Effects of physiotherapy in traumatic anterior shoulder instability
Jayatilleke, Hirushka Sheron Emmanuel; Gunarathna, Herath Mudiyanselage Sachitha Mayushan (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2023051510770
https://urn.fi/URN:NBN:fi:amk-2023051510770
Tiivistelmä
The anterior shoulder dislocation is the most frequently occurred type of dislocation of the shoulder joint, which is most often caused by trauma but can also be idiopathic. It is estimated that 1 - 2% of the general population will suffer from glenohumeral instability, and 98% of these are anterior instabilities caused by trauma. This thesis aims to investigate the effects of physiotherapy on traumatic anterior shoulder instability and related conditions such as subluxation and dislocation.
A modified literature review is used in this thesis, including randomized control trials, cross-sectional studies, systematic reviews, and cohort studies. PubMed, ScienceDirect, PEDro, and a manual search were used to select these articles. The selected articles all meet the inclusion criteria.
In accordance with the results, most studies used exercise therapy with or without other interventions such as electrical stimulation therapy, activity-based interventions, proprioceptive and range of motion exercises, and advising sessions. Among the studies, most of them were unable to conclude regarding effectiveness because of less evidence in the respective area of study. However, in most studies, exercise therapy focused on certain muscle groups that cause shoulder instability has shown significant improvements in stability.
In conclusion, exercise therapy can be used as rehabilitation for patients with traumatic anterior shoulder instability. This is to regain the muscle strength surrounding the shoulder joint and to minimize the risk of re-occurrence or developing secondary conditions. There is not enough evidence to conclude whether physiotherapy is more or less effective than other methods of rehabilitating patients with traumatic shoulder instability, such as surgical management or other conservative management approaches.
A modified literature review is used in this thesis, including randomized control trials, cross-sectional studies, systematic reviews, and cohort studies. PubMed, ScienceDirect, PEDro, and a manual search were used to select these articles. The selected articles all meet the inclusion criteria.
In accordance with the results, most studies used exercise therapy with or without other interventions such as electrical stimulation therapy, activity-based interventions, proprioceptive and range of motion exercises, and advising sessions. Among the studies, most of them were unable to conclude regarding effectiveness because of less evidence in the respective area of study. However, in most studies, exercise therapy focused on certain muscle groups that cause shoulder instability has shown significant improvements in stability.
In conclusion, exercise therapy can be used as rehabilitation for patients with traumatic anterior shoulder instability. This is to regain the muscle strength surrounding the shoulder joint and to minimize the risk of re-occurrence or developing secondary conditions. There is not enough evidence to conclude whether physiotherapy is more or less effective than other methods of rehabilitating patients with traumatic shoulder instability, such as surgical management or other conservative management approaches.