Rehabilitación física de capsulitis adhesiva en hombres alcohólicos: estudio prospectivo en el municipio de Danlí.
Keywords:
Adhesive capsulitis, Alcoholic neuropathy, Physical rehabilitation, Joint range of motionAbstract
Introduction: Alcoholism is one of the main public health issues, associated with various musculoskeletal disorders, including adhesive capsulitis (frozen shoulder). This pathology is exacerbated by alcoholic neuropathy, which reduces joint mobility and promotes capsular fibrosis. Physical rehabilitation and exercise are crucial for improving neuromuscular function, reducing pain, and restoring mobility in these patients.
Objective: To evaluate the effectiveness of a physical rehabilitation program in men with adhesive capsulitis through a prospective analysis of muscle strength, balance, and bone density in the municipality of Danlí.
Materials and Methods: Eighteen adult men (ages 40-65) diagnosed with adhesive capsulitis were included. The rehabilitation program consisted of 12 weeks of progressive exercises, including pain control, passive mobilization, strengthening, and functional training. Evaluations were conducted using goniometry, pain and functionality scales, and muscle strength and balance tests.
Results: Significant improvements were observed in range of motion (ROM), pain reduction, and functionality. Flexion increased by 46.1°, abduction by 39.8°, and rotation by 23° (p<0.001). Pain reduction was significant, with a change of -4.4 on the Visual Analog Scale (VAS) and -36.7 on the Shoulder Pain and Disability Index (SPADI).
Conclusions: The physical rehabilitation program was effective in improving mobility and reducing pain in patients with adhesive capsulitis associated with alcoholism, suggesting the need for early interventions and longitudinal follow-up.
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Copyright (c) 2025 Reidel Cordoves Peinado, Raúl Antonio Gaitan Amador, Daylanis Gutiérrez Cruzata, Yefrik Yair Lanza Reyes, Raúl Orlando Figueroa Soriano, Nahun David Martínez Saravia
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
