| Abstract [eng] |
Relevance and novelty: Shoulder joint disorders are the third most common musculoskeletal condition, affecting around 30% of the general population throughout their lives. Rotator cuff pathology is experienced by 4 to 39% of people. Studies indicate that pain, decreased quality of life, and restricted active range of motion in the shoulder joint are the main symptoms of rotator cuff injury. Rotator cuff tendinopathy is a broad diagnosis, and increasing scientific research suggests that diagnoses such as shoulder impingement syndrome, rotator cuff tendinopathy, and (or) tendinosis, subacromial bursitis can be considered the same clinical entity. Scientific research confirms that one of the most effective treatment methods for rotator cuff tendinopathy and shoulder impingement syndrome is physiotherapy, specifically exercise-based rehabilitation programs. Studies mainly focus on addressing rotator cuff and scapular muscle weakness and dysfunction, tightness of the posterior capsule and other soft tissues, as well as correcting posture-related pain and dysfunction. However, not all rehabilitation methods applied to patients help treat rotator cuff injuries, so this topic remains relevant in search of the most effective treatment methodology. The aim of research work: Evaluate the effectiveness of physiotherapy on patients' quality of life and pain. Tasks of work: 1. Determine the effectiveness of physiotherapy on patients' quality of life with rotator cuff injury 2. Determine which physiotherapy measures effectively reduce pain in cases of rotator cuff injury. Methodology of investigation: To conduct a systematic literature review, the PRISMA approach was utilized, which includes three primary stages: identification, review, and inclusion. Relevant scientific articles were searched for in the PubMed and Web of Science databases. A total of 863 publications were identified in the databases. After applying the inclusion and exclusion criteria, eight publications were deemed adequate and included in the systematic literature review. Results: After analyzing 8 scientific studies, it was observed that quality of life was assessed in two, while pain was assessed in all of the scientific articles. The effectiveness of research methods was evaluated based on the results of experimental and control groups, as well as their intergroup statistical differences presented in the studies. Assessing statistically significant changes in the groups when quality of life improved: interventions applied to experimental and control groups were effective in two studies. Reviewing the statistically significant changes that occurred in the groups: interventions applied to the experimental group yielded statistically significant changes and reduced pain in seven studies (when p value <0.05), while interventions applied to the control group reduced pain in six studies. Conclusions: 1. Based on the results of scientific research, it has been determined that pain is effectively reduced by a physiotherapy program lasting at least one and a half months. 2. Analyzing scientific studies allows us to conclude that the most effective physiotherapy program exercises for reducing pain and improving quality of life in cases of rotator cuff injury are stretching, resistance, and isometric exercises. It is also recommended to perform exercises without eliciting pain. 3. Analyzing the results of scientific studies, it has been found that with the rapid rise in popularity of manual therapy, it is beneficial to combine it with a physiotherapy exercise program in order to reduce pain and improve quality of life. |
