Effects of Diaphragmatic Mobilization and Diaphragmatic Breathing Exercises on Pain and Quality of Life in Individuals with Shoulder Pain: A Randomized Controlled Trial

Abstract Background: Severe dyspnea and poor quality of life are common in chronic obstructive pulmonary disease (COPD). The most important reason for this situation is the wrong applications in inhaler treatment. In addition, inhaler treatments that supporting non-pharmacological methods increases the effectiveness of the drug. The aim of this study is to determine the effects of breathing exercises and inhaler training for chronic obstructive pulmonary disease patients on the severity of dyspnea and life quality.Methods: The research is a randomized controlled trial. A total of 67 with COPD who complied. The patients who were randomized in two groups that Intervention 1 group were given pursed lip breathing exercise and inhaler training and Intervention 2 group were given only inhaler training. A follow-up after 4 weeks was carried out in both groups. Patient outcomes in both groups were COPD assessment test (CAT), Modified medical research council (mMRC), and St. George's respiratory questionnaire scales (SGRQ). This study followed CONSORT checklist for randomized conrolled trials. In data analysis independent t, Mann-Whitney U, ANOVA, Wilcoxon analysis, and Pearson Chi-square tests were used.Results: Pursed lips exercise and inhaler drug use skills of patients in the both group increased (p<0.001). The median value of the CAT and mMRC scores are is statistically significant for both groups (p<0.005). The mean of life quality scores of patients in both groups decreased and this result was found statistically significant in all sub-dimensions and in the total scale score for two groups (p<0.001). Although the increase in the quality of life and the decrease in the severity of dyspnea of the patients in both groups were significant, the two groups were not superior to each other (p>0.05).Conclusions: As a result of the study, it was found that the skill of applying inhaler and life quality of the patients increased, the severity of dyspnea decreased. Supporting inhaler treatments with non-pharmacological methods can increase drug efficacy and quality of life. Trial Registration: Clinical Trial Registry registration number: NCT04739488. Registered on 21 Feb 2021.

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SPA therapy together with supervised self-mobilization improves pain, function and quality of life in patients with chronic shoulder pain: a single blind randomized controlled trial

Boletin Sociedad Española Hidrologia Medica ◽

10.23853/bsehm.2018.0625 ◽

2018 ◽

Vol 33 (S1) ◽

pp. 126-127

Author(s):

CF Roques ◽

I Chary-Valckenaere ◽

JN Tamisier ◽

M Boulangé

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Shoulder Pain ◽

Controlled Trial ◽

Spa Therapy ◽

Randomized Controlled ◽

Single Blind ◽

Chronic Shoulder Pain

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Poststroke shoulder pain in subacute patients and its correlation with upper limb recovery after robotic or conventional treatment: A secondary analysis of a multicenter randomized controlled trial

International Journal of Stroke ◽

10.1177/1747493020937192 ◽

2020 ◽

pp. 174749302093719

Author(s):

I Aprile ◽

M Germanotta ◽

A Cruciani ◽

C Pecchioli ◽

S Loreti ◽

...

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Shoulder Pain ◽

Motor Function ◽

Upper Limb ◽

Controlled Trial ◽

Secondary Analysis ◽

Randomized Controlled ◽

Multicenter Randomized Controlled Trial

Background and aims Poststroke shoulder pain is a common complication. We aimed to investigate the prevalence of poststroke shoulder pain, with attention to the neuropathic component, and the relationship between poststroke shoulder pain and upper limb improvement in motor function, strength, disability, and quality of life after upper limb rehabilitation. Methods This is a secondary analysis of a multicenter randomized controlled trial to compare upper limb conventional or robotic rehabilitation on 224 patients enrolled in eight rehabilitation centers. We assessed poststroke shoulder pain (using the Numerical Rating Scale and the Douleur Neuropathique 4), and upper limb motor function, strength, disability, and quality of life at baseline (T0), after 30 rehabilitation sessions (T1), and three months after the end of rehabilitation (T2). Results A moderate/severe poststroke shoulder pain was reported by 28.9% of patients, while 19.6% of them showed a neuropathic component. At T0, the intensity of pain was higher in women and in patients with neglect syndrome, positively correlated with the time since stroke and disability and negatively correlated with motor function, strength, and the physical aspects of the quality of life. Moderate/severe pain and neuropathic component significantly reduced after both treatments and this reduction was maintained at T2. Finally, the intensity of pain at baseline was negatively correlated with the improvement of upper limb motor function. Conclusions Poststroke shoulder pain negatively impact on motor performance, strength, disability, and physical aspects of the quality of life as well as on upper limb motor recovery; however, it can be reduced after a robotic or a conventional rehabilitation. Therefore, we suggest considering poststroke shoulder pain when planning the rehabilitation intervention.

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