AB1264 THE EFFECTIVENESS OF KINESIOTHERAPY FOR PAIN SHOULDER SYNDROME
Authors: O. Tikhoplav, E. Guryanova, O. Moskovskaya, A. Moskovskij
Journal: Annals of the Rheumatic Diseases (2020)

Background: Pain shoulder syndrome is one of the most common conditions that is inherent in patients with various diseases and conditions. This problem is faced by both patients of a rheumatological profile (rheumatoid arthritis), and patients of other profiles: neurological (stroke, hernia of the cervical spine), traumatological (periarthritis). The regular use of painkillers and NSAID is associated with a risk of serious adverse reactions in patients. PNF therapy can have a fairly quick positive effect. Kinesiotaiping is a common and easily accessible treatment method that, due to the inclusion of local neuromuscular adaptation mechanisms, can have an analgesic effect. Objectives: The purpose of the study is to compare the effectiveness of traditional treatment methods in combination. Methods: Patients with pain shoulder syndrome who were admitted to the doctor of physical and rehabilitation medicine were randomly assigned to one of three groups: group G1 - 20 patients who received combined treatment, including massage, acupuncture, PNF, kinesiotherapy. Patients of group G2 (20 people) who received massage and acupuncture sessions, kinesiotherapy, but did not deal with PNF. Patients in group G3 (20 people) received massage, acupuncture, and PNF, excluding kinesiotaping. All patients received treatment 5 times a week (Monday to Friday, excluding Saturday and Sunday), the total duration of the rehabilitation course is 20 days. The program included: 30 minutes an acupuncture session, 20 minutes massage, 45 minutes physical exercises with a physical therapist. Classes using the PNF technique were carried out separately every other day for 45 minutes using the standard method for shoulder pain. VAS was used to monitor efficacy. Pain was assessed at the beginning of the study, with the third, sixth, ninth and last visit to the clinic. Results: The age composition of the patient group is from 31 to 70 years. The gender composition is 35 (58.33%) women, and 25 (41.67%) men. The average time between the onset of clinical symptoms and the first treatment session was 47.3 days. In 90% of patients, a history of pain lasted from 6 weeks or more. 52 patients (86.67%) completed the treatment completely. Of these, G1 is 19 people (90% of this group), 16 (80%) in G2, and 17 of 20 in the G3 group (85%). The average VAS score in G1 was 5.15 at the start of the study, and after the tenth session, it dropped to 2.78. A significant decrease in pain is also observed in the G2 group (from 5.17 at the beginning of the study to 3.19 after the tenth session). The G3 group in terms of pain reduction almost equaled the G1 group, where the level of pain from 5.16 decreased to 2.71. Patients within 6 months after treatment evaluated the level of pain on their own and reported the data to the doctor. In patients of group G1, after 6 months, the average VAS score is 3.71. G3 patients after 6 months, the VAS score is 4.25 points. Patients of the G2 group at 3 months noted a return of the pain syndrome, after 3 months, the VAS score was 5.11. Conclusion: The obtained results testify to the high efficiency of PNF therapy, however, the combination with kinesiotyping allows better consolidation of the effect of therapy and prolongs remission of pain syndrome. Disclosure of Interests: None declared