HIỆU QUẢ ĐIỀU TRỊ PHỤC HỒI CHỨC NĂNG TRÊN NGƯỜI BỆNH VIÊM QUANH KHỚP VAI THỂ ĐƠN THUẦN

Abstract

Objective: To evaluate the effectiveness of functional rehabilitation therapy in patients diagnosed with shoulder periarthritis humeroscapularis. Methods: A total of 33 patients aged over 18 years, diagnosed with shoulder periarthritis humeroscapularis based on Boisser MC criteria (1992), were treated at the Department of Rehabilitation, Viet Tiep Friendship Hospital, Hai Phong, from June to September 2024. Clinical outcomes were assessed using a 6-grade muscle strength scale, presence of swelling and muscle atrophy in the shoulder region, range of motion (ROM) categorized by movement levels, and the Shoulder Pain and Disability Index (SPADI). All parameters were evaluated at baseline and after two weeks of treatment. Results: Following the intervention, swelling was reduced from 15.2% to 6.1% (p > 0.05), and muscle atrophy significantly decreased from 72.7% to 39.4% (p < 0.05). No patients exhibited muscle strength below grade 2 after treatment, compared to 6.1% at baseline (p < 0.05). ROM improved across all measured directions. Pain scores decreased (from 61.61 ± 17.26 to 42.55 ± 16.57, p < 0.05); function scores decreased (from 58.97 ± 16.62 to 40.94 ± 15.66, p < 0.05). Conclusion: Functional rehabilitation is effective in reducing swelling and muscle atrophy, enhancing muscle strength, improving joint mobility, and alleviating pain in patients with shoulder periarthritis humeroscapularis.