Abstract:

72 patients that were submitted to the phsysical therapy and rehabilitation polyclinic with painful shoulder complaints were retrospectively studied in this study. Goniometric measurements, manual muscle strength tests, rotator cuff and biceps tendon evaluation tests were performed on all patients. The shoulder radiograms and ultrasound inspections were evaluated. The pain status of patients before and after treatment were evaluated with visual analog scales (VAS) and the functional states with Constant scores. The conservative therapy consisted of rest, ice application, medical treatment physical therapy, exercise, subacromial injection and mobilization techniques. Statistical evaluations were performed with the SPSS v10 software. The pre and post treatment values were compared with the paired t test. 62 patients returned for a control examination (29 male and 33 female patients). % 93.5 of the patients were right-hand dominant and the rate of affected right shoulders were % 40.3-% 1.6 of the patients were affected bilaterally. Rotator cuff tests were positive in % 95 of the patients. When the values before and after treatment were compared, there were statistically significant improvements in VAS values, goniometric measurements and functional states (Constant scores) (p<0.001). Significant results were obtained with the use of conservative therapy on patients with shoulder pain. Randomised and controlled studies are necesssary to compare the effectiveness of different treatment options.

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