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Assessment of the Progress of Treatment Rehabilitation of Patients with Shoulder Joint Diseases

100%

Świtoń A., Wnuk A., Szumlański J., Wogórka N.

Central European Journal of Sport Sciences and Medicine

2017

vol. 20

issue 4

53-60

Introduction: Damage to soft tissue in the shoulder area causes significant impairment in the biomechanics of the joint, causing severe pain, inflammation and consequently leading to restricted mobility and functional capacity. The shoulder impingement syndrome is a multifaceted disease entity of diverse etiology. It is assumed that this syndrome is responsible for 44-60% of all ailments in the area of the pectoral girdle. Pathologies of soft tissues in the area of the glenohumeral joint affect 1/3 of the population. The aim of this study was to evaluate the functional capacity of patients with the shoulder area disorder undergoing sanatorium treatment. Materials and Methods: In the study 30 patients were diagnosed with diseases within the shoulder joint before and after rehabilitation treatment. The clinical examination included kinematic measurement of the range of motion (ROM) and the muscle strength of the shoulder joint. Furthermore, the pain intensity was assessed using the VAS. Results: The examination of the range of motion of the affected upper limb demonstrated considerable limitations and statistically significant differences before and after rehabilitation treatment for all the assessed movements. Moreover, the difference between the level of pain according to the VAS before (mean = 6.2) and after physiotherapeutic treatment (mean = 3.7) was demonstrated. The evaluation of linear relationships showed a significant correlation between the VAS and shoulder abduction, shoulder horizontal abduction and muscle strength for internal and external rotation after sanatorium treatment. Conclusions: Progressive changes in the soft tissues of the shoulder joint cause a significant limitation of functional capacity of patients and severe pain. Rehabilitation treatment significantly increases active participation in daily life and improve patient quality of life.

Physiotherapy and quality of life of patients in long-term care

76%

Wójcik A., Nowak A., Polak M., Gleb K., Wnuk A., Szczygieł A.

Medical Rehabilitation

2017

vol. 21(2)

19-24

Wstęp Znaczenie fizjoterapii w poprawie jakości życia pacjentów objętych stacjonarną opieką długoterminową nie jest jeszcze do końca poznane. Celem badania była ocena jakości życia i stanu funkcjonalnego pacjentów objętych opieką długoterminową w odniesieniu do prowadzonej rehabilitacji. Projekt badawczy Badanie przekrojowe Materiał i metody Badanie przeprowadzono w grupie 58 osób. Do zebrania danych wykorzystano kwestionariusz dotyczący rehabilitacji, skalę Barthel, skalę VAS oraz kwestionariusz WHOQOL-Bref. Wyniki Stan funkcjonalny oceniono jako średnio ciężki i lekki u 83,9% osób. Ponad 70% pacjentów jakość życia oceniło jako dobrą i bardzo dobrą. Nie wykazano istotnej zależności między uczestnictwem w rehabilitacji a jakością życia badanych (p=0,35). Istnieje monotoniczna zależność pomiędzy zadowoleniem z rehabilitacji a domeną socjalną jakości życia (r=0,34, p=0,01). Wykazano istotną zależność między jakością życia a BMI, wykształceniem, bólem i poziomem sprawności ocenionym w skali Barthel. Wnioski Większość ankietowanych mieszkańców Domów Pomocy Społecznej uczestniczyła w rehabilitacji i była z niej zadowolona, co pozytywnie wpłynęło na ocenę jakości życia w zakresie relacji społecznych.

The importance of physiotherapy in improving quality of life of patients in long-term care is not yet fully understood. The aim of the study was to assess the quality of life and functional status of patients in long-term care with respect to their rehabilitation. Study design: Cross-sectional. The study was conducted among a group of 58 individuals. A questionnaire to collect the data concerning rehabilitation, the Barthel scale, VAS and WHOQOL-Bref were used. The functional condition was assessed as moderately heavy and light in 83.9% of participants. More than 70% of patients rated the quality of life as good and very good. There was no significant relationship between participation in rehabilitation and quality of life of the subjects (p=0.35). There was a monotonic relationship between the social domain of quality of life and satisfaction with rehabilitation (r=0.34, p=0.01). There was a significant correlation between the quality of life and BMI, education, pain and level of functional efficiency assessed using the Barthel scale. The majority of the studied nursing-home residents participated in rehabilitation and were satisfied with it, which positively affected the quality of life in terms of social relations. physiotherapy, quality of life, functional status, long-term care Received: 2nd Mar. 2016; Accepted for publication: 7th Jan. 2017

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1 Central European Journal of Sport Sciences and Medicine

1 Medical Rehabilitation

2 2017

2 Wnuk A.

1 Gleb K.

1 Nowak A.

1 Polak M.

1 Szczygieł A.

1 Szumlański J.

1 Wogórka N.

1 Wójcik A.

1 Świtoń A.

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Assessment of the Progress of Treatment Rehabilitation of Patients with Shoulder Joint Diseases

Physiotherapy and quality of life of patients in long-term care