使用视觉模拟量表以及手臂、肩部和手部功能障碍量表评估麦特兰德松动术联合传统物理治疗方案对中度组织激惹水平的糖尿病性肩周炎的影响。

Assessing the Impact of Maitland Mobilization Combined With a Conventional Physiotherapy Regimen Using the Visual Analog Scale and Disability of the Arm, Shoulder and Hand Scale in Diabetic Frozen Shoulder With Moderate Tissue Irritability Level.

作者信息

Jagtap Vaishali, Varadharajulu G

机构信息

Orthopaedics, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Karad, IND.

Physical Medicine and Rehabilitation, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Karad, IND.

出版信息

Cureus. 2024 Nov 27;16(11):e74640. doi: 10.7759/cureus.74640. eCollection 2024 Nov.

Abstract

Background Patients suffering from diabetic frozen shoulder face particular challenges, including limited shoulder motion and excruciating pain. Although traditional physiotherapy methods are commonly used, it is important to investigate the effectiveness of combining Maitland mobilization with traditional treatments, especially considering patients' tissue irritability levels as often patients cannot tolerate mobilization and exercises due to tissue irritability. This study aimed to investigate the impact of Maitland mobilization combined with a conventional physiotherapy regimen on pain and functional ability using the Visual Analog Scale (VAS) and Disability of the Arm, Shoulder and Hand (DASH) scales in diabetic patients suffering from a frozen shoulder with moderate tissue irritability levels. Methodology A total of 30 diabetic patients suffering from frozen shoulders with moderate irritability levels were assigned to two groups. Group A was administered conventional physiotherapy which consisted of hot moist packs, therapeutic ultrasounds, and exercises. Group B received conventional therapy with Maitland mobilization. The treatment lasted for six weeks with four sessions per week. Pre- and post-treatment pain and disability were assessed using the VAS and DASH scales. Results Post-treatment Groups A and B showed significant improvements. In Group A, the mean VAS score reduced from 4.97 ± 0.26 to 4.00 ± 0.19 (p < 0.001), while Group B showed a greater reduction from 5.00 ± 0.21 to 2.71 ± 0.13 (p < 0.001). Both groups showed an improvement in DASH scores, with the DASH score decreasing from 27.17 ± 2.37 to 21.89 ± 1.89 in Group A (p < 0.001). Group B showed more significant improvement from 27.23 ± 1.73 to 15.12 ± 0.78 (p < 0.001). Intergroup analysis between both groups showed significantly better outcomes in Group B in both VAS and DASH scores (p < 0.001). Conclusions Maitland mobilization with conventional physiotherapy significantly decreases pain and improves functional recovery in diabetic patients suffering from frozen shoulders with moderate tissue irritability levels.

摘要

背景 患有糖尿病性肩周炎的患者面临着特殊的挑战,包括肩部活动受限和剧痛。尽管传统物理治疗方法常用,但研究将梅特兰松动术与传统治疗相结合的有效性很重要,尤其是考虑到患者的组织激惹水平,因为患者常因组织激惹而无法耐受松动术和锻炼。本研究旨在使用视觉模拟量表(VAS)和手臂、肩部和手部功能障碍(DASH)量表,调查梅特兰松动术联合传统物理治疗方案对患有中度组织激惹水平肩周炎的糖尿病患者疼痛和功能能力的影响。

方法 总共30名患有中度激惹水平肩周炎的糖尿病患者被分为两组。A组接受包括热湿敷、治疗性超声和锻炼的传统物理治疗。B组接受传统治疗加梅特兰松动术。治疗持续六周,每周四次。使用VAS和DASH量表评估治疗前后的疼痛和功能障碍情况。

结果 治疗后A组和B组均有显著改善。A组的平均VAS评分从4.97±0.26降至4.00±0.19(p<0.001),而B组从5.00±0.21降至2.71±0.13,降幅更大(p<0.001)。两组的DASH评分均有所改善,A组的DASH评分从27.17±2.37降至21.89±1.89(p<0.001)。B组从27.23±1.73降至15.12±0.78,改善更为显著(p<0.001)。两组间的组间分析显示,B组在VAS和DASH评分方面的结果均显著优于A组(p<0.001)。

结论 梅特兰松动术联合传统物理治疗可显著减轻患有中度组织激惹水平肩周炎的糖尿病患者的疼痛并改善功能恢复。

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