain in daily routine movements at the benining of the trial was 7 (7,0±2,19), and at the end of the trial 4 (3,91±1,64)) points. In the second group at the resting state results were: at the begining of the trial 6(6,36±2,42) points, and at the end 4 (3,36±1,47) points. While evaluating the level of pain at night at the begining of the trial was 8 (7,55±2,16) points, and at the end of the trial 4 (4,09±1,30) points. These were 63.6 % of individuals in both: first and second groups. At the begining of the study more than one third (36,4%) of subjects of first and second groups suffered severe pain. At the end of the study, pain assesment revealed that in the first group 72.7 % of the subjects felt moderate pain and 27,3 % - complained of minor pain. OUTCOME 1. The pain intensity in the first group significantly decreased after applying the physiotherapy program and mobilization of the joints. Significant increase determined in the flextion, extension, adduction, abduction, internal and external rotational muscle strength of the amplitude of the upper arms. 2. The pain intesity in the second group after applying physiotherapy program and streching exercise a significant decrease in pain intensity at rest state. Significant increase muscle strength and adduction amplitude of the upper arms. 3. The results of this study showed that joint mobilization and physiotherapy impact most significant than second groups.

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