Therapy and rehabilitation of women with diabetic adhesive capsulitis
Purpose. The purpose of the work is to scientifically and methodologically substantiate and develop a program of therapy and rehabilitation for mature women with type 2 diabetes mellitus and adhesive capsulitis, in order to improve their functional state, activity and participation. Material &...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kharkiv State Academy of Physical Culture
2025-04-01
|
| Series: | Фізична реабілітація та рекреаційно-оздоровчі технології |
| Subjects: | |
| Online Access: | https://phrir.com/journal/article/view/290 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Purpose. The purpose of the work is to scientifically and methodologically substantiate and develop a program of therapy and rehabilitation for mature women with type 2 diabetes mellitus and adhesive capsulitis, in order to improve their functional state, activity and participation.
Material & Methods. The study of the effectiveness of the developed therapy and rehabilitation program (TtaR) was conducted based on the results of the observation of 97 women with type 2 diabetes mellitus (DM) complicated by adhesive capsulitis (AC), who was subject to a step-by-step examination at the scientific and advisory department of outpatient and preventive care for patients with endocrine pathology of the State Institution "Institute of Endocrinology and Metabolism named after V. P. Komissarenko of the National Academy of Medical Sciences of Ukraine", Kyiv. Observations were carried out using specific clinical (content analysis of medical records, review, clinical laboratory research), instrumental methods (bioimpedance diagnostics of body composition, goniometry, radiography) and sociological (visual analogue pain scale VAS, international questionnaire for assessing the quality of life MOS SF-36 (Medical Outcomes Study)) research methods.
Results. We developed and evaluated the effectiveness of a program of therapy and rehabilitation of women with diabetic adhesive capsulitis, implemented in three stages: preparatory (at a clinical institution and/or outpatient), main and final (outpatient and home training programs). To achieve a more pronounced rehabilitation effect, the development of a therapy and rehabilitation program was carried out according to the following algorithm for providing rehabilitation services: assessment of the initial morphofunctional state, activity and participation; determination of the principles and objectives of the program; development and implementation of the program; evaluation of effectiveness. The objectives of the developed program were: normalization of blood glucose levels, normalization of the functions of damaged limbs, reduction of pain syndrome, restoration of joint mobility, improvement of quality of life. The developed program is based on the following principles of providing rehabilitation services: application of the International Classification of Functioning, Disability and Health (ICF); adherence to a multidisciplinary approach; client-centric (personalized) approach; formation of goals in the SMART format; integrated approach; staged interventions; systematicity and duration. The foundation of the developed program was a combination of elements of the most effective means and methods (integrated approach) used in patients with type 2 diabetes and adhesive capsulitis: therapeutic exercises, diet therapy and nutritional correction, hardware physiotherapy, patient education within the framework of diabetes, occupational therapy measures.
Conclusions. The proposed and implemented TtaR program for women with type 2 diabetes and adhesive capsulitis allowed to reduce pain syndrome, restore functional capabilities, and improve the quality of life. |
|---|---|
| ISSN: | 2522-1906 2522-1914 |