The Impact of Abdominal Breathing Exercises on Pain, Sleep, and Quality of Life in Patients with Adhesive Capsulitis: A Randomized Controlled Trial

Öz

Objective: This study aimed to investigate the effects of abdominal breathing exercises on pain, sleep, and quality of life in patients with adhesive capsulitis. Material and Methods: Forty-eight patients (29 women, 12 men) aged 40–65 were randomly divided into two groups. Five patients in the study group and three in the control group dropped out. The control group (n=21, mean age 54.2±7.7) received routine physiotherapy for eight weeks (five sessions per week). The study group (n=19, mean age 52.5±7.6) received abdominal breathing exercises in addition to routine physiotherapy. Pain was assessed using the Visual Analog Scale; range of motion was measured by goniometry; sleep was evaluated with the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale; functionality was assessed by the Shoulder Pain and Disability Index; and quality of life was evaluated using the Short Form-36. Results: All parameters improved in both groups, except for sleep-related scores in the control group. The study group showed significant improvement in all Short Form-36 subscales (p<0.05), while the control group improved in physical function (p=0.013), role-physical (p=0.016), and energy (p=0.08). Baseline flexion ROM was more limited in the study group (p=0.031), but post-treatment improvements in flexion (p=0.008) and internal rotation (p=0.014) were greater, with mean differences of 51.4° and 22.8°, respectively. The study group also demonstrated greater improvement in Epworth scores (+1.9 vs. -1) and in energy, mental health, and social function (p<0.05). Conclusion: Abdominal breathing exercises should be incorporated into physiotherapy programs for adhesive capsulitis to enhance sleep quality and joint mobility.

Anahtar Kelimeler

• Breathing exercises
• pain
• shoulder joint
• sleep

Adeziv Kapsülit Hastalarında Abdominal Solunum Egzersizlerinin Ağrı, Uyku ve Yaşam Kalitesine Etkisi: Randomize Kontrollü Çalışma

Öz

Amaç: Bu çalışmanın amacı, Adeziv kapsülitte abdominal solunum egzersizlerinin ağrı, uyku ve yaşam kalitesine etkilerini incelemektir. Gereç ve Yöntem: Adeziv kapsülitli toplam 40 hasta rastgele iki gruba ayrıldı. Kontrol grubu (n=21, ortalama yaş 54,2±7,7 yıl) 8 hafta boyunca rutin fizyoterapi programı aldı (haftada 5 seans), çalışma grubu (n=19, ortalama yaş 52,5±7,6 yıl) rutin fizyoterapi programıyla birlikte abdominal solunum egzersizleri aldı. Ağrı şiddeti Görsel Analog Skala ile, eklem hareket aralığı goniometri ile, uyku Pittsburg Uyku Kalitesi İndeksi ve Epworth Uykululuk Skoru ile, fonksiyon Omuz Ağrısı ve Engellilik İndeksi ile, yaşam kalitesi Short Form-36 ile değerlendirildi. Bulgular: Değerlendirilen tüm parametrelerde her iki grupta da anlamlı fark vardı (kontrol grubunun Pittsburg Uyku Kalitesi İndeksi ve Epworth Uykululuk Skorları hariç). Çalışma grubunda Short Form-36'nın tüm alt ölçeklerinde (p<0,05), kontrol grubunda ise fiziksel fonksiyonda (p=0,013), fiziksel rol (p=0,016) ve enerjide (p=0,08) iyileşmeler görüldü. Gruplar arasında fleksiyon eklem hareket aralığı başlangıç değerleri arasında fark vardı (p=0,031). Sekiz hafta sonunda fleksiyon (p=0,008) ve iç rotasyon (p=0,014) eklem hareket aralıklarında fark bulundu. Epworth Uykululuk Skorları ve Short Form-36'nın enerji, ruh sağlığı ve sosyal fonksiyon alt ölçeklerinde çalışma grubu lehine anlamlı fark vardı (p<0,05).

Anahtar Kelimeler

• Solunum egzersizleri
• ağrı
• omuz eklemi
• uyku

Kaynakça

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