견갑골 안정화 운동이 유방암 절제술을 한 여성의 견관절 가동범위, 통증 및 기능수준에 미치는 영향

Effects of Scapular Stabilization Exercise on the Range of Motion, Pain, and Function in the Shoulders of Women with Breast Cancer Surgery

  • 남수진 (백석대학교 보건복지대학원 물리치료학과) ;
  • 강태우 (원광보건대학교 물리치료학과)
  • Nam, Soo-jin (Dept. of Physical Therapy, College of Health, Backseok University) ;
  • Kang, Tae-woo (Dept. of Physical Therapy, Wonkwang Health Science College)
  • 투고 : 2017.10.15
  • 심사 : 2017.12.13
  • 발행 : 2017.12.31

초록

Background: To compare the effects of scapular stabilization exercise on the range of motion, pain, and function in the shoulders of women with breast cancer surgery. Methods: Fifteen patients were performed scapular stabilizing training using dumbbells for 30 minutes daily, five times per week for 4 weeks. The range of motion, pain, and function in the shoulder were assessed. Goniometer was used for ROM of shoulder external rotation. Shoulder pain and disability index was used for pain and function of shoulder. Comparison of the pre and post intervention was calculated by a paired t-test. Results: After 4 weeks of training, range of motion, pain and function in the shoulder improved significantly in patients with breast cancer surgery (p<.05). Conclusion: These findings indicate the more favorable effects from scapular stabilization exercise in patients with breast cancer surgery.

키워드

참고문헌

  1. 박영미. 유방암 환자의 조기 상지운동프로그램이 어깨 관절기능에 미치는 효과. 삼육대학교 대학원 물리치료학 석사학위논문. 2008.
  2. 소향숙, 윤정한, 김인숙 등. 탄력밴드를 이용한 유산소 운동이 유방 절제술 여성의 신체적 기능과 신체상에 미치는 효과. 대한간호학회지. 2006;36(7):1111-1122. https://doi.org/10.4040/jkan.2006.36.7.1111
  3. 소현정. 탄력밴드 운동이 유방암 수술 관련 어깨관절장애 개선에 미치는 효과. 대구대학교 재활과학대학원 물리치료학 석사학위논문, 2009.
  4. 신호숙, 이광식. 스트레칭을 병행한 저항운동이 만성적 견관절 질환을 가진 중년 여성의 관절가동범위, 악력 및 통증완화에 미치는 효과. 한국체육과학회지. 2006;15(1):569-577.
  5. 안소윤, 김좌준, 하해정. 상지림프부종환자의 견갑골안 정화운동이 안정시 견갑골 위치에 미치는 영향. 대한물리의학회지. 2016;11(2):131-139. https://doi.org/10.13066/kspm.2016.11.2.131
  6. 이규완. 유방 절제술 후 조기 운동프로그램의 치료 효과. 연세대학교 대학원 재활학과 석사학위논문. 2000.
  7. 이상민. 7-10RM 방식에 의한 남, 여 대학생 초보자와 숙련자의 1RM 간접 추정식 비교. 단국대학교 교육학 석사학위논문. 2010.
  8. 이상섭. 견관절 정적 스트레칭이 고등학교 투수의 피칭 속도, 유연성, 근골격계 통증 및 신경근 피로에 미치는 영향. 단국대학교 스포츠과학대학원, 석사학위논문, 2013.
  9. Baskurt Z, Baskurt F, Gelecek N, et al. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil. 2011;24(3):173-179. https://doi.org/10.3233/BMR-2011-0291
  10. Choi YS, Park JW, Noh SJ, et al. Reliability, validity, and responsiveness of the korean version of the shoulder disability questionnaire and shoulder rating questionnaire. Ann Rehabil Med. 2015;39:705-717. https://doi.org/10.5535/arm.2015.39.5.705
  11. Costic RS, Jari R, Rodosky MW, et al. Joint compression alters the kinematics and loading patterns of the intact and capsule-transected AC joint. J Orthop Res. 2003;21(3):379-385. https://doi.org/10.1016/S0736-0266(02)00197-3
  12. De Mey K, Danneels L, Cagnie B, et al. Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms effect of a 6-week training program on muscle recruitment and functional outcome. Am J Sports Med. 2012;40:1906-1915. https://doi.org/10.1177/0363546512453297
  13. Ewertz M, Jensen AB. Late effects of breast cancer treatment and potentials for rehabilitation. Acta Oncol. 2011;50:187-193. https://doi.org/10.3109/0284186X.2010.533190
  14. Fourie WJ. Considering wider myofascial involvement as a possible contributor to upper extremity dysfunction following treatment for primary breast cancer. J Bodyw Mov Ther. 2008;12(4):349-355. https://doi.org/10.1016/j.jbmt.2008.04.043
  15. Hladiuk M, Huchcroft S, Temple W, et al. Arm function after axillary dissection for breast cancer: A pilot study to provide parameter estimates. J Surg Oncol. 1992;50:47-52. https://doi.org/10.1002/jso.2930500114
  16. Jurgel J, Rannama L, Gapeyeva H, et al. Shoulder function in patients with frozen shoulder before and after 4-week rehabilitation. Medicina(Kaunas). 2005;41(1):30-38. https://doi.org/10.11606/issn.2176-7262.v41i1p30-34
  17. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. Philadelphia, Fa Davis. 2005.
  18. Lee Y, Shin MM, Lee W. Effects of shoulder stabilization exercise on pain and function in patients with neck pain. J Phys Ther Sci. 2015;27(12):3619-3622. https://doi.org/10.1589/jpts.27.3619
  19. Leung B, Horodyski M, Struk AM, et al. Functional outcome of hemiarthroplasty compared with reverse total shoulder arthroplasty in the treatment of rotator cuff tear arthropathy. J Shoulder Elbow Surg. 2012;21(3):319-323. https://doi.org/10.1016/j.jse.2011.05.023
  20. Lewis JS, Valentine RE. Intraobserver reliability of angular and linear measurements of scapular position in subject with and without symptoms. Arch Phys Med Rehabil. 2008;89(9):1795-1802. https://doi.org/10.1016/j.apmr.2008.01.028
  21. National Cancer Information Center. "Cancer statistics review". Goyang. 2013.
  22. Oberg E. Physical activity presription: our best medicine. Integrative Medicine. 2007;6(5):18-22.
  23. Palmer ML, Epler ME. Fundamentals of Musculoskeletal Assessment Techniques. Lippincott Williams & Wilkkins. 2nd ed. 79-81, 2001.
  24. Riddle DL, Rothstein JM, Lamb RL. Goniometric reliability in a clinical setting. Shoulder measurements. Phys Ther. 1987;67:668-673. https://doi.org/10.1093/ptj/67.5.668
  25. Struyf F, Nijs J, Mollekens S, et al. Scapular-focused treatment in patients with shoulder impingement syndrome: A randomized clinical trial. Clin Rheumatol. 2013;32(1):73-85. https://doi.org/10.1007/s10067-012-2093-2
  26. Youdas JW, Arend DB, Exstrom JM, et al. Comparison of muscle activation levels during arm abduction in the plane of the scapula vs. Proprioceptive neuromuscular facilitation upper extremity patterns. J Strength Cond Res. 2012;26(4):1058-1065. https://doi.org/10.1519/JSC.0b013e31822e597f