Rehabilitasyon Hemşiresi Olarak Donuk Omuz Sendromunu Nasıl Yönetelim?

Yıl 2022, Cilt: 11 Sayı: 4, 1669 - 1675, 22.12.2022

Amine Terzi , Serap Özer

https://doi.org/10.37989/gumussagbil.977539

Öz

Donuk omuz sendromu, pasif ve aktif glenohumeral eklem hareket kısıtlılığı ve fonksiyonel yetersizlikle seyreden bir patolojidir. Etiyopatogenezi henüz tam olarak anlaşılamamış olan sendrom; primer, sekonder ve tersiyer olarak sınıflandırılmaktadır. Ayrıca ağrılı evre, donma evresi ve çözülme evresi olmak üzere üç evrede incelenmektedir. Donuk omuz sendromu; gece uykuya dalmayı zorlaştıran, gün boyu şiddeti artan, dahası, dinlenme halinde bile geçmeyen ağrıya neden olarak günlük yaşam aktivitelerini engellemekte ve yaşam kalitesini kötüleştirmektedir. Özellikle giysilerin giyilip çıkarılması, saçların taranması ve tırnakların kesilmesi aktivitelerinde ciddi sorunlar oluşturmaktadır. Sendromun yönetiminde; evreye göre soğuk uygulama, transkutanöz elektrik stimülasyonu, germe egzersizleri gibi rehabilitasyon uygulamaları gerçekleştirilmektedir. Rehabilitasyon sürecinde hemşire; temelde donuk omuz sendromunun ortaya çıkardığı ağrıyı, ağrıya bağlı uyku sorunlarını ve inflamasyonu azaltmak/gidermek, uygun egzersiz programları ile eklem hareket açıklığını arttırmak, uygun baş etme tekniklerini kazandırmak, hasta ve ailesine bu süreçte destek olmak gibi sorumluluklara sahiptir. Derleme niteliğinde olan bu makale; günümüzde yaygın bir sağlık sorunu olarak görülen donuk omuz sendromunun rehabilitasyonunda hemşirenin rollerini açıklamak ve ilgili literatüre katkı sağlamak amacıyla yazılmıştır.

Anahtar Kelimeler

Bakım, Donuk omuz sendromu, Hemşirelik, Rehabilitasyon

How to Manage Frozen Shoulder Syndrome as a Rehabilitation Nurse?

Öz

Frozen shoulder syndrome is a pathology with passive and active glenohumeral joint motion limitation and functional insufficiency. Syndrome whose etiopathogenesis is not fully understood yet; it is classified as primary, secondary and tertiary. In addition, it is examined in three stages: the freezing stage, the frozen stage and the thawing stage. Frozen shoulder syndrome; it obstructs daily living activities by causing pain that makes it difficult to fall asleep at night, increases in intensity throughout the day and moreover does not go away even at rest, and worsens the quality of life. In particular, activities such as putting on and taking off clothes, combing the hair and cutting nails create serious problems. In the management of the syndrome; According to the stage, rehabilitation applications such as cold application, transcutaneous electrical stimulation, stretching exercises are performed. During the rehabilitation process, the nurse; basically, it has responsibilities such as reducing/liminating the pain caused by frozen shoulder syndrome, pain-related sleep problems and inflammation, increasing range of motion with appropriate exercise programs, providing appropriate coping techniques, and supporting the patient and family in this process. This review article; it was written to explain the roles of nurses in the rehabilitation of frozen shoulder syndrome, which is seen as a common health problem today, and to contribute to the relevant literature.

Anahtar Kelimeler

Care, Frozen shoulder syndrome, Nursing, Rehabilitation

Kaynakça

• 1. Atıcı, T, Şahin, N, Mocan, M.T ve Kaleli, H.T. (2013). “Donuk Omuz: Tanı-Tedavi”. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 39 (3), 211-218.
• 2. Baykal, Y.B, Atay, T ve Kocadal, O. (2013). “Donuk/Donmuş Omuz”. TOTBİD Dergisi, 12 (4), 379-84.
• 3. Acarkan, T. (2013). “Donuk Omuz”. Bilimsel Tamamlayıcı Tıp, Regülasyon ve Nöral Terapi Dergisi, 18, 20-25.
• 4. Çelik, D. (2010). “Donuk Omuzda Farklı İki Egzersiz Programının Sonuçlarının Karşılaştırılması”. Acta Orthop Traumatol Turc, 44 (4), 285-292.
• 5. Ünlü Özkan, F, Üstün, I, Soylu Boy, F, Bozkurt Alp, S ve Aktaş, İ. (2014). “Donuk Omuzla Başvuran ve Meme Kanseri Tanısı Alan Bir Olgu”. Marmara Medical Journal, 27, 220-222.
• 6. Çelik, D. (2017). “Donuk Omuz ve Rehabilitasyonu”. Turkiye Klinikleri J Physiother Rehabil-Special Topics, 3 (1), 23-29.
• 7. Zuckerman, J.D and Rokito, A. (2011). “Frozen shoulder: a consensus definition”. J Shoulder Elbow Surg, 20, 322-325.
• 8. Nagy, MT, MacFarlane, RJ, Khan, Y and Waseem, M. (2013). “The frozen shoulder: myths and realities”. The Open Orthopaedics Journal, 7, (Suppl 3: M10) 352-355.
• 9. Eljabu, W, Klinger, HM and Knoch, M.V. (2016). “Prognostic factors and therapeutic options for treatment of frozen shoulder: a systematic review”. Arch Orthop Trauma Surg, 136, 1-7.
• 10. Toprak, M ve Erden, M. (2019). “Sleep quality, pain, anxiety, depression and quality of life in patients with frozen shoulder”. Journal of Back and Musculoskeletal Rehabilitation, 32 (2), 287-291.
• 11. Bagheri, F, Ebrahimzadeh, M.H, Moradi, A and Bidgoli, H.F. (2016). “Factors associated with pain, disability and quality of life in patients suffering from frozen shoulder”. Archives of Bone and Joint Surgery, 4 (3), 243.
• 12. Chan, H.B.Y, Pua, P.Y and How, C.H. (2017). “physical therapy in the management of frozen shoulder”. Singapore Medical Journal, 58 (12), 685-689.
• 13. Russell, S, Jariwala, A, Conlon, R, Selfe, J, Richards, J and Walton, M. (2014). “A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder”. J Shoulder Elbow Surg, 23, 500-507.
• 14. Canbulat, N, Eren, İ, Atalar, A.C, Demirhan, M ve Eren, Ş.M. (2015). “nonoperative treatment of frozen shoulder: oral glucocorticoids”. International Orthopaedics (SICOT). 39, 249–254.
• 15. Maund, E, Craig, D, Suekarran, S, Neilson, A.R, Wright, K, Brealey, S and Richardson, G. (2012). “management of frozen shoulder: a systematic review and cost-effectiveness analysis”. Health Technology Assessment (Winchester, England), 16 (11), 1-133.
• 16. Dias, R, Cutts, S and Massoud, S. (2005). “Frozen shoulder”. BMJ, 331, 1453–6.
• 17. Cadogan, A and Mohammed, K.D. (2016). “Shoulder pain in primary care:frozen shoulder”. J Prım Health Care. 8 (1), 44–51.
• 18. Hanchard, N.C.A, Goodchild, L, Thompson, J, O’Brien, T, Davison, D and Richardson, C. (2012). “Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder: quick reference summary”. Physiotherapy. 98 (2), 117–120.
• 19. Yanlei, GL, Keong, MW and Tijauw Tjoen, D.L. (2019). “Do diabetic patients have different outcomes after arthroscopic capsular release for frozen shoulder?” Journal of Orthopaedics, 16 (3), 211–215.
• 20. Whelton, C and Peach, C.A. (2017). “Review of diabetic frozen shoulder”. European Journal of Orthopaedic Surgery & Traumatology, 28 (3), 363–371.
• 21. Alhashimi, R.A.H. (2018). “Analytical observational study of frozen shoulder among patients with diabetes mellitus”. Joints, 6 (3), 141-144.
• 22. Milgrom, C, Novack, V, Weil, Y, Jaber, S, Radeva-Petrova, D.R and Finestone, A. (2008). “Risk factors for idiopathic frozen shoulder”. The Israel Medical Association Journal, 10 (5), 361-363.
• 23. Hand, G.C.R, Athanasou, N.A, Matthews, T and Carr, A.J. (2007). “The pathology of frozen shoulder”. Bone & Joint Journal, 89 (7), 928-32.
• 24. Hand, C, Clipsham, K, Rees, J.L and Carr, A.J. (2008). “Longterm outcome of frozen shoulder”. J Shoulder Elbow Surg, 17 (2), 231-6.
• 25. Kim, S.H, Kim, Y.H, Le, H.R and Choi, Y.E. (2015). “Short-term effects of high-ıntensity laser therapy on frozen shoulder:a prospective randomized control study”. Manual Therapy 20, 751-7.
• 26. Guyver, P.M, Bruce, D.J and Rees, J.L. (2014). “Frozen shoulder – a stiff problem that requires a flexible approach”. Maturitas, 78, 11–16
• 27. Özkan, N. (2019). “Tedaviye Dirençli Adezif Kapsülit’te (Donuk Omuz) Nöralterapi’nin Etkinliği”. Bilimsel Tamamlayıcı Tıp, Regülasyon ve Nöral Terapi Dergisi, 12 (3), 18-20.
• 28. Jain, T.K and Sharma, N.K. (2014). “The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review”. Journal of Back and Musculoskeletal Rehabilitation, 27 (3), 247–73.
• 29. Dupeyron, A, Dénarié, M, Richard, D, Dobija, L, Castelli, C, and Petiot, S. (2019). “Analgesic gas for rehabilitation of frozen shoulder: protocol for a randomized controlled trial”. Annals of Physical and Rehabilitation Medicine, 62 (1), 43-48.
• 30. Lin, M.T, Hsiao, M.Y, Tu, Y and Wang, T.G. (2018). “comparative efficacy of ıntra-articular steroid ınjection and distension in patients with frozen shoulder: a systematic review and network meta-analysis”. Archives of Physical Medicine and Rehabilitation, 99 (7), 1383-94.
• 31. Düzgün, I, Turgut, E, Eraslan, L, Elbasan, B, Oskay, D and Atay, O.A. (2019). “Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization?”. Journal of musculoskeletal & neuronal interactions, 19 (3), 311.
• 32. Tang, HY, Wei, W, Yu, T and Zhao, Y. (2019). “Physical therapy for the treatment of frozen shoulder: a protocol for systematic review of randomized controlled trial”. Medicine, 98 (32), 1-3.
• 33. Cao, D.Z, Wang, C.L, Qing, Z and Liu, L.D. (2019). “Effectiveness of extracorporeal shock-wave therapy for frozen shoulder: a protocol for a systematic review of randomized controlled trial”. Medicine, 98 (7), 1-4.
• 34. Brealey, S, Armstrong, A.L, Brooksbank, A, Carr, A.J, Charalambous, C.P and Cooper, C. (2017). “United Kingdom Frozen Shoulder Trial (UK FROST), multi-centre, randomised, 12 month, parallel group, superiority study to compare the clinical and cost-effectiveness of early structured physiotherapy versus manipulation under anaesthesia versus arthroscopic capsular release for patients referred to secondary care with a primary frozen shoulder: study protocol for a randomised controlled trial”. Trials, 18 (1), 614-29.
• 35. Chen, H.C, Chuang, T.Y, Lin, P.C, Lin, Y.K and Chuang, Y.H. (2017). “Effects of messages delivered by mobile phone on ıncreasing compliance with shoulder exercises among patients with a frozen shoulder”. Journal of Nursing Scholarship, 49 (4), 429-437