Ayşe Aydemir Ekim1, Esra Erkol İnal2, Emel Gönüllü3, Hatice Hamarat4, Göknur Yorulmaz5, Gamze Mumcu1, Şebnem Yılmazer1, Dilek Serin Kaya1, Selen Kuzgun1, Ertuǧrul Çolak6, Hikmet Orhan7. 1. Department of Physical Medicine and Rehabilitation, Zübeyde Hanım Campus, Eskişehir Public Hospital, Eskişehir, Turkey. 2. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey. 3. Department of Rheumatology, Eskişehir Public Hospital, Eskişehir, Turkey. 4. Department of Internal Medicine, Eskişehir Public Hospital, Eskişehir, Turkey. 5. Department of Endocrinology, Eskişehir Public Hospital, Eskişehir, Turkey. 6. Department of Biostatistics and Medical Informatics, Faculty of Medicine, Osmangazi University, Eskişehir, Turkey. 7. Department of Biostatistics and Medical Informatics, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey.
Abstract
BACKGROUND: The aim of this study was to clarify the effects of continuous passive motion (CPM) treatment on adhesive capsulitis (AC) in diabetes mellitus (DM) patients. METHODS:Forty-one DM patients with AC were randomized to two treatment groups. The first group (n= 20) (CPM group) received CPM treatments; the second group (n= 21) had conventional physical therapy (CPT group), including active stretching, range of motion (ROM) and pendulum exercises. All patients received electrotherapy. After a four-week-long physical therapy program, the patients were instructed to continue with an eight-week home exercise program. The patients rated the pain they felt at night, both while at rest and in motion, in the past week using the visual analogue scale (VAS). Functional outcome evaluations were performed using the Constant Shoulder Score (CSS) and Shoulder Pain and Disability Index (SPADI). All patients were evaluated at baseline, and during the fourth and twelfth weeks of the study. RESULTS: There were significant improvements in both groups' active and passive ROM for the shoulder, VAS measures, SPADI pain and disability scores and CSS, and excluding the active and passive internal and external rotation of shoulder increased with both treatment methods (CPM or CPT) over time (p< 0.001), however these differences were found to be prominent in patients receiving CPM therapy. CONCLUSIONS: Both the CPM and CPT therapies seemed to be beneficial for the treatment of AC in DM patients, however CPM revealed more distinctive improvements in the function and pain levels of the AC patients.
RCT Entities:
BACKGROUND: The aim of this study was to clarify the effects of continuous passive motion (CPM) treatment on adhesive capsulitis (AC) in diabetes mellitus (DM) patients. METHODS: Forty-one DMpatients with AC were randomized to two treatment groups. The first group (n= 20) (CPM group) received CPM treatments; the second group (n= 21) had conventional physical therapy (CPT group), including active stretching, range of motion (ROM) and pendulum exercises. All patients received electrotherapy. After a four-week-long physical therapy program, the patients were instructed to continue with an eight-week home exercise program. The patients rated the pain they felt at night, both while at rest and in motion, in the past week using the visual analogue scale (VAS). Functional outcome evaluations were performed using the Constant Shoulder Score (CSS) and Shoulder Pain and Disability Index (SPADI). All patients were evaluated at baseline, and during the fourth and twelfth weeks of the study. RESULTS: There were significant improvements in both groups' active and passive ROM for the shoulder, VAS measures, SPADI pain and disability scores and CSS, and excluding the active and passive internal and external rotation of shoulder increased with both treatment methods (CPM or CPT) over time (p< 0.001), however these differences were found to be prominent in patients receiving CPM therapy. CONCLUSIONS: Both the CPM and CPT therapies seemed to be beneficial for the treatment of AC in DMpatients, however CPM revealed more distinctive improvements in the function and pain levels of the AC patients.
Authors: Riki Patel; Ivan Urits; John Wolf; Anu Murthy; Elyse M Cornett; Mark R Jones; Anh L Ngo; Laxmaiah Manchikanti; Alan D Kaye; Omar Viswanath Journal: Psychopharmacol Bull Date: 2020-10-15
Authors: Christiane Kabst; Xinggui Tian; Christian Kleber; Michael Amlang; Lisa Findeisen; Geoffrey Lee; Stefan Zwingenberger Journal: Biomed Res Int Date: 2022-02-16 Impact factor: 3.411