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

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

scholarly journals The Correlation Between Limited Range of Movement And Functional Ability of Frozen Shoulder Patient at Medical Rehabilitation Department RSUPDr Mohammad Hoesin Palembang

2019 ◽  
Vol 51 (1) ◽  
pp. 47-52
Author(s):  
Ine Santia ◽  
Nyimas Fatimah ◽  
Tri Suciati
Keyword(s):  
Functional Ability ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Limited Range ◽  
Medical Rehabilitation ◽  
Range Of Movement ◽  
Cross Sectional ◽  
Correlation Test ◽  
Active Flexion ◽  
Joint Range

Frozen shoulder is the inflammation of shoulder joint,  marked by a painful, adhesive, atrophic and shortened joint capsule. As a result, movement range of the joint becomes limited. In frozen shoulder patients, the limitation can affect and lessen functional ability. Therefore, this study is aimed to analyze the correlation between the limited range of movement of shoulder joint and the functional ability of frozen shoulder patients in Department of Medical Rehabilitation of RSUP Dr. Mohammad Hoesin Palembang.  This study is an observational analysis using correlation test with cross-sectional design. Twenty nine frozen shoulder patients in Department of Medical Rehabilitation of RSUP Dr. Mohammad Hoesin Palembang in November 2018 that met the inclusion criteria were taken as subjects of this study by using consecutive sampling technique. Functional ability was assessed with quickDASH questionnaire while shoulder joint range of movement with goniometry. Data analysis was conducted subsequent to the assessments. The result of correlation test between functional ability and shoulder joint range of movement is significant. The study findings include active flexion (p=0,000; r=-0,669), active extension (p=0,004; r=-0,520), active abduction (p=0,000; r=-0,663), active adduction (p=0,022; r=-0,423), passive flexion (p=0,001; r=-0,589), extension passive (p=0,002; r=-0,543), passive abduction (p=0,000; r=-0,676) and passive adduction (p=0,038; r=-0,388).There is a significant correlation between limited range of movement and functional ability in frozen shoulder patients from Department of Medical Rehabilitation of RSUP Dr. Mohammad Hoesin Palembang.

Simulated Compensatory Motion of Transradial Prostheses

2008 ◽  
Author(s):  
Derek Lura ◽  
Rajiv Dubey ◽  
Stephanie L. Carey ◽  
M. Jason Highsmith
Keyword(s):  
Range Of Motion ◽  
Shoulder Joint ◽  
Degrees Of Freedom ◽  
Biomechanical Model ◽  
Elbow Flexion ◽  
Limited Range ◽  
Joint Movement ◽  
Range Of Movement ◽  
Limited Range Of Motion ◽  
Compensatory Motion

The prostheses used by the majority of persons with hand/arm amputations today have a very limited range of motion. Transradial (below the elbow) amputees lose the three degrees of freedom provided by the wrist and forearm. Some myoeletric prostheses currently allow for forearm pronation and supination (rotation about an axis parallel to the forearm) and the operation of a powered prosthetic hand. Older body-powered prostheses, incorporating hooks and other cable driven terminal devices, have even fewer degrees of freedom. In order to perform activities of daily living (ADL), a person with amputation(s) must use a greater than normal range of movement from other body joints to compensate for the loss of movement caused by the amputation. By studying the compensatory motion of prosthetic users we can understand the mechanics of how they adapt to the loss of range of motion in a given limb for select tasks. The purpose of this study is to create a biomechanical model that can predict the compensatory motion using given subject data. The simulation can then be used to select the best prosthesis for a given user, or to design prostheses that are more effective at selected tasks, once enough data has been analyzed. Joint locations necessary to accomplish the task with a given configuration are calculated by the simulation for a set of prostheses and tasks. The simulation contains a set of prosthetic configurations that are represented by parameters that consist of the degrees of freedom provided by the selected prosthesis. The simulation also contains a set of task information that includes joint constraints, and trajectories which the hand or prosthesis follows to perform the task. The simulation allows for movement in the wrist and forearm, which is dependent on the prosthetic configuration, elbow flexion, three degrees of rotation at the shoulder joint, movement of the shoulder joint about the sternoclavicular joint, and translation and rotation of the torso. All joints have definable restrictions determined by the prosthesis, and task.

Activity- vs. structural-oriented treatment approach for frozen shoulder: a randomized controlled trial

2017 ◽  
Vol 31 (5) ◽  
pp. 686-695 ◽  
Author(s):  
Renata Horst ◽  
Tomasz Maicki ◽  
Rafał Trąbka ◽  
Sindy Albrecht ◽  
Katharina Schmidt ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Conventional Therapy ◽  
Daily Life ◽  
Frozen Shoulder ◽  
Limited Range ◽  
Mcgill Pain Questionnaire ◽  
Daily Life Activities ◽  
Limited Range Of Motion ◽  
Days Of Therapy

Objective: To compare the short- and long-term effects of a structural-oriented (convential) with an activity-oriented physiotherapeutic treatment in patients with frozen shoulder. Design: Double-blinded, randomized, experimental study. Setting: Outpatient clinic. Subjects: We included patients diagnosed with a limited range of motion and pain in the shoulder region, who had received a prescription for physiotherapy treatment, without additional symptoms of dizziness, a case history of headaches, pain and/or limited range of motion in the cervical spine and/or temporomandibular joint. Interventions: The study group received treatment during the performance of activities. The comparison group was treated with manual therapy and proprioceptive neuromuscular facilitation (conventional therapy). Both groups received 10 days of therapy, 30 minutes each day. Main measures: Range of motion, muscle function tests, McGill pain questionnaire and modified Upper Extremity Motor Activity Log were measured at baseline, after two weeks of intervention and after a three-month follow-up period without therapy. Results: A total of 66 patients were randomized into two groups: The activity-oriented group ( n = 33, mean = 44 years, SD = 16 years) including 20 male (61%) and the structural-oriented group ( n = 33, mean = 47 years, SD = 17 years) including 21 male (64%). The activity-oriented group revealed significantly greater improvements in the performance of daily life activities and functional and structural tests compared with the group treated with conventional therapy after 10 days of therapy and at the three-month follow-up ( p < 0.05). Conclusions: Therapy based on performing activities seems to be more effective for pain reduction and the ability to perform daily life activities than conventional treatment methods.

scholarly journals Advanced Glycation End-products Are Associated With Limited Range of Motion of the Shoulder Joint Following Rotator Cuff Tears

2022 ◽  
Author(s):  
Issei Shinohara ◽  
Yutaka Mifune ◽  
Atsuyuki Inui ◽  
Hanako Nishimoto ◽  
Kohei Yamaura ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Rotator Cuff ◽  
Advanced Glycation End Products ◽  
Shoulder Joint ◽  
Limited Range ◽  
Rotator Cuff Tears ◽  
Advanced Glycation ◽  
Limited Range Of Motion ◽  
Glycation End Products ◽  
End Products

Abstract Background: Most degenerative rotator cuff tears (RCTs) are associated with a limited range of motion (ROM) of the shoulder joint. Additionally, patients with diabetes mellitus (DM) show a higher frequency of limited ROM. Recently, advanced glycation end products (AGEs) of proteins have been observed to cause tissue fibrosis, primarily through abnormal collagen cross-linking and oxidative stress. In this study, we investigated the effect of AGEs on ROM limitation in the shoulder capsule and its relationship with DM.Methods: 16 patients (8 each in the DM and non-DM groups) who underwent arthroscopic surgery for RCT with limited shoulder ROM were included in this study. AGE-related pathologies in both groups were compared, and the relationship between AGE accumulation and shoulder joint ROM was evaluated. Shoulder capsule tissue was harvested and subjected to histological and in vitro evaluation. Results: The DM group displayed high levels of AGEs and reactive oxygen species (ROS), and reduced cell viability. There was a significant positive correlation between ROS expression, apoptosis, and preoperative hemoglobin A1c. ROS expression, apoptosis, and ROM of the shoulder joint showed a negative correlation. The NADPH oxidase (NOX) expression and collagen III/I ratio were significantly higher in the DM group than in the non-DM group.Conclusions: The DM group showed significant AGE deposition in the shoulder capsule. Additionally, there was a significant association between AGEs and ROM limitation. The oxidative stress induced by AGE deposition, which leads to fibrosis and local inflammation, might contribute to the limited ROM of the shoulder joint.

scholarly journals SEMINAR PEMBERIAN CODMAN PENDULAR EXERCISE TERHADAP PENINGKATAN LINGKUP GERAK SENDI PENDERITA FROZEN SHOULDER DI RUMAH SAKIT GRANDMED LUBUK PAKAM

2021 ◽  
Vol 1 (1) ◽  
pp. 163-167
Author(s):  
Siti Sarah Bintang Sarah Bintang ◽  
Sabirin Berampu ◽  
Mawaddah Saleha ◽  
Miftahul Zannah ◽  
Simson Sinuhaji ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Limited Range ◽  
Statistical Test ◽  
P Value ◽  
Test Results ◽  
Limited Range Of Motion ◽  
Question And Answer ◽  
Service Activity

Frozen shoulder or another name for adhesive capsulitis is pain that results in limited Range of Motion (ROM). Frozen shoulder or another name for adhesive capsulitis is pain that results in limited Range of Motion (ROM). Codman pendular exercises are interventions or techniques often used by physiotherapists to increase Range of Motion (ROM). This service activity is carried out through seminars using lecture, question and answer methods and demonstrations. The samples taken were patients with frozen shoulder with a total of 14 people. The statistical test results obtained p-value <0.05, it can be concluded that the hypothesis in the study was accepted, namely: "There is an Effect of Giving Codman Pendular Exercises and Mulligan Mobilization With Movement on Increasing Range Of Motion in Frozen Shoulder Patients"

scholarly journals Effect of Giving Scapular Pattern Exercise for Increasion Range of Motion in Frozen Shoulder

2020 ◽  
Author(s):  
Aulia Muthia Muthmainnah ◽  
◽  
Afif Ghufroni ◽  
M.Mudatsir Syatibi ◽  
◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Limited Range ◽  
T Test ◽  
Joint Motion ◽  
Shoulder Range Of Motion ◽  
Joint Disorder ◽  
Shoulder Range ◽  
Paired T Test

ABSTRACT Background: Frozen shoulder is a shoulder joint disorder that occurs in 2-5% of the world’s total population and causes pain, causing shoulder joint motion to be limited. Limited range of shoulder joint motion in frozen shoulder causing diminished functional activity ability. This research aims to determine the effect of giving training on scapula patterns to increase the range of shoulder movement in frozen shoulder case. Subjects and Method: This was an experimental study with one groups pre and posttest design. This study was conducted for 4 weeks with 8 times treatment at RSAL Dr. Ramelan Surabaya. The subjects selected in this study were six persons based on criteria for inclusion and exclusion. The dependent variable was shoulder range of motion. The independent variable was scapular pattern exercise. The data were collected by goniometer instrument and analyzed by paired T test. Results: Paired T test showed that shoulder range of motion exorotation (p= 0.001; 95% CI= -15.95 to -7.38) (Mean= 11.67; SD= 4.08), shoulder range of motion abduction (p< 0.001; 95% CI= -50.75 to -39.25) (Mean= 45.00; SD= 5.48), shoulder range of motion endorotation (p< 0.001, 95% CI= -29.73 to -15.27) (Mean= 22.50; SD= 6.89). Conclusion: Scapular pattern exercise can be recommended as a therapy to increase the range of motion of the shoulder joint in cases of frozen shoulder. Keywords: frozen shoulder, shoulder range of motion, scapular pattern exercise, goniometer. Correspondence: Aulia Muthia Muthmainnah. School of Health Polytechnics, Surakarta. Jl.Adi Sumarmo, Tohudan, Karanganyar. Email: [email protected]. Mobile: 082320934461 DOI: https://doi.org/10.26911/the7thicph.05.11

scholarly journals Angka kejadian afasia pada stroke di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado tahun 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Andrew M. Purnomo ◽  
Lidwina S. Sengkey ◽  
Christina A. Damopolii
Keyword(s):  
Language Disorder ◽  
General Term ◽  
Medical Rehabilitation ◽  
Left Hemiparesis ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Using Data ◽  
The Right

Abstract: Aphasia is a general term used to define a set of language disorder that occurs after brain damage commonly in the left hemisphere. The most underlying etiology of aphasia is cerebrovascular disease, stroke. Aphasia is present in 21-38% of patients with acute stroke and its impact is associated with short-term and long-term morbidity, high mortality rates, and limitations of the patients socialization. So as to raise awareness of disability caused by stroke, especially aphasia, it is necessary to know the incidence of aphasia in stroke patients in the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Manado Hospital in 2015. This was retrospective descriptive study with a cross sectional design using data from medical records. Of the 455 stroke patients, 60 (13,2%) were aphasic. The youngest age of aphasic patients was 30 years old and the oldest one was 85 years old. The incidence of aphasia was more common in the age above 60 years (40%), non hemorrhagic stroke (60%), and in patients with right hemiparesis (78,3%). However, there were 6 (10%) aphasic patients with left hemiparesis. Conclusion: In the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Manado Hospital in 2015, the incidence of aphasia was 13.2%. There was an increasing incidence of aphasia in each decade over the age of 30 years. No significant differences between the genders and types of stroke. Aphasia was also f ound in patients with left hemiparesis which signified the involvement of the right hemisphere.Keywords: aphasia, stroke, medical rehabilitation Abstrak: Afasia adalah istilah umum yang digunakan untuk mendefinisikan sekumpulan gangguan berbahasa yang terjadi setelah adanya kerusakan otak, yang sering mengenai hemisfer sebelah kiri. Etiologi yang paling banyak mendasari afasia ialah penyakit serebrovaskular, yaitu stroke. Afasia terdapat pada 21-38% pasien stroke akut dan dampaknya dikaitkan dengan morbiditas jangka pendek dan jangka panjang, tingginya angka mortalitas, dan keterbatasan pasien dalam sosialisasi. Penelitian ini bertujuan untuk mengetahui angka kejadian afasia pada stroke di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D Kandou Manado tahun 2015. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data dari rekam medik. Hasil penelitian memperlihatkan dari 455 pasien stroke, 60 (13,2%) diantaranya mengalami afasia. Usia paling muda pasien dengan afasia ialah 30 tahun dan usia paling tua ialah 85 tahun. Angka kejadian afasia lebih banyak terjadi pada usia di atas 60 tahun (40%), stroke non hemoragik (60%), dan pasien dengan hemiparesis dekstra (78,3%). Terdapat 6 (10%) pasien afasia dengan hemiparesis sinistra. Simpulan:Angka kejadian afasia pada tahun 2015 ialah 13,2%. Adanya peningkatan angka kejadian afasia pada tiap dekade usia di atas 30 tahun. Tidak ada perbedaan bermakna antara jenis kelamin dan jenis stroke. Pasien dengan hemiparesis sinistra juga mengalami afasia yang menandakan keterlibatan hemisfer dekstra. Kata kunci: afasia, stroke, rehabilitasi medik

scholarly journals Investigation of the range of motion of the shoulder joint in subjects with rotator cuff arthropathy while performing daily activities

2021 ◽  
Author(s):  
Mohammad Taghi Karimi ◽  
Sahar Khademi
Keyword(s):  
Rotator Cuff ◽  
Range Of Motion ◽  
Shoulder Joint ◽  
Daily Activities ◽  
Shoulder Joints ◽  
Limited Range Of Motion ◽  
Significant Difference ◽  
Flexion Extension ◽  
The Difference ◽  
Rotator Cuff Arthropathy

Background: Patients who have rotator cuff arthropathy experience a limited range of motion (ROM) of the shoulder joint and experience problems in performing their daily activities; however, no evidence is available to suggest the exact ROM of the shoulder joint in this population. Therefore, this study sought to determine the degree of motion of the shoulder joint in three planes during different activities.Methods: Five subjects with rotator cuff injuries participated in this study. The motion of the shoulder joints on both the involved and normal sides was assessed by a motion analysis system while performing forward abduction (task 1), flexion (task 2), and forward flexion (task 3). The OpenSIM software program was used to determine the ROM of the shoulder joints on both sides. The difference between the ranges of motion was determined using a two-sample t-test. Results: The ROMs of the shoulder joint in task 1 were 35°±16.5°, 72.1°±2.6°, and 103.9°±28.7° degrees for flexion, abduction, and rotation, respectively, on the normal side and 28°±19.8°, 31°±31.56°, and 48°±33.5° on the involved side (p<0.05). There was no significant difference between the flexion/extension and rotation movements of the shoulder joint when performing task 1. However, the difference between flexion and rotation movements of the shoulder joints for the second task was significant (p˃0.05).Conclusions: Those with rotator cuff arthropathy have functional limitations due to muscle weakness and paralysis, especially during the vertical reaching task. However, although these individuals have decreased ROM for transverse reaching tasks, the reduction was not significant.

scholarly journals Association Between Family Support and Post-Stroke Activity of Daily Living Autonomy

2017 ◽  
Vol 4 (2) ◽  
pp. 213 ◽  
Author(s):  
Esa Karunia
Keyword(s):  
Family Support ◽  
Daily Living ◽  
Medical Rehabilitation ◽  
Chi Square ◽  
Cross Sectional ◽  
Post Stroke ◽  
A Value ◽  
Cross Sectional Design ◽  
June July ◽  
The Relationship

Nowadays stroke is a disease that caused the death of the fifth highest in the United State and the second at the age of 60 year old. Stroke caused some disability impact that can affect or interfere person when doing Activity Daily Living (ADL). On the otherhand, stroke also caused deprresion, so it takes a family to support stroke patients can perform the activity. Therefore, researcher investigated the relationship between family support with ADL post stroke. This research included observational studies, the design of the study was cross-sectional design. Sample was calculated using simple random sampling’s formula, and the result was 47 people. Reserch conducted at the medical rehabilitation of RSU Haji Surabaya in June-July 2015. The independent variables in this study werw age, gender, occupation, and family support, while the dependent variable was ADL independent of post-stroke. Data analysis using Chi-Square with a value of 0,05. The study showed the majority of respondent had a stroke aged 43-61 years, male sex, and didn’t work. Based on analysis using Chi-Square, there was a relationship between family support with ADL independent of post-stroke (p=0,018<0,05), but there was no relationship between age, sex and occupation with ADL independent of post-stroke with each p=0,197, p=0,271, and p=0,501. Most of respondents got a good family support, so that respondents can be nore independent in activities. It was hoped that family to continue to provide positive support to respondents.Keywords: Family support, Independence, Activity Daily Living, ADL, Post-stroke

Sign in / Sign up

Export Citation Format

Share Document