Features of the Comprehensive Application of Nuclear Magnetic Resonance Therapy and Physical Rehabilitation Techniques for Degenerative-Dystrophic Shoulder Joint Diseases

Objective. This study aims to characterize the role of risk factors associated with the progression of degenerative-dystrophic shoulder joint diseases in predicting clinical outcomes of the combined application of nuclear magnetic resonance therapy and McKenzie physical rehabilitation techniques. Materials and Methods. Clinical outcomes of the combined use of nuclear magnetic resonance therapy and McKenzie rehabilitation techniques were analyzed based on 21 cases of degenerative-dystrophic shoulder joint diseases involving 18 patients treated at the “VinProfiMed” rehabilitation center. The study group included 11 males (61.11 %) and 7 females (38.89 %), with a mean age of 58.28±11.59 years. Unilateral omarthrosis was diagnosed in 15 patients (83.33 %), while bilateral omarthrosis was observed in 3 patients (16.67 %). Clinical outcomes were assessed using the Oxford Shoulder Score questionnaire. Results. The average treatment score was 41.29±5.18, indicating excellent outcomes. Excellent results were achieved in 14 patients (66.67 %), good results were noted in 6 patients (28.57 %), and 1 patient showed satisfactory results (4.76 %). Significantly better outcomes were observed in male patients (τ=+0.45, p=0.004), younger patients (τ=-0.44, p=0.005), particularly those of middle age (τ=+0.40, p=0.01), in cases of primary omarthrosis (τ=+0.37, p=0.02) at stages I and II of the disease (τ=+0.34, p=0.03 for both). Males had significantly higher odds of achieving excellent outcomes (p=0.03, OR=9.17, CI (1.00–84.35)), as did patients with primary omarthrosis (p=0.01, OR=15.00, CI (1.14–197.52)). Good clinical outcomes were more likely to occur in individuals with stage III disease (p=0.02, OR=13.75, CI (1.02–184.81)) and unilateral lesions (p=0.03, OR=2.64, CI (2.90–13.90)). Conclusions. The study demonstrated the high effectiveness of the combined application of nuclear magnetic resonance therapy and physical rehabilitation techniques in patients with degenerative-dystrophic shoulder joint diseases. Relative indications and contraindications for the proposed treatment regimen were developed, enabling improved clinical effectiveness of conservative treatment approaches for degenerative-dystrophic shoulder joint conditions.