 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2026, vol. 32, issue2
Subject Area: Public Health
-
DOI: 10.5272/jimab.2026322.6908
Published online: 10 June 2026
Original article
J of IMAB. 2026 Apr-Jun;32(2):6908-6912
MULTIMODAL PHYSIOTHERAPEUTIC PROGRAMME AND QUALITY OF LIFE AFTER REVERSE SHOULDER ARTHROPLASTY
Valentin Velchev
,
Department of Kinesitherapy, Faculty of Public Health, Medical University - Varna, Bulgaria.
ABSTRACT:
Introduction: Reverse shoulder arthroplasty is gaining more and more popularity as a surgical intervention focusing on improving the quality of life of patients with shoulder pathology.
Purpose: to evaluate the quality of life of the reverse shoulder arthroplasty patients who have undergone a multimodal physiotherapeutic programme.
Material and methods: Fifty–two patients with reverse shoulder arthroplasty, were divided into two groups. The patients in group 1 underwent classical physiotherapy, which was applied on the 2nd postoperative day and lasted up to the 16th week. The patients in group 2 underwent a multimodal physiotherapeutic programme after the 4th postoperative week until the 16th week.
Results and discussion: The comparative analysis of the overall assessment of the quality of life in both groups presents an increase in the average values with 23.5 units in favour of the multimodal physiotherapeutic programme. The data from the research of the four domains present an improvement in domain "Physical" with 7 units, followed by domain "Environment" (5.88), domain "Psychological" (3.54) and domain "Social Relationships" (2.03) in the combination of classical physiotherapy and cupping therapy in patients after reverse shoulder arthroplasty.
Conclusions: The inclusion of cupping therapy in the physiotherapeutic programme helps reduce pain, creating opportunities for earlier recovery of the shoulder joint. The multimodal physiotherapeutic programme gives the possibility for an improvement of the muscle strength of the reverse shoulder arthroplasty joint, which accelerates the functional recovery of the whole upper limb.
Keywords: physiotherapy, cupping therapy, reverse shoulder arthroplasty,
- Download FULL TEXT /PDF 1169 KB/
Please cite this article as: Velchev V. Multimodal Physiotherapeutic Programme and Quality of Life After Reverse Shoulder Arthroplasty. J of IMAB. 2026 Apr-Jun;32(2):6908-6912. [Crossref - 10.5272/jimab.2026322.6908]
Correspondence to: Valentin Velchev, Department of Kinesitherapy, Faculty of Public Health, Medical University – Varna; 1, Hr. Smirnenski Blvd., Varna, Bulgaria. E-mail: vvelchev1984@abv.bg
REFERENCES:
1. Lim N, Lee B, Kim S, Yang C, Han K. Integrative rehabilitation program for the management of patients after arthroscopic shoulder surgery: a retrospective case series study. Integr Med Res. 2020 Dec;9(4):100399. [PubMed]
2. Nenova G, Mancheva P, Kostadinova T, Mihov K, Dobrilov S. Mentoring in the Fields of Physiotherapy and Integrated Care. J of IMAB. 2018 Jan-Mar;24(1):1923–1927. [Crossref]
3. Mancheva P, Nenova G. Quality of Life, Legal Awareness of Euthanasia and Disability. J of IMAB. 2022 Jul-Sep;28(3):4566–4568. [Crossref]
4. Nenova G, Mancheva P, Ivelinova M. The Role of Kinesitherapy in Polytraumatism: Presentation of Clinical Case. J of IMAB. 2022; 28(Supplement3):30-34. [Crossref]
5. Hanchard NC, Lenza M, Handoll HH, Takwoingi Y. Physical tests for shoulder impingements and local lesions of bursa, tendon or labrum that may accompany impingement. Cochrane Database Syst Rev. 2013 Apr 30;2013(4):CD007427. [PubMed]
6. Murthi AM, Vosburgh CL, Neviaser TJ. The incidence of pathologic changes of the long head of the biceps tendon. J Shoulder Elbow Surg. 2000 Sep-Oct;9(5):382-5. [PubMed]
7. Velchev V, Mancheva P, Ivelinova M, Naydenov Al. Cupping therapy and kinesitherapeutic recovery after shoulder arthroplasty: a pilot study. J of IMAB. 2024; 30(Supplement-3-V):42-45. [Crossref]
8. Nenova G, Ivelinova M. Student Volunteerism in the Rehabilitation of a Child with Fractura Olecrani: Presentation of Clinical Case. J of IMAB. 2022 Jul-Sep;28(3):4497-4500. [Crossref]
Received: 20 November 2025
Published online: 10 June 2026