Fishchenko V. O., Humeniuk O. O.

PREDICTIVE FACTORS OF CLINICAL OUTCOMES IN THE COMBINED USE OF EXTRACORPOREAL SHOCKWAVE THERAPY AND PHYSICAL REHABILITATION METHODS FOR SHOULDER OSTEOARTHRITIS

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About the author:

Fishchenko V. O., Humeniuk O. O.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

Osteoarthritis (OA) of the shoulder joint is a common musculoskeletal disorder, which makes further research particularly relevant. The aim of the study was to evaluate the main clinical and demographic characteristics of patients with shoulder OA and to analyse their role as predictors of clinical outcomes following the combined use of extracorporeal shock wave therapy (ESWT) and McKenzie physical rehabilitation techniques. The clinical outcomes of comprehensive conservative treatment using ESWT and McKenzie physical rehabilitation techniques were analysed in 34 patients with shoulder OA (39 cases in total). Twenty-two men (56.41%) and 17 women (43.59%) were examined. The mean age was 57.69±11.38 years. Based on the treatment outcomes assessed using the Oxford Shoulder Score, three clinical groups were identified. Twenty-one patients (53.85%) demonstrated excellent outcomes, 14 (35.90%) achieved good outcomes, and 4 (10.26%) had satisfactory outcomes. Among the clinical and demographic characteristics, age, sex, disease-related factors, and lifestyle-related factors were evaluated. Statistical analysis was performed using StatSoft Statistica 13 software, with differences considered significant at p≤0.05. We consider the following factors to be proven contributors to excellent treatment outcomes: younger age (OR=2.85, CI 2.51–14.51, p=0.002), secondary OA (OR=21.25, CI 3.86–117.03, p=0.00003), OA associated with soft tissue damage (OR=10.46, CI 1.08–101.79, p=0.01), stage I or II disease (OR=2.93, CI 5.05–17.05, p=0.004; and OR=5.20, CI 1.26–21.52, p=0.01, respectively), and the unilateral nature of the lesion (OR=7.60, CI 1.27–45.38, p=0.01). The factors contributing to satisfactory clinical outcomes were: advanced age (OR=34.00, CI 1.90–609.72, p=0.01), stage III disease (OR=2.82, CI 1.84–13.84, p=0.003), excessive body weight (OR=14.5, CI 1.18–178.42, p=0.02), and excessive load on the shoulder joint (OR=2.79, CI 1.26–13.26, p=0.004). The high effectiveness of combining ESWT with McKenzie physical rehabilitation techniques in the treatment of shoulder joint OA has been demonstrated.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 3,178, 270-284 pages, index UDC 616.728.3-002-036.1:615.849+615.825

DOI:

10.29254/2077-4214-2025-3-178-270-284