Comparison of integral units with standard rehabilitation in extra-articular rheumatism in the shoulder area

Cilj istraživanja: Istraživanjem se željelo ispitati postoji li razlika u rezultatima standardne rehabilitacije i rehabilitacije koja je obavljena u integralnim jedinicama kod pacijenata s bolestima izvanzglobnog reumatizma u području ramena. Nacrt studije: Presječno istraživanje. Ispitanici i metode: U istraživanju je sudjelovalo 30 pacijenata podijeljenih u dvije skupine. U svakoj je skupini bilo 15 pacijenata s dijagnozama bolesti izvanzglobnog reumatizma u području ramena. Pacijenti su bili na rehabilitaciji u Specijalnoj bolnici za medicinsku rehabilitaciju Daruvarske toplice i imali su ordinirane terapije u trajanju od 15 dana. Svi su pacijenti imali medicinsku gimnastiku, hidrogimnastiku, interferentnu struju, terapijski ultrazvuk i laser. Za istraživanje su upotrijebljeni EQ-5D upitnik, DASS 21 i SPADI upitnik, a mjerio se i opseg pokreta u ramenu. Rezultati: Dobiveni rezultati upućuju na povećanje opsega pokreta, manji bol i smanjenje poteškoća u svakodnevnim aktivnostima kod pacijenta koji su obavljali rehabilitaciju u integralnim jedinicama u odnosu prema pacijentima koji su obavljali standardnu rehabilitaciju. Pokazatelj općega zdravstvenog stanja također ide u prilog integralnoj rehabilitaciji, a rezultati utjecaja na depresiju, anksioznost i stres nisu pokazali značajnu razliku između skupina. Zaključak: Rezultati ovog istraživanja pokazuju da rehabilitacija u integralnome modelu fizioterapije kod pacijenata s bolestima izvanzglobnog reumatizma u području ramena daje bolje rezultate nego standardni ili fragmentalni model rehabilitacije.Objectives: To investigate whether there is a difference in the results of standard rehabilitation and rehabilitation performed in integral units in patients with extra-articular rheumatism diseases in the shoulder. Study Design: A cross-sectional study. Participants and Methods: The study includes 30 patients divided into two groups. In each group there were 15 patients diagnosed with extra-articular rheumatism in the shoulder area. The patients were being rehabilitated at Special Hospital for Medical Rehabilitation Daruvar Spa and were prescribed a 15-day therapy. All patients were prescribed medical gymnastics, hydrogymnastics, interferential current therapy, therapeutic ultrasound and laser. The EQ-5D questionnaire, the DASS 21 and the SPADI questionnaire were used for the research, and the range of motion in the shoulder was measured. Results: The obtained results indicate an increase in the range of motion as well as a greater reduction in pain and difficulty in daily activities in patients who underwent rehabilitation in integral units compared to patients who underwent standard rehabilitation. The indicator of the general state of health is also in favor of integral rehabilitation, while the results of the impact of rehabilitation on depression, anxiety and stress did not show a significant difference between the two groups. Conclusion: The results of this research indicate that rehabilitation using the integral model of physiotherapy in patients with extra-articular rheumatism diseases in the shoulder area provides better rehabilitation results compared to the standard or fragmental model of rehabilitation