High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder / Preston M. Wolin in Annals of physical and rehabilitation medicine, Vol. 59, n° 4 (September 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 242-247 Titre : High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder Type de document : texte imprimé Auteurs : Preston M. Wolin, Auteur ; Amy Ingraffia-Welp, Auteur ; Carlos E. Moreyra, Auteur Année de publication : 2016 Article en page(s) : p. 242-247 Langues : Anglais (eng) Français (fre) Mots-clés : Épaule  Rééducation fonctionnelle  Adhesive capsulitis,Shoulder,Stretching,High intensity stretching,Physical therapy Résumé : Background: Some patients with postoperative adhesive capsulitis reach a plateau in their recovery with a standard protocol of physical therapy (PT), which puts them at risk for further surgical intervention. Objectives: We aimed to evaluate therapy for postoperative adhesive capsulitis of the shoulder in 2 groups of patients: (1) those who used a high-intensity stretch (HIS) device after reaching a plateau in their recovery with a standard protocol of traditional PT (PT+HIS) and (2) those who showed no plateau in their recovery with a standard protocol of traditional PT alone (PT only). Methods: We retrospectively reviewed the records for 60 patients (51 males; mean age 46.7+12.6years) with postoperative adhesive capsulitis who received treatment between March 2007 and May 2010. Forward elevation and combined internal/external rotation at the initial postoperative visit and final visit were measured. The measurements from group 2 patients were used as an observational benchmark. Results: The PT+HIS (n =42) and PT-only (n =18) patients did not differ in total follow-up time. Initial elevation was worse for PT+HIS than PT-only patients (22.1° lower, P =0.02), but the final elevation was equivalent. Initial rotation was worse for PT+HIS than PT-only patients (16.6° lower, P =0.04), but the final rotation was higher for PT+HIS patients (10.6° higher, P =0.04). Gains in elevation and rotation were greater for the PT+HIS than PT-only patients (P =0.04 and P =0.01). Conclusions: Patients with postoperative adhesive capsulitis of the shoulder who are unable to reach their PT treatment goals with a standard protocol of PT may benefit from the addition of HIS to their treatment regimen. HIS could be a valuable adjunct to PT for treating postoperative adhesive capsulitis in appropriate patients. Permalink : ./index.php?lvl=notice_display&id=45210 [article] High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder [texte imprimé] / Preston M. Wolin, Auteur ; Amy Ingraffia-Welp, Auteur ; Carlos E. Moreyra, Auteur . - 2016 . - p. 242-247. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 4 (September 2016) . - p. 242-247 Mots-clés : Épaule  Rééducation fonctionnelle  Adhesive capsulitis,Shoulder,Stretching,High intensity stretching,Physical therapy Résumé : Background: Some patients with postoperative adhesive capsulitis reach a plateau in their recovery with a standard protocol of physical therapy (PT), which puts them at risk for further surgical intervention. Objectives: We aimed to evaluate therapy for postoperative adhesive capsulitis of the shoulder in 2 groups of patients: (1) those who used a high-intensity stretch (HIS) device after reaching a plateau in their recovery with a standard protocol of traditional PT (PT+HIS) and (2) those who showed no plateau in their recovery with a standard protocol of traditional PT alone (PT only). Methods: We retrospectively reviewed the records for 60 patients (51 males; mean age 46.7+12.6years) with postoperative adhesive capsulitis who received treatment between March 2007 and May 2010. Forward elevation and combined internal/external rotation at the initial postoperative visit and final visit were measured. The measurements from group 2 patients were used as an observational benchmark. Results: The PT+HIS (n =42) and PT-only (n =18) patients did not differ in total follow-up time. Initial elevation was worse for PT+HIS than PT-only patients (22.1° lower, P =0.02), but the final elevation was equivalent. Initial rotation was worse for PT+HIS than PT-only patients (16.6° lower, P =0.04), but the final rotation was higher for PT+HIS patients (10.6° higher, P =0.04). Gains in elevation and rotation were greater for the PT+HIS than PT-only patients (P =0.04 and P =0.01). Conclusions: Patients with postoperative adhesive capsulitis of the shoulder who are unable to reach their PT treatment goals with a standard protocol of PT may benefit from the addition of HIS to their treatment regimen. HIS could be a valuable adjunct to PT for treating postoperative adhesive capsulitis in appropriate patients. Permalink : ./index.php?lvl=notice_display&id=45210

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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