EFFICACY OF THE REHABILITATION PLAN BASED ON THE THEORY OF MUSCULAR SPIRALS IN PATIENTS WITH SCAPULOHUMERAL PAIN SYNDROME ACCORDING TO SHEAR WAVE ELASTOGRAPHY DATA

The scapulohumeral pain syndrome (frozen shoulder) is an umbrella term for various pathological conditions characterized by pain and limited range of motion in the shoulder joint that considerably reduces a person’s ability to work and impairs the quality of life. The most common etiological factors are: load on the muscles of the shoulder girdle, traumatic injuries of the shoulder joint in patient’s history and overstretching and partial tearing of the ligaments of the shoulder joint, vertebral radiculopathy with the development of reflex and dystrophic disorders in the corresponding muscles, ligaments and joint capsule. The goal of our work was to compare the efficacy of the rehabilitation plans based on standard approaches and rehabilitation plans based on the theory of muscle spirals in patients with the severe pain syndrome and scapulohumeral periarthritis. Materials and methods. We studied 98 patients with scapulohumeral periarthritis. At the first stage of the treatment, all patients received a medical blockade in sites of marked inflammation of para-articular structures. Then, the patients were divided into 2 groups: the patients of group I received a standard rehabilitation in accordance with the recommended regimens using physiotherapy and exercise therapy. The patients of group II took the patient-centred rehabilitation course based on the theory of muscle spirals and the complex effect on spastic muscles. Pain intensity was assessed by visual analogue scale and DASH scale, muscle stiffness was evaluated by compression and shear wave elastography. Results and conclusions. The dynamic changes of pain reduction in patients of group II demonstrated the significant intensity of pain, and a rapid restoration of joint function. The findings of shear wave elastometry showed no difference between the stiffness of the shoulder muscles in the group II after the course of rehabilitation and healthy muscles. Thus, the use of patient-centred rehabilitation plans based on the theory of muscle spirals and a complex effect on spastic muscles enables to achieve a more pronounced effect compared to the standard rehabilitation approaches.

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The Correlation of the Limitations of Movement of the Shoulder Joint with the Functional Ability of Frozen Shoulder Patients at the Medical Rehabilitation Institute Dr. Mohammad Hoesin Palembang

SRIWIJAYA JOURNAL OF MEDICINE ◽

10.32539/sjm.v3i3.218 ◽

2020 ◽

Vol 3 (3) ◽

pp. 88-96

Author(s):

Ine Sintia ◽

Nyimas Fatimah

Keyword(s):

Functional Ability ◽

Shoulder Joint ◽

Frozen Shoulder ◽

Limited Range ◽

Medical Rehabilitation ◽

Cross Sectional ◽

Shoulder Joints ◽

Limited Range Of Motion ◽

Active Flexion ◽

Cross Sectional Design

Background: Frozen shoulder is a condition of the shoulder joint that experiences inflammation, pain, adhesions, atrophyand shortening of the joint capsule resulting in limited motion. In frozen shoulder patients, the limited range of motion ofthe shoulder joint can affect and reduce functional ability. This study aims to analyze the correlation between the limitedarea of motion of the shoulder joint with the functional ability of frozen shoulder patients at the Medical RehabilitationInstallation Dr. Mohammad Hoesin Palembang. Methods: This study was an observational analytic study, correlationtest, with a cross sectional design. There were 29 frozen shoulder patients who met the inclusion criteria in the MedicalRehabilitation Installation Dr. Mohammad Hoesin Palembang in November 2018 was taken as a sample using consecutivesampling techniques. Functional ability was assessed using the quickDASH questionnaire and the area of motion wasmeasured using a goniometer, then analyzed. Results: The results of the correlation test showed significant resultsbetween functional abilities and the area of motion of the shoulder joints. Active flexion (p = 0.000; r = -0.669), activeextension (p = 0.004; r = -0.520), active abduction (p = 0.000; r = -0.663), active adduction (p = 0.022; r = -0.423 ), passiveflexion (p = 0.001; r = -0.589), passive extension (p = 0.002; r = -0.543), passive abduction (p = 0.000; r = -0.676), passiveadduction (p = 0.038; r = -0.388). Conclusion: There is a significant correlation between limited joint motion andfunctional ability in frozen shoulder patients at the Medical Rehabilitation Installation of Dr. Mohammad HoesinPalembang

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Evaluation of Ovaries in Patients with Polycystic Ovary Syndrome using Shear Wave Elastography

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405615666190114150538 ◽

2020 ◽

Vol 16 (5) ◽

pp. 578-583

Author(s):

Aysegul Altunkeser ◽

Zeynep Ozturk Inal ◽

Nahide Baran

Keyword(s):

Shear Wave ◽

Large Scale ◽

Polycystic Ovary ◽

Shear Wave Elastography ◽

Left Ovary ◽

Control Group ◽

Tissue Elasticity ◽

Group I ◽

Pcos Group ◽

The Right

Background: Shear wave electrography (SWE) is a novel non-invasive imaging technique which demonstrate tissue elasticity. Recent research evaluating the elasticity properties of normal and pathological tissues emphasize the diagnostic importance of this technique. Aims: Polycystic ovarian syndrome (PCOS), which is characterized by menstrual irregularity, hyperandrogenism, and polycystic overgrowth, may cause infertility. The aim of this study was to evaluate the elasticity of ovaries in patients with PCOS using SWE. Methods: 66 patients diagnosed with PCOS according to the Rotterdam criteria (PCOS = group I) and 72 patients with non-PCOS (Control = group II), were included in the study. Demographic and clinical characteristics of the participants were recorded. Ovarian elasticity was assessed in all patients with SWE, and speed values were obtained from the ovaries. The elasticity of the ovaries was compared between the two groups. Results: While there were statistically significant differences between the groups in body mass index (BMI), right and left ovarian volumes, luteinizing hormone and testosterone levels (p<0.05), no significant differences were found between groups I and II in the velocity (for the right ovary 3.89±1.81 vs. 2.93±0.72, p=0.301; for the left ovary 2.88±0.65 vs. 2.95±0.80, p=0.577) and elastography (for the right ovary 36.62±17.78 vs. 36.79±14.32, p=0.3952; for the left ovary 36.56±14.15 vs. 36.26±15.10, p=0.903) values, respectively. Conclusion: We could not obtain different velocity and elastography values from the ovaries of the patients with PCOS using SWE. Therefore, further large-scale studies are needed to elucidate this issue.

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The Effectiveness Of Quadriceps Strengthening Exercises Combined With Neuromuscular Electrical Stimulation on Patellofemoral Pain Syndrome

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967117s00107 ◽

2017 ◽

Vol 5 (2_suppl2) ◽

pp. 2325967117S0010

Author(s):

Sezen Karabörklü Argut ◽

Nilgün Türker ◽

Derya Çelik ◽

Önder İsmet Kılıçoğlu

Keyword(s):

Electrical Stimulation ◽

Muscle Strength ◽

Neuromuscular Electrical Stimulation ◽

Pain Syndrome ◽

Quadriceps Strength ◽

Patellofemoral Pain ◽

Group I ◽

Strengthening Exercises ◽

Group Ii ◽

And Function

Objective: The weakness of the quadriceps strength in patellofemoral pain syndrome (PFPS) is very evident. Therefore, quadriceps strengthening exercises are very important part of the rehabilitation program. Neuromuscular Electrical Stimulation (NMES) is considered one of the methods for increasing quadriceps muscle strength. To evaluate the effectiveness of combined NMES and strengthening exercises to improve the recovery of quadriceps strength and function in patients with PFPS. Methods: This study was planned as a randomized controlled pilot study. A total of 27 patients (mean age=38.9±10.8 years, range=20-60 years; 16 females) with PFPS were assessed and randomly assigned into 2 groups. Group I received a standard program (quadriceps strengthening, hip strengthening and hamstring stretching) and NMES combined with quadriceps strengthening exercises simultaneously. Group II received the same standard program without NMES. Both groups were enrolled 3 times per week for 40 minutes per day in 6 weeks. Patients were assessed at the baseline, 3 rd, 6th, and 12th weeks of treatment. Quadriceps strength was evaluated by isokinetic dynamometer. The range of motion at testing was set between 0 for extension to 90 for flexion. The test was performed at 60 degrees/sn and concentric maximum peak torque value was recorded. Kujala and Lysholm scores were used for functional assessments. The data were analyzed using the SPSS 20.0. Shapiro-Wilk test was used to assess the distribution of data. The changes in dependent variables before treatment, 3 rd, 6th, and 12th weeks were analyzed using a 2 by 4 mixed-model analysis of variance (ANOVA). Pairwise comparisons with paired t test were used to determine whether the Group I or Group II, has changed over time. An intention- to- treat analysis was performed to impute values for missing data. An alpha level of 0.05 was established. Results: The study was completed with 20 patients. Group I (n=10; mean age=39.4±8.5 years; 7 females) and group II (n=10; mean age=43.2±11.7 years; 5 females) had no differences in pre-operative measures (p>.05). There was significant improvements in within groups statistics of all parameters for both groups (p<.05). No differences in quadriceps strength, Kujala and Lysholm scores between groups were found at the different time points (F= 0.86; p = 0.12, F=0,001; p =0.97, F=0.12; p=0.73, respectively) Conclusion: NMES combined with quadriceps strengthening exercises has no additional effect on PFPS patients’ on muscle strength and function. When considering these results, we believe that there is no need to continue the study in progress. [Table: see text]

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COMPARATIVE EVALUATION OF THE RESULTS OF SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN USING THE ENDOVASCULAR HIGH-FREQUENCY WELDING TECHNIQUE AND TRADITIONAL TECHNIQUE

Wiadomości Lekarskie ◽

10.36740/wlek202004103 ◽

2020 ◽

Vol 73 (4) ◽

pp. 638-641

Author(s):

Serhiy I. Savolyuk ◽

Valentyn A. Khodos ◽

Roman A. Herashchenko ◽

Vladyslav S. Horbovets

Keyword(s):

Saphenous Vein ◽

High Frequency ◽

Comparative Evaluation ◽

Great Saphenous Vein ◽

Pain Syndrome ◽

Surgical Operation ◽

Electric Welding ◽

Group I ◽

Group Ii ◽

Welding Technique

The aim of the study was to conduct a comparative evaluation of the effectiveness of surgical treatment of acute ascending thrombophlebitis of the great saphenous vein using the endovascular high-frequency welding technique and traditional phlebectomy. Materials and methods: Two groups were formed in the conducted study. Group I included patients (n=42) with the acute ascending thrombophlebitis of the great saphenous vein, in whom their thrombosed great saphenous vein was removed using the endovascular high-frequency welding technique. As a source of current, an EK300M1 Svarmed electric welding machine (Ukraine) was used. Electric welding of a thrombosed vein segment was carried out using the endovenous electric welding catheter. Group II included patients (n=31) with the acute ascending thrombophlebitis of the great saphenous vein, who underwent the traditional phlebectomy of the thrombosed great saphenous vein according to Babcock’s technique. Results: In group I no patient revealed presence of pain syndrome with significant intensity during the postoperative period. An infiltrate along the coagulated segments of the great saphenous vein, postoperative oedema and paresthesiae were observed in considerably fewer cases from group I versus group II (р=0.0005, р=0.0001, р=0.0018). During their follow-up for more than 12 months, 2 (4.76 %) of 42 patients from group I revealed partial recanalization of the great saphenous vein (р=0.632). In group I the postoperative inpatient period was 1.3±0.1 days. In group II the above period averaged 4.8±0.8 days (p<0.001). Absence of an intense pain syndrome in group I was caused by a gentle effect of high-frequency electric current itself on the venous wall and paravasal structures. A significant reduction of side effects and complications with a shorter stay of patients in hospital versus the traditional phlebectomy was achieved owing to reduction in the extent of injury of the surgical operation itself with the use of endovascular high-frequency welding. Conclusions: The technique of endovascular high-frequency welding in treatment of acute ascending thrombophlebitis of the great saphenous vein makes it possible to reduce the extent of injury of the surgical operation versus the traditional phlebectomy, results in a significant decrease in the number of side effects and complications and shortens the period of the patient’s stay in hospital.

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Effects of the trunk position on muscle stiffness that reflects elongation of the lumbar erector spinae and multifidus muscles: an ultrasonic shear wave elastography study

European Journal of Applied Physiology ◽

10.1007/s00421-019-04098-6 ◽

2019 ◽

Vol 119 (5) ◽

pp. 1085-1091 ◽

Cited By ~ 2

Author(s):

Mitsuhiro Masaki ◽

Xiang Ji ◽

Taishi Yamauchi ◽

Hiroshige Tateuchi ◽

Noriaki Ichihashi

Keyword(s):

Shear Wave ◽

Shear Wave Elastography ◽

Muscle Stiffness ◽

Erector Spinae ◽

Ultrasonic Shear ◽

Trunk Position

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Effect of Rest Duration Between Static Stretching on Passive Stiffness of Medial Gastrocnemius Muscle In Vivo

Journal of Sport Rehabilitation ◽

10.1123/jsr.2018-0376 ◽

2020 ◽

Vol 29 (5) ◽

pp. 578-582

Author(s):

Masatoshi Nakamura ◽

Shigeru Sato ◽

Ryosuke Kiyono ◽

Nobushige Takahashi ◽

Tomoichi Yoshida

Keyword(s):

Elastic Modulus ◽

Shear Wave ◽

Repeated Measures ◽

Shear Wave Elastography ◽

Muscle Stiffness ◽

Medial Gastrocnemius ◽

Static Stretching ◽

Shear Elastic Modulus ◽

Before And After

Context: In clinical and sports settings, static stretching (SS) is usually performed to increase range of motion (ROM) and decrease passive muscle stiffness. Recently, the shear elastic modulus was measured by ultrasonic shear wave elastography as an index of muscle stiffness. Previous studies reported that the shear elastic modulus measured by ultrasound shear wave elastography decreased after SS, and the effects of SS on shear elastic modulus were likely affected by rest duration between sets of SS. Objective: To investigate the acute effects of SS with different rest durations on ROM and shear elastic modulus of gastrocnemius and to clarify whether the rest duration between sets of SS decreases the shear elastic modulus. Design: A randomized, repeated-measures experimental design. Setting: University laboratory. Participants: Sixteen healthy males volunteered to participate in the study (age 21.3 [0.8] y; height 171.8 [5.1] cm; weight 63.1 [4.5] kg). Main Outcome Measures: Each participant underwent 3 different rest interval durations during SS (ie, long rest duration: 90 s; normal rest duration: 30 s; and short rest duration: 10 s). This SS technique was repeated 10 times, thus lasting a total of 300 seconds with different rest durations in each protocol. The dorsiflexion ROM and shear elastic modulus were measured before and after SS. Results: Our results revealed that dorsiflexion ROM and shear elastic modulus were changed after 300-second SS; however, no effects of the rest duration between sets of SS were observed. Conclusions: In terms of decreasing the shear elastic modulus, clinicians and coaches should not focus on the rest duration when SS intervention is performed.

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