Dynamics of disability and pain indicators under the influence of physical therapy for adhesives capsulitis and myofascial pain syndrome.

OBJECTIVE: Aim: To compare the effectiveness of end-range mobilization and therapeutic exercises, used in combination with ischemic compression, on disability and pain indicators among patients with adhesive capsulitis of the shoulder joint and thoracic myofascial pain syndrome. PATIENTS AND METHODS: Materials and Methods: The study involved 68 patients. Goniometry of the shoulder joint, assessment of pain in myofascial trigger points, and the Shoulder Pain and Disability Index questionnaire were used before and after physical therapy. The duration of physical therapy comprised 3 weeks. Physical therapy of the first group of patients consisted of end-range mobilization and ischemic compression. Patients of the second group performed therapeutic exercises and ischemic compression. RESULTS: Results: Both groups demonstrated positive dynamics of shoulder joint mobility, Shoulder Pain and Disability Index and pain in trigger points. However, the final results of the studied indicators were better in the first group of patients. CONCLUSION: Conclusions: Physical therapy based on the combination of end-range mobilization and ischemic compression had a more positive impact on disability and pain indicators for adhesive capsulitis of the shoulder joint and myofascial pain syndrome as compared to the combination of therapeutic exercises and ischemic compression.

REVISITING THE VALUE OF HAEMATOLOGICAL AND BIOCHEMICAL MARKERS AND THE RATIOS IN PATIENTS WITH CORONARY ARTERY DISEASE.

OBJECTIVE: The aim: To investigate haematological and biochemical parameters and their potential for grading the severity of coronary artery lesions to predict the course atherosclerosis. PATIENTS AND METHODS: Materials and methods: The study is based on data obtained from a prospective analysis of 131 patients at the age of 51 to 82 years old from January to December 2019, whose complaints could indicate the coronary artery disease. All patients underwent a comprehensive clinical, laboratory and instrumental examination. RESULTS: Results: The ratios of haematological and biochemical parameters significantly correlated with Syntax Score I. Some indexes did not confirm significant correlations with the severity of coronary artery disease. NT-proBNP, as a biochemical parameter, was the highest in patients with multi-vessel coronary artery disease and it had a moderate positive correlation with Syntax Score I (r = 0.428, p = 0.0001). CONCLUSION: Conclusions: This study shows that ordinary indexes can be useful for assessment in daily practice for difficult patients. NTproBNP as an indicator requires further study as an additional marker for assessing the state of the cardiovascular system and can influence the choice of treatment.