Fizioterapeutske procedure i fizioterapeutska procjena kod kalcifikata muskuloskeletnog sustava različite lokalizacije

The aim of this paper is to search medical databases to review the literature on physiotherapeutic procedures and physiotherapeutic assessment of musculoskeletal calcifications of different localization, focusing on the most common, and based on the results to suggest the most optimal approach for rehabilitation of musculoskeletal calcifications to help future researchers make guidelines for the rehabilitation of the same. Methods. For the purposes of preparing the paper, databases relevant to the field of physical and rehabilitation medicine were searched: PubMed, PEDro (Physiotherapy Evidence Database) and Cochrane Central. The search keywords used are: calcific tendinopathy, calcific tendinitis, rehabilitation, physical therapy, shoulder, hip. The analysis included 5 studies; 3 studies on rehabilitation procedures of calcific tendinitis of the rotator cuff, 1 study on rehabilitation procedures of calcific tendinitis of the hip and 1 study investigating the rehabilitation of all calcifications of the musculoskeletal system. The results. The results of the study show that ultrasound-guided needling (UGN), radial extracorporeal shock wave therapy (RSW) and shock wave therapy (H-FSW) alleviate pain and achieve a reduction in calcium deposition. Ultrasonographically guided therapeutic procedures (steroid injection or percutaneous aspiration) have been shown to be most effective, combining ultrasound-guided aspiration with subacromial corticosteroid injection significantly reduces pain, improves range of motion of affected muscles, and reduces the risk of calcium deposits. Conclusion. Conservative treatment of patients with calcified tendinitis is successful in most patients, ultrasonographically guided therapeutic procedures are proving to be the most effective but more research is needed to compare different rehabilitation procedures and their long-term outcomes.