PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of an Intensively Complex Physical Therapy Program on the Pain, Range of Motion, Muscle Strength, Function, Quality of Life, and Depression of Patients with Traumatic Rotator Cuff Injury caused by an Industrial Accident -A Pilot Study-

집중 복합 물리치료 프로그램이 산재 외상성 어깨둘레근 손상 환자의 통증, 관절가동범위, 근력, 기능, 삶의 질과 우울증에 미치는 영향 -예비연구-

  • Bae, Young-Hyeon (Clinical Rehabilitation Research Center, Korea Worker's Compensation & Welfare Service) ;
  • Kim, Sun-Mi (Department of Physical Therapy, Korea Worker's Compensation & Welfare Service Daegu Hospital) ;
  • Kim, Min-Ju (Clinical Rehabilitation Research Center, Korea Worker's Compensation & Welfare Service) ;
  • Choi, Joon-Kyung (Department of Physical Therapy, Korea Worker's Compensation & Welfare Service Daegu Hospital) ;
  • Kim, Kyung-Ae (Department of Physical Therapy, Korea Worker's Compensation & Welfare Service Daegu Hospital) ;
  • Ko, Moon-Ju (Department of Physical and Rehabilitation Medicine, Korea Worker's Compensation & Welfare Service Daegu Hospital) ;
  • Kim, Young-Bum (Department of Physical and Rehabilitation Medicine, Korea Worker's Compensation & Welfare Service Daegu Hospital)
  • 배영현 (근로복지공단 재활의학연구센터) ;
  • 김선미 (근로복지공단 대구병원 물리치료실) ;
  • 김민주 (근로복지공단 재활의학연구센터) ;
  • 최준경 (근로복지공단 대구병원 물리치료실) ;
  • 김경애 (근로복지공단 대구병원 물리치료실) ;
  • 고문주 (근로복지공단 대구병원 재활의학과) ;
  • 김영범 (근로복지공단 대구병원 재활의학과)
  • Received : 2018.06.16
  • Accepted : 2018.08.02
  • Published : 2018.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the effect of an intensive rehabilitation program on the pain, range of motion (ROM), muscle strength, function, quality of life (QoL), and depression of patients with traumatic rotator cuff injury caused by an industrial accident. Methods: Seventeen patients with traumatic rotator cuff injury caused by an industrial accident participated in this study. The 12-week treatment included 30 min of manual therapy and 30 min of exercise therapy twice a day, five times a week. The outcomes were measured for evaluating the pain, ROM, muscle strength, function, QoL, and depression before the commencement of the program and after 4, 8, and 12 weeks. Results: According to the time of applying the intensive rehabilitation program, the pain (p<0.01), ROM (p<0.01), muscle strength (p<0.01), function (p<0.01), and depression (p<0.05) significantly improved with time. However, QoL was not statistically significant. Conclusion: This study confirmed the excellent effect of an intensive rehabilitation program on the pain, ROM, muscle strength, function, and depression of patients with traumatic rotator cuff injury caused by an industrial accident. However, this study was limited by the absence of a control group. This pilot study highlights the need for more extensive research with a larger sample.

Keywords

References

  1. Ahn SE, Kim BS. The effect of rehabilitation exercise programs on recoverability of muscle functions following the arthroscopy surgery performed on rotator cuff tear. The Korean Journal Of Sport. 2013;11(1):301-309.
  2. Bae YH. Study on methods for activating rehabilitation service with industrial accidents. Labor Welfare Forum. 2017;10(2):135-160.
  3. Bae YH, Lee SM. The effects of motor control and strengthening exercise on secondary shoulder impingement syndrome at postmastectomy. Journal of the Korea Academia-Industrial cooperation Society. 2012;13(4):2240-2250. https://doi.org/10.5762/KAIS.2012.13.5.2240
  4. Bang HJ, Lee HJ. Difference of early muscle strengthening exercises on pain, function and sleep quality for rotator cuff partial tear patients. Journal of The Korean Society of Integrative Medicine. 2016;4(3):1-15. https://doi.org/10.15268/KSIM.2016.4.3.001
  5. Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. Journal of Orthopaedic and Sports Physical Therapy. 2000;30(44):126-137. https://doi.org/10.2519/jospt.2000.30.3.126
  6. Bennell K, Wee E, Coburn S, et al. Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: randomised placebo controlled trial. The British Medical Journal. 2010;340:c2756. https://doi.org/10.1136/bmj.c2756
  7. Brudvig TJ, Kulkarni H, Shah S. The effect of therapeutic exercise and mobilization on patients with shoulder dysfunction: a systematic review with meta-analysis. Journal of Orthopaedic and Sports Physical Therapy. 2011;41(10):734-748. https://doi.org/10.2519/jospt.2011.3440
  8. Cadogan A, Laslett M, Hing W, et al. Reliability of a new hand-held dynamometer in measuring shoulder range of motion and strength. Manual Therapy. 2011;16(1):97-101. https://doi.org/10.1016/j.math.2010.05.005
  9. Choi Y, Park JW, Noh S, et al. Annals Rehabilitation Medicine. 2015;39(5):705-17. https://doi.org/10.5535/arm.2015.39.5.705
  10. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clinical Orthopaedics and Related Research. 1987;214:160-164.
  11. Han C, Jo SA, Kwak JH, et al. Validation of the patient health questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Comprehensive Psychiatry. 2008;49(2):218-223. https://doi.org/10.1016/j.comppsych.2007.08.006
  12. Hanson B, Neidenbach P, de Boer P, et al. Functional outcomes after nonoperative management of fractures of the proximal humerus. Journal of Shoulder and Elbow Surgery. 2009;18(4):612-621. https://doi.org/10.1016/j.jse.2009.03.024
  13. Ho CY, Sole G, Munn J. The effectiveness of manual therapy in the management of musculoskeletal disorders of the shoulder: a systematic review. Manual. Therapy. 2009;14(5):463-474. https://doi.org/10.1016/j.math.2009.03.008
  14. Kachingwe AF, Phillips B, Sletten E, et al. Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: a randomized controlled pilot clinical trial. Journal of Manual & Manipulative Therapy. 2008;16(4):238-247. https://doi.org/10.1179/106698108790818314
  15. Khan Y, Nagy MT, Malal J, et al. The painful shoulder: shoulder impingement syndrome. Open Orheopaedic Journal. 2013;7:347-354. https://doi.org/10.2174/1874325001307010347
  16. Kim JS, Lee JS, Lee MA. International comparative study on fee schedule of EII and NHI: focused on Japan, Germany, Austria, Switzerland and UK. Korean Journal Of Social Welfare Research. 2014;39(0):31-57.
  17. Lefevre-Colau MM, Babinet A, Fayad F, et al. Immediate mobilization compared with conventional immobilization for the impacted nonoperatively treated proximal humeral fracture. A randomized controlled trial. Journal of Bone and Joint Surgery (American volume). 2007;89(12):2582-2590. https://doi.org/10.2106/JBJS.F.01419
  18. Lombardi jr I, Magri AG, Fleury AM, et al. Progressive resistance training in patients with shoulder impingement syndrome: a randomized controlled trial. Arthritis Care & Research. 2008;59(5):615-622. https://doi.org/10.1002/art.23576
  19. Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occupational & Environmental Medicine. 2003;l60(11):841-849.
  20. Mayer F, Baur H, Hirschmuller A, et al. The quantification of reciprocal shoulder strength relation in various working modes at different movement velocities. Isokinetics and Exercise Science. 2001;9(2):73-77. https://doi.org/10.3233/IES-2001-0068
  21. Meung MS. The effect of sling exercise on increase muscle's thickness, function, and range of motion in rotator cuff surgery patients. Chonnam National University. Dissertation of Master's Degree. 2013.
  22. Min SK, Lee CI, Kim KI, et al. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). Psychiatry Investigation. 2000;156(3):571-579.
  23. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry, 3 ed. Physiotherpy Canada. 2004;56(4):250. https://doi.org/10.2310/6640.2004.00031
  24. Oh KJ. Comparison of muscular strength and range of motion & pain according to the tear size after a rotator cuff repair when a 12-week rehabilitation program is applied. Korea University. Dissertation of Master's Degree. 2011.
  25. Ostor AJK, Richards CA, Prevost AT, et al. Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology (Oxford). 2005;44(6):800-805. https://doi.org/10.1093/rheumatology/keh598
  26. Park SI. The effects of shoulder stabilizing exercise on pain, function, and range of motion for rotator cuff repair patient. Korea National University of Transportation. Dissertation of Master's Degree. 2013.
  27. Seo HD, Lee KW, Jeong KS, et al. Reliability and validity of the Korean version of shoulder pain and disability index. Journal of Special Education & Rehabilitation Science. 2012;51(2):319-336.
  28. Walther M, Wenner A, Stahlschmidt T, et al. The subacromial impingement syndrome of the shoulder treated by conventional physiotherapy, self-training, and a shoulder brace: results of a prospective, randomized study. Journal of Shoulder and Elbow Surgery. 2005;13(4):417-324. https://doi.org/10.1016/j.jse.2004.02.002
  29. Yang JL, Jan MH, Chang CW, et al. Effectiveness of the end-range mobilization and scapular mobilization approach in a subgroup of subjects with frozen shoulder syndrome: a randomized control trial. Manual Therapy. 2013;17(1):47-52. https://doi.org/10.1016/j.math.2011.08.006