{"id":{"repo_id":"varna","oai_identifier":"oai:repository.mu-varna.bg:nls/4423"},"canonical_url":"https://search.dev.ndltd.org/etd/varna/oai:repository.mu-varna.bg:nls/4423","repository":{"repo_id":"varna","name":"Medical University of Varna","base_url":"https://repository.mu-varna.bg/oai/request"},"display":{"title":"Posttraumatic stiffness in the elbow joint // Посттравматична скованост в лакътната става","abstract":"The study aims to make a comparative assessment of functional recovery according to the factor \"onset of movement\" of the elbow joint: on the 14th day (early onset) and after the 30th day (late onset), in cases of already diagnosed post-traumatic elbow stiffness. To achieve the set goal, 90 patients aged between 18 and 70 with clinical data for elbow stiffness were examined. Patients meeting the criteria for inclusion in the study were divided into two groups and followed up at three time intervals: on the first day after immobilisation was removed, on the 15th day, and on the 30th day. Both groups received conservative treatment in the form of physical therapy and rehabilitation. To achieve the set goals, the necessary data—anamnesis (pain, swelling, stiffness, etc.), functional status (inspection, palpation, goniometry), patients complete a short MEPS (Mayo Elbow Performance Score) questionnaire, and assess pain on a visual analogue scale. The results show a statistically significant effect on key indicators such as pain (VAS), range of motion, and functionality (MEPS). The combination of early mobilisation with standardised and comprehensive rehabilitation protocols should be considered an optimal and clinically applicable approach to the treatment of post-traumatic elbow stiffness. This model ensures not only faster and more effective recovery of joint function, but also better quality of life for patients, sustainability of the therapeutic effect over time, and a reduced risk of long-term disability.","abstract_html":"The study aims to make a comparative assessment of functional recovery according to the factor "onset of movement" of the elbow joint: on the 14th day (early onset) and after the 30th day (late onset), in cases of already diagnosed post-traumatic elbow stiffness. To achieve the set goal, 90 patients aged between 18 and 70 with clinical data for elbow stiffness were examined. Patients meeting the criteria for inclusion in the study were divided into two groups and followed up at three time intervals: on the first day after immobilisation was removed, on the 15th day, and on the 30th day. Both groups received conservative treatment in the form of physical therapy and rehabilitation. To achieve the set goals, the necessary data—anamnesis (pain, swelling, stiffness, etc.), functional status (inspection, palpation, goniometry), patients complete a short MEPS (Mayo Elbow Performance Score) questionnaire, and assess pain on a visual analogue scale. The results show a statistically significant effect on key indicators such as pain (VAS), range of motion, and functionality (MEPS). The combination of early mobilisation with standardised and comprehensive rehabilitation protocols should be considered an optimal and clinically applicable approach to the treatment of post-traumatic elbow stiffness. This model ensures not only faster and more effective recovery of joint function, but also better quality of life for patients, sustainability of the therapeutic effect over time, and a reduced risk of long-term disability.","abstract_has_math":false,"creators":["Petkov, Petar","Петков, Петър"],"institution":"Medical University of Varna","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2026,"date_issued":"2026-06-18T13:06:40Z","date_published":"2026-06-18T13:06:40Z","updated_at":"2026-07-27T21:56:42Z","subjects":["stiffness","elbow","mobilisation","long-term disability","Ортопедия и травматология / Orthopaedics and Traumatology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://repository.mu-varna.bg/handle/nls/4423","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Petkov, Petar","Петков, Петър"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2026-06-18T13:06:40Z","2025"]},{"key":"dc:publisher","label":"Institution","values":["Medical University of Varna"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["stiffness","elbow","mobilisation","long-term disability","Ортопедия и травматология / Orthopaedics and Traumatology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://repository.mu-varna.bg/handle/nls/4423"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The study aims to make a comparative assessment of functional recovery according to the factor \"onset of movement\" of the elbow joint: on the 14th day (early onset) and after the 30th day (late onset), in cases of already diagnosed post-traumatic elbow stiffness. To achieve the set goal, 90 patients aged between 18 and 70 with clinical data for elbow stiffness were examined. Patients meeting the criteria for inclusion in the study were divided into two groups and followed up at three time intervals: on the first day after immobilisation was removed, on the 15th day, and on the 30th day. Both groups received conservative treatment in the form of physical therapy and rehabilitation. To achieve the set goals, the necessary data—anamnesis (pain, swelling, stiffness, etc.), functional status (inspection, palpation, goniometry), patients complete a short MEPS (Mayo Elbow Performance Score) questionnaire, and assess pain on a visual analogue scale. The results show a statistically significant effect on key indicators such as pain (VAS), range of motion, and functionality (MEPS). The combination of early mobilisation with standardised and comprehensive rehabilitation protocols should be considered an optimal and clinically applicable approach to the treatment of post-traumatic elbow stiffness. This model ensures not only faster and more effective recovery of joint function, but also better quality of life for patients, sustainability of the therapeutic effect over time, and a reduced risk of long-term disability.","Основната цел на изследването е да се направи сравнителна оценка на функционалното възстановяване според фактора „начало на раздвижването“ на лакътната става: на 14-ти ден (ранно начало) и след 30-ти ден (късно начало), при вече диагностицирана посттравматична лакътна скованост. За да се осъществи зададената цел са изследвани 90 пациента на възраст между 18 и 70 години с клинични данни за лакътна скованост. Пациентите отговарящи на критериите за включване в проучването са разделени в две групи и са проследени в три времеви интервала – на първия ден след свалянето на имобилизацията, на 15-тия ден и на 30-тия ден. При двете групи е приложено консервативно лечение под формата на физиотерапия и рехабилитация. За постигане на заложените цели са проучени и анализирани необходими данни- анамнестични (болка, оток, скованост и др.), функционален статус (оглед, палпация, ъглометрия), пациентите попълват кратка форма на въпросника MEPS (Mayo Elbow Performance Score) и оценяват болката по Visual analog scale. Получените резултати показват статистически значимо повлияване на ключови показатели като болка (VAS), обем на движение и функционалност (MEPS). Съчетаването на ранно начало на раздвижване със стандартизирани и комплексни рехабилитационни протоколи трябва да се разглежда като оптимален и клинично приложим подход за лечение на посттравматична лакътна скованост. Този модел на поведение осигурява не само по-бързо и ефективно възстановяване на ставната функция, но и по-добро качество на живот за пациентите, устойчивост на терапевтичния ефект във времето и намаляване на риска от дългосрочна инвалидизация."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Posttraumatic stiffness in the elbow joint // Посттравматична скованост в лакътната става"]}]}],"canonical_facts":{"dc:creator":["Petkov, Petar","Петков, Петър"],"dc:date":["2026-06-18T13:06:40Z","2025"],"dc:description":["The study aims to make a comparative assessment of functional recovery according to the factor \"onset of movement\" of the elbow joint: on the 14th day (early onset) and after the 30th day (late onset), in cases of already diagnosed post-traumatic elbow stiffness. To achieve the set goal, 90 patients aged between 18 and 70 with clinical data for elbow stiffness were examined. Patients meeting the criteria for inclusion in the study were divided into two groups and followed up at three time intervals: on the first day after immobilisation was removed, on the 15th day, and on the 30th day. Both groups received conservative treatment in the form of physical therapy and rehabilitation. To achieve the set goals, the necessary data—anamnesis (pain, swelling, stiffness, etc.), functional status (inspection, palpation, goniometry), patients complete a short MEPS (Mayo Elbow Performance Score) questionnaire, and assess pain on a visual analogue scale. The results show a statistically significant effect on key indicators such as pain (VAS), range of motion, and functionality (MEPS). The combination of early mobilisation with standardised and comprehensive rehabilitation protocols should be considered an optimal and clinically applicable approach to the treatment of post-traumatic elbow stiffness. This model ensures not only faster and more effective recovery of joint function, but also better quality of life for patients, sustainability of the therapeutic effect over time, and a reduced risk of long-term disability.","Основната цел на изследването е да се направи сравнителна оценка на функционалното възстановяване според фактора „начало на раздвижването“ на лакътната става: на 14-ти ден (ранно начало) и след 30-ти ден (късно начало), при вече диагностицирана посттравматична лакътна скованост. За да се осъществи зададената цел са изследвани 90 пациента на възраст между 18 и 70 години с клинични данни за лакътна скованост. Пациентите отговарящи на критериите за включване в проучването са разделени в две групи и са проследени в три времеви интервала – на първия ден след свалянето на имобилизацията, на 15-тия ден и на 30-тия ден. При двете групи е приложено консервативно лечение под формата на физиотерапия и рехабилитация. За постигане на заложените цели са проучени и анализирани необходими данни- анамнестични (болка, оток, скованост и др.), функционален статус (оглед, палпация, ъглометрия), пациентите попълват кратка форма на въпросника MEPS (Mayo Elbow Performance Score) и оценяват болката по Visual analog scale. Получените резултати показват статистически значимо повлияване на ключови показатели като болка (VAS), обем на движение и функционалност (MEPS). Съчетаването на ранно начало на раздвижване със стандартизирани и комплексни рехабилитационни протоколи трябва да се разглежда като оптимален и клинично приложим подход за лечение на посттравматична лакътна скованост. Този модел на поведение осигурява не само по-бързо и ефективно възстановяване на ставната функция, но и по-добро качество на живот за пациентите, устойчивост на терапевтичния ефект във времето и намаляване на риска от дългосрочна инвалидизация."],"dc:format":["application/pdf"],"dc:identifier":["http://repository.mu-varna.bg/handle/nls/4423"],"dc:publisher":["Medical University of Varna"],"dc:subject":["stiffness","elbow","mobilisation","long-term disability","Ортопедия и травматология / Orthopaedics and Traumatology"],"dc:title":["Posttraumatic stiffness in the elbow joint // Посттравматична скованост в лакътната става"],"dc:type":["thesis"]},"updated_at":"2026-07-27T21:56:42Z"}