Abstrakt
Aim: The aim of the work was to compare the effect of dynamic neuromuscular stabilization (DNS) in the experimental group in comparison with classical rehabilitation in the control group in patients after arthroscopic shoulder surgery. The effect of the treatment and its influence on pain, disability, range of motion of the shoulder joint, as well as the quality of life of patients after surgery were evaluated.
Sample and methods: The research sample consisted of 73 patients after arthroscopic shoulder surgery (with a mean age of 46.88 +- 13.74 years). They were randomly divided into two groups-experimental (n = 36) and control (n = 37).
Intervention: The intervention lasted 2 weeks for both groups. Experimental group - DNS 5 times a week for 30 minutes, control group - classic rehabilitation 5 times a week for 30 minutes.
The DASH - Shoulder Disability Questionnaire was used to assess shoulder pain and disability. Quality of life was assessed by the SF-36 questionnaire, which assesses the perception of health status and consists of eight subscales for physical and mental components.
This questionnaire is suitable for assessing the quality of life in patients with chronic pain. It contains the following sections: physical functioning, limitations in roles due to physical difficulties, physical pain, perception of general health, vitality, social functioning, limitations in roles due to mental difficulties, mental health, total score.
Results: In the assessment of pain and disability after treatment, there were significant differences between the groups - p <= 0.05 - in the overall score of the DASH questionnaire in favour of the experimental group. In the evaluation of quality of life using the S-36 (The Short Form Health Survey 36 items) questionnaire, significant differences - p <= 0.05 - were noted after treatment between groups in the domains: limitations in roles due to physical difficulties, physical pain, social functioning in favour of the experimental group.
In the other quality of life domains, no significant differences were observed between the two groups after treatment. Conclusion: DNS has been shown to be a suitable and complex method for reducing disability and shoulder pain in patients after arthroscopy, but it is necessary to practice this method for a longer period of time to improve muscle stability and strength.