Mathankumar, K (2019) Effectiveness of Dermoneuromodulation on Pain Reduction and Shoulder Internal Rotation Improvement in Post Operative Slap Tear among Athletes: An Experimental study. Masters thesis, RVS College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION: A SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity). Tears of the superior labrum near to the origin of the long head of biceps were first described among throwing athletes by Andrews in 1985. The label of ‘SLAP’, an abbreviation for superior labrum anterior and posterior, was coined by Snyder et al. OBJECTIVES: a. To determine the effects of DermoneuroModulation along with conventional physiotherapy on pain reduction and Shoulder Internal Rotation improvement in Post Operative SLAP tear among athletes. b. To determine the effects of conventional physiotherapy alone on pain reduction and Shoulder Internal Rotation improvement in Post Operative SLAP tear among athletes. c. Compare and contrast the effects of DermoneuroModulation along with conventional physiotherapy and conventional physiotherapy alone on pain reduction and Shoulder Internal Rotation improvement in Post Operative SLAP tear among athletes. MATERIALS AND METHODOLOGY: The purpose of the study is to record the “Effectiveness of DermoneuroModulation on Pain reduction and Shoulder Internal Rotation improvement in Post Operative SLAP tear among athletes”. The research design was selected so that it may serve as a guideline for planning and implementing the study in a way that is more likely to achieve the goal. MATERIALS: 1. Dycem, 2. High couch or Manual Therapy couch, 3. High Wooden Chair, 4. Pillows and bolsters, 5. Weight cuffs, 6. Resistance Bands, 7. Universal Goniometer. METHODOLOGY: Study design: Pretest and post test comparative group design; experimental study. Study setting: The study was carried out in any kind of athletes with Post Operative SLAP tear who had been got consent and treated primarily by me in the out patient Department of RVS College of Physiotherapy, Coimbatore, under the supervision of staff and Principal of the RVS College of Physiotherapy, Coimbatore. Sample Size: A total of 32 athletes were selected for the study. 12 of them were excluded for various reasons. Out of 20 patients 10 were assigned to each group. Sampling: The athletes with Post Operative SLAP tear were assessed and selected on the basis of convenient sampling and were assigned in two groups. Group – I: 10 athletes were undergoing DermoneuroModulation along with conventional physiotherapy. Group – II: 10 athletes were undergoing only conventional physiotherapy. Study duration The study was carried out for a period of 10 months. The athletes were treated after 1 month period of immobilization. Follow up was done for 4 months. SELECTION CRITERIA: Inclusion Criteria: 1. Age between 20 - 38 years. 2. Only athletes who came to our college out patient department. 3. Both sexes included. 4. Athletes from various sports were included. 5. Athletes were included with initial assessment of shoulder ROM tests and then chosen who are all present with restricted ROM, especially internal rotation, and pain. 6. Only athletes who crossed 4 weeks of immobilization were included. 7. Ability to communicate and willingness to cooperate. Exclusion Criteria: 1. Proximal humeral, clavicle, scapula fractures or idiopathic frozen shoulder, adhesive capsulitis, shoulder impingement syndrome cases in which later causes shoulder stiffness were excluded. 2. Aged above 38 years were excluded 3. Athletes who had any cervical pathology like cervical spondylosis, tumors which later cause shoulder weakness, spasticity or pain were excluded. 4. Hypersensitivity. 5. Skin lesions and open wounds. 6. Presence of severe contracture and deformity. 7. General contra indications for manual therapy. 8. Unable to cooperate. 9. Refused participation. RESULTS: The results of the statistical analysis showed significant improvement in both the groups and the dependent ‘t’ values within the groups are: 18.5000 and 17.0151 for Group I and Group II in Pain Numerical Rating Scale and 19.9073 and 6.8802 for Group I and Group II in Goniometry Standards respectively. It showed that the treatment protocol provided for each group is valid. Comparing the post-test values of both groups, Group I had significantly more improvement than Group II with the independent ‘t’ value 4.3457 in Pain Numerical Rating Scale and 7.4000 in Goniometry Standards respectively. CONCLUSION: Hence, we reject the null hypothesis and accept the alternative hypothesis which is stated as there is significant improvement with DermoneuroModulation along with Conventional Physiotherapy than Conventional Physiotherapy alone on pain reduction and internal rotation improvement in post operative SLAP tear among athletes.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271750024 |
| Uncontrolled Keywords: | Dermoneuromodulation, Pain Reduction, Shoulder Internal Rotation, Post Operative Slap Tear, Athletes. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Ravindran C |
| Date Deposited: | 20 Sep 2019 03:38 |
| Last Modified: | 20 Sep 2019 06:23 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11532 |
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