Article type: Research Article
Authors: Ekim, Ayşe Aydemira; * | İnal, Esra Erkolb | Gönüllü, Emelc | Hamarat, Haticed | Yorulmaz, Göknure | Mumcu, Gamzea | Yılmazer, Şebnema | Kaya, Dilek Serina | Kuzgun, Selena | Çolak, Ertuǧrulf | Orhan, Hikmetg
Affiliations: [a] Department of Physical Medicine and Rehabilitation, Zübeyde Hanım Campus, Eskişehir Public Hospital, Eskişehir, Turkey | [b] Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey | [c] Department of Rheumatology, Eskişehir Public Hospital, Eskişehir, Turkey | [d] Department of Internal Medicine, Eskişehir Public Hospital, Eskişehir, Turkey | [e] Department of Endocrinology, Eskişehir Public Hospital, Eskişehir, Turkey | [f] Department of Biostatistics and Medical Informatics, Faculty of Medicine, Osmangazi University, Eskişehir, Turkey | [g] Department of Biostatistics and Medical Informatics, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey
Correspondence:
[*]
Corresponding author: Ayşe Aydemir Ekim, Eskişehir Public Hospital, Zübeyde Hanım Campus, Eskişehir, Turkey. Tel.: +90 2222242000; GSM: +90 5355604225; Fax: +90 2222500149; E-mail:drayseekim@yahoo.com.tr
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.
Keywords: Shoulder pain, frozen shoulder, continuous passive motion, physical therapy
DOI: 10.3233/BMR-160689
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 29, no. 4, pp. 779-786, 2016
Published: 21 November 2016
