RESULTS OF ASSESSMENT OF SATISFACTION WITH PHYSICAL THERAPY IN PATIENTS WITH ADHESIVE CAPSULITIS AND MYOFASCIAL PAIN SYNDROME

Abstract

Abstract. Topicality. Biopsychosocial characteristics of physical therapy are important and relevant elements of research. The purpose of the study was to investigate patient satisfaction, which is formed in patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome in the thoracic spine during complex physical therapy. Materials and methods. 28 patients participated in the study. Goniometry of the shoulder joint, assessment of pain at the endpoints of range of motion and at trigger points were used before the intervention and after the end of physical therapy. The Scale to measure patient satisfaction with physical therapy was used to assess satisfaction. The first survey was conducted at the end of three weeks of physical therapy to directly assess satisfaction, and the second after 1.5 months to analyze changes in assessment over time. Physical therapy began after an examination and consultation with an orthopedic traumatologist. Patients received a physical therapist's consultation, during which they were given information about the specifics of performing therapeutic exercises and ischemic compression of trigger points at home through instruction, demonstration, and trial performance. The patient also received an information booklet. Later, exercises and ischemic compression were performed at home independently. The complex of therapeutic exercises included pendulum exercises and stretching exercises. Planned counseling of patients by a physical therapist also took place at the beginning of the 2nd and 3rd week of therapy, and the final one at the end of the 3rd week. Research results. Statistical analysis confirmed the existence of differences between the first and second assessment of the amplitude of movements and pain when reaching the maximum amplitude in the shoulder joint, as well as in trigger points, which indicates the effectiveness of the physical therapy used. The results of the first and second questionnaires had high scores in the questionnaire items and the overall satisfaction score. Repeated questioning did not establish significant dynamics of the total score, as well as the vast majority of item ratings. Only in the sixth item a significant change was noted, namely an increase. Items 1, 2, 5, 10, 13 had the highest results, and items 3 and 4 had the lowest scores. The іndicators Me (25%; 75%) of the overall satisfaction score according to the results of the first and second questionnaires were 78 (77; 79) points, and the values of х̅±SD were 78.32±1.85 points and 77.61±3.4 points. Conclusion. Patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome in the thoracic spine who received three weeks of physical therapy had a high level of satisfaction, with a median total score of 78 out of a possible 85. Patient satisfaction does not change in the long term.