| Abstract [eng] |
Aim of the study: To evaluate the effectiveness of physiotherapy for pain, shoulder function, and mental health in rotator cuff injury. Tasks of work: 1. To identify which physiotherapy measures effectively reduce pain in the case of rotator cuff injury; 2. To evaluate the effectiveness of physiotherapy on the shoulder function in case of rotator cuff injury; 3. To identify the effectiveness of physiotherapy for the mental health in the case of rotator cuff injury. Methodology of investigation: The systematic literature review was made in accordance with the PRISMA systematic literature review requirements. Scientific publications were searched in PubMed and Web of Science databases according to the search strategy developed by one researcher for each database. According to the combinations of keywords, 827 publications were found in both databases. After selecting the publications, according to the set inclusion, and exclusion criteria, 13 publications were included in the systematic literature review. Results: After analysing 13 scientific studies, it was found that pain was evaluated in thirteen, shoulder function in nine, and mental health in one scientific study. The effectiveness of the methods was evaluated according to the results in experimental and control groups. The results were established and presented in the studies, revealing statistical significance. Looking at statistically significant change between groups, it was found that the interventions reduced pain in nine studies for the experimental group and seven studies for the control group. It is important to mention that data was not provided in four out of thirteen studies. Evaluating a statistically significant change between groups, when shoulder function improved, it was found that interventions were effective in five studies for the experimental group and four studies for the control group. It is important to mention that such data was not provided in three out of nine studies. Analysing the research results between the groups, it was found that a statistically significant change in the studied indicators occurred in the experimental group. Four studies showed a reduction in pain, and five studies showed an improvement in shoulder function. Conclusions: 1. Based on the results of scientific research, it was found that pain is effectively reduced by a physiotherapy program lasting at least two months. It consists of resistance exercises performed while the position of the shoulder girdle is fixed, combined with handgrip strength exercises, and ongoing consultations to discuss the progression of the program based on existing symptoms. Moreover, the pain is very effectively reduced by applying scapular stabilisation exercises for at least three months. 2. The same physiotherapy measures, applied for at least two months, are effective in restoring the shoulder function. Also, shoulder function indicators improve effectively when isometric exercises are integrated into the physiotherapy program for at least one and a half months, high-intensity aerobic interval training is applied for two months, and proprioceptive exercises are applied for at least three months. 3. Based on the systematic review of the literature, we cannot provide conclusions about the most effective physiotherapy methods to improve the mental health in the presence of a rotator cuff injury. Scientists should conduct more clinical studies on this topic in the future. |
