PPT Jurnal RSST Klaten

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    04-Jan-2016

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REHABILITASI MEDIK PADA ANAK LAKI-LAKI 10 TAHUN DENGAN CEREBRAL PALSY QUADRIPLEGIA SPASTIK

The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis : A systematic reviewDhieto Basuki PutraJOURNAL READING Journal of Back and Musculoskeletal Rehabilitation 27 (2014) 247273 24711BACKGROUND & OBJECTIVEFS is a common condition, yet its treatment remains challenging. In this review, the current best evidence for the use of PTI is evaluated2INTRODUCTIONFS or adhesive capsulitis is commonly encountered in PT practiceThe exact incidence and prevalence of FS is unknown, but is often quoted to affect approximately 2%-5% of the general population and at 4065 yrs of age

Lundberg categorized FS px into 2 subgroups :Idiopathic/primary FS (symptoms with no identifiable cause)Secondary (similar presentation and progression but resulted from a known intrinsic, extrinsic, or systemic cause3INTRODUCTIONThe most used criteria to diagnose FS : insidious or minimal event resulting in onsetsignificant shoulder pain that interferes with ADLsignificant night painsignificant limitations of active and passive shoulder motion in more than 1 plane to less than 100 and 50% or greater than 30 loss of passive ER (at the side)painful end ROM in all movementssignificant pain/weakness of the IR normal radiological appearanceno secondary causes4INTRODUCTION5

INTRODUCTIONrest/educationanalgesiajoint mobilizationthermotherapymassagetherapeutic exercisesPTacupunctureoral and injected corticosteroidslaser therapycapsular distension manipulation under anesthesianerve blocksarthroscopic capsular release

6Many treatments have been advocated to treat FSMETHOD7

METHOD8

RESULTS39 articles describing the PTI were analyzed using Sacketts levels of evidence and were examined for scientific rigorThe PTI were given grades of recommendation that ranged from A to C

9This was . . .9RESULTS10

This was . . .10RESULTS11

This was . . .11METHODOLOGICAL LIMITATIONSThe interpretation of the results of many studies describing therapeutic regimens is hampered by methodological flaws Many studies dont provide details regarding the stage of the disease process, previous treatments, and etiological considerationsLimited literature on the effectiveness of specific exercise regimen for the treatment of FSIntensity, frequency, duration of exercises and the use of PT modalities varied across studies

12The interpretation of the results of many studies describing therapeutic regimens is hampered by methodological flaws (small sample, lack of indication for duration of symptoms before treatment, high dropout rates, the use of co-interventions, and a short FU12CONCLUSIONS13

13THANK YOU14