대한정형도수물리치료학회지 (The Journal of Korean Academy of Orthopedic Manual Physical Therapy)

  • 제22권2호
  • /
  • Pages.15-20
  • /
  • 2016
  • /
  • 1226-3680(pISSN)
  • /
  • 2508-7282(eISSN)
대한정형도수물리치료학회 (Korean Academy of Orthopedic Manual Physical Therapy)
권호 표지

회전근개 수술 환자의 수술측과 비수술측 간에 견갑골 자세 비교

Comparison of Scapular Position Between Operation and Non-operation Side to the Rotator Cuff Surgery

  • 정의용 (아산충무병원) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Jeong, Eui-young (Dept. of Physical Therapy, Asan Chungmu Hospital) ;
  • Kim, Suhn-yeop (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2016.06.02
  • 심사 : 2016.06.28
  • 발행 : 2016.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The purpose of this study was to compared of scapular position between operation side and non-operation side to the rotator cuff surgery. Methods: This study was carried out with a total 34 patients: male (n=14), female (n=20). Shoulder range of motion (ROM), the quadruple visual analogue scale (QVAS), the shoulder pain and disability index (SPADI), and the scapular index (SI) were used to assess shoulder posture and function. SI was the resting position of the scapular was determined by measuring the distance from the mid-point of the sternal notch (SN) to the medial aspect of the coracoid process (CP) and the horizontal distance from the posterolateral angle of the acromion (PLA) to the thoracic spine (TS) with a soft tape measure. The SI was calculated using the equation: [(SN to CP/PLA to TS) ${\times}$ 100]. Results: There were no significant difference in ROM, QVAS to rotator repair patients according to SI (p>.05). There were significant differences in SI between the operation side and the non-operation side (p<.01). Conclusions: Scapular position was operation side more internal rotation, protraction, abduction than non-operation side. Therefore, health professionals managing for rotator cuff tear repair patients should consider scapular position.

키워드

참고문헌

  1. 서현두, 이관우, 정경심, 등. 한국어판 Shoulder Pain And Disability Index의 신뢰도와 타당도. 특수교육재활과학연구. 2012;51(2):319-336.
  2. 이대희. 균형운동과 신장운동이 두부 전방 전위 자세에 미치는 영향. 대구대학교 대학원, 박사학위논문. 2011
  3. 이민지. 유방암 절제술과 견관절 수술을 한 여성의 견관절 관절가동범위, 통증수준, 기능수준, 견갑골의 자세 비교. 대전대학교 대학원, 석사학위논문. 2015.
  4. 정문수. 회전근개 파열의 크기에 따른 수술 전 등척성 및 등속성 운동 근력의 비교. 전남대학교 대학원, 석사학위논문. 2008:12-14.
  5. 정영민, 최종덕. 편측 견부 통증 환자의 안정시 견갑골 자세와 통증수준과의 상관성 연구. 한국전문물리치료학회지. 2010;17(2):25-32.
  6. Abrams JS. Arthroscopic techniques for massive rotator cuff repairs. J Shoulder Elbow Surg. 2007;8(3):126-134. https://doi.org/10.1097/BTE.0b013e3180ca966c
  7. Baskurt Z, Baskurt F, Gelecek N, et al. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelect Rehabil. 2011;24(3):173-179. https://doi.org/10.3233/BMR-2011-0291
  8. Bigliani LU, Cordasco FA, Mcllveen SJ, et al. Operative repair of massive rotator cuff tears. J Shoulder Elbow Surg. 1992;1:120-130. https://doi.org/10.1016/1058-2746(92)90089-L
  9. Borstad JD. Resting position variables at the shoulder: Evidence to support a posture-impairment association. Phys Ther. 2006;86(4):549-557.
  10. Cools AM, Witvrouw EE, Danneels LA, et al. Does taping influence electromyographic muscle activity in the scapular rotators in healthy shoulder. Man Ther. 2002;7(3):154-162. https://doi.org/10.1054/math.2002.0464
  11. DeOrio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator suff repair. J Bone Joint Surg Am. 1984;66:563-567. https://doi.org/10.2106/00004623-198466040-00011
  12. Finley MA, Lee RY. Effect of sitting posture on 3-demensional scapular kinematic measured by skinomounted electromagnetic tracking sensors. Arch Phys Med Rehabil. 2003;84(4):563-568. https://doi.org/10.1053/apmr.2003.50087
  13. Gerber C, Meyer DC, Schneeberger AG, et al. Effect of tendon release and delayed repair on the structure of the muscles of the rotator cuff. J Bone Joint Surg Am. 2004;86:1973-1982. https://doi.org/10.2106/00004623-200409000-00016
  14. Hebert LJ, Moffet H, McFadyen BJ, et al. Scapular behavior in shoulder impingement syndrome. Arch Phys Med Rehabil. 2002;83(1):60-69. https://doi.org/10.1053/apmr.2002.27471
  15. Kendall FP, McCreary EK. Muscle: Testing and Function. 3rd ed. Baltimore, Williams & Wilkins. 1983.
  16. Kendall FP, McCreary EK. Muscle: Testing and Function. 4th ed. Baltimore, Williams & Wilkins. 1993.
  17. Kibler WB. The role of the scapular in athletic shoulder function. Am J Sports Med. 1998;26(2):325-337. https://doi.org/10.1177/03635465980260022801
  18. Lin JJ, Yang JL. Reliability and validity of shoulder tightness measurement in patients with stiff shoulder. Man Ther. 2006;11(2):146-152. https://doi.org/10.1016/j.math.2005.05.002
  19. Ludewig PM, Cook TM. Alteration in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-291.
  20. Nijs J, Roussel N, Struyf F, et al. Clinical assessment of scapular positioning in patients with shoulder pain. J Manipulative Phys Ther. 2007;30(1):69-75. https://doi.org/10.1016/j.jmpt.2006.11.012
  21. Sahrmann SA. Does postural assessment contribute to patient care? J Orthop Sports Phys Ther. 2002;32(8):376-379. https://doi.org/10.2519/jospt.2002.32.8.376
  22. Von Korff M, Deyo RA, Cherkin D, et al. Back pain in primary care. Outcomes at 1 year. Spine. 1993;18(7):855-862. https://doi.org/10.1097/00007632-199306000-00008
  23. Williams GR Jr, Rockwood CA Jr, Bigliani LU, et al. Rotator cuff tears: why do we repair them? J Bone Joint Surg Am. 2004;86(12):2764-2776. https://doi.org/10.2106/00004623-200412000-00027