459 KB40 KB200820252024Frangež, MajaKos, NatašaMarc, AdrijanaŠtabuc Žonta, Anjaštevilka:1letnik:23str. 58-65COBISSID_HOST:205828867ISSN:2232-545XURN:URN:NBN:SI:doc-V822989LslUniverzitetni rehabilitacijski inštitut Republike Slovenije - SočaRehabilitacija (Ljubljana)adhesive capsulitisadhezivni kapsulitisbolečinaBursitisfrozen shoulderlimitation of mobilityomejitevPainPhysical Therapy Modalitiesrehabilitationtarčna radiofrekvenčna terapijatargeted radiofrequency therapyzamrznjena ramaUčinek tarčne radiofrekvenčne terapije na bolečino in gibljivost ramenskega sklepa pri pacientih z zamrznjeno ramo| The effect of targeted highfrequency therapy on the pain and range of motion of shoulder joint in patients with frozen shoulder|Background: Primary adhesive capsulitis of shoulder, also known as »frozen shoulder«, is a disease that manifests itself with increasing pain and limitation of movement in the shoulder joint. It is one of the main causes of severe pain in the middle-aged and elderly population, and its incidence is increasing. So far, there is no consensus regarding the most effective method of treatment. Targeted high-frequency therapy is a therapeutic technique that combines contact diathermy and electrotherapy. The electromagnetic frequency used originates from the radio frequency spectrum. The therapy is increasingly used in the treatment of various musculoskeletal disorders. The purpose of this research was to see if targeted high-frequency therapy can improve mobility and reduce pain in patients with frozen shoulder in the short term. Methods: We included 12 patients with frozen shoulder in the study. We measured the range of motion of the shoulder joint in the direction of elevation through anteflexion, elevation through abduction, anteflexion, retroflexion, abduction, external and internal rotation using a goniometer, and assessed the intensity of shoulder pain with a visual analogue scale before the first and after the fifth targeted high-frequency therapy (five 15-minute sessions in three cycles, over a period of two weeks). Results: The mobility of the shoulder joint improved after five therapies, statistically significantly in the direction of elevation through anteflexion, elevation through abduction, external rotation and abduction. The average range of motion in the direction of anteflexion and retroflexion remained unchanged. For the movement of internal rotation, we found a slightly higher average value after therapy, but this was not statistically significant. The average value of shoulder pain at rest before and after therapy was close to zero. After five therapies, we found a statistically significant reduction in shoulder pain during activity. We also detected a statistically significant association between the reduction of pain and progress in terms of mobility for the retroflexion movement; the association was moderately strong. Conclusion: Targeted high-frequency therapy has a beneficial effect on reducing pain and improving shoulder joint mobility in patients with frozen shoulder, but further research is needed to draw definitive conclusionsIzhodišča: Zamrznjena rama (ZR), znana tudi kot primarni adhezivni kapsulitis ramenskega sklepa, je obolenje, ki se kaže z vse močnejšo bolečino in omejitvijo gibljivosti v ramenskem sklepu. Je eden glavnih razlogov za hudo bolečino pri srednji in starejši populaciji, njena incidenca pa se povečuje. Zaenkrat še ni soglasja glede najbolj učinkovite metode zdravljenja. Tarčna radiofrekvenčna terapija je terapevtska tehnika, ki kombinira kontaktno diatermijo in elektroterapijo. Uporabljena elektromagnetna frekvenca izvira iz radiofrekvenčnega spektra. Terapija se vse pogosteje uporablja pri obravnavi različnih mišično-kostnih obolenj. Namen raziskave je bil preveriti, ali tarčna radiofrekvenčna terapija lahko kratkoročno izboljša gibljivost in zmanjša bolečino pri pacientih z zamrznjeno ramo. Metode: V raziskavo smo vključili 12 pacientov z zamrznjeno ramo. Izvedli smo meritve obsega gibljivosti ramenskega sklepa v smeri elevacije skozi antefleksijo, elevacije skozi abdukcijo, antefleksije, retrofleksije, abdukcije, zunanje in notranje rotacije z uporabo goniometra ter oceno intenzivnosti bolečine v rami z vidno analogno lestvico pred prvo ter po peti tarčni radiofrekvenčni terapiji (pet 15-minutnih terapij v treh ciklih, v obdobju dveh tednov). Rezultati: Gibljivost ramenskega sklepa se je po izvedbi petih terapij izboljšala, statistično značilno v smeri elevacije skozi antefleksijo, elevacije skozi abdukcijo, zunanje rotacije ter abdukcije. Povprečna gibljivost v smeri antefleksije in retrofleksije je po terapiji ostala nespremenjena. Za gib notranje rotacije smo sicer ugotovili nekoliko višjo povprečno vrednost po terapiji, vendar le-ta ni bila statistično značilna. Povprečna vrednost bolečine v mirovanju pred in po terapiji je bila blizu vrednosti 0. Po petih terapijah smo ugotavljali statistično značilno zmanjšanje bolečine med aktivnostjo. Zaznali smo tudi statistično značilno povezanost med zmanjšanjem bolečine in napredkom z vidika gibljivosti (gib retrofleksije), ki je bila srednje močna. Zaključek: Tarčna radiofrekvenčna terapija ima ugoden učinek na zmanjšanje bolečine ter izboljšanje gibljivosti ramenskega sklepa pri pacientih z zamrznjeno ramo, vendar so za dokončne zaključke potrebne nadaljnje raziskaveTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča