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Effects of combining both mobilization and hold-relax technique on the function of post-surgical patients with shoulder adhesive capsulitis

  • Jung, Jongchan (Department of Physical Therapy, Nalgae Hospital) ;
  • Chung, Yijung (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
  • 투고 : 2020.05.26
  • 심사 : 2020.06.15
  • 발행 : 2020.06.30

초록

Objective: This study investigated the effects of combining both mobilization and hold-relax (HR) technique on the function of post-surgical patients with shoulder adhesive capsulitis. Design: Randomized controlled trial. Methods: Forty-five surgical patients with shoulder adhesive capsulitis participated in this study and were randomly divided into three groups; both mobilization with movement (MWM) and HR technique (HR-MWM) group (n=15), the MWM group (n=15), and control group (n=15). All participants received three different interventions; 1) MWM combined with HR technique in PNF stretching on the shoulder, 2) MWM on the shoulder, 3) general physical therapy and intervention with neither MWM or HR stretching. Pre- and post-intervention, each subject was randomly evaluated for shoulder flexion range of motion (ROM), shoulder flexor muscle strength, Visual Analogue Scale (VAS), and the Korean version of the Shoulder Pain And Disability Index (SPADI). Results: The MWM combined with HR technique group had significant effects on shoulder flexion ROM, shoulder flexor muscle strength, VAS and SPADI compared to the MWM and control group (p<0.05). The MWM group showed a significantly greater increase in shoulder flexion ROM compared to the control group (p<0.05). Conclusions: These findings suggest that combining both the MWM and HR technique on the shoulder may more effectively improve shoulder function than MWM alone or without MWM&HR technique. Therefore, combining both the MWM and HR technique is a suggested intervention for increasing function due to shoulder adhesive capsulitis after surgery.

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참고문헌

  1. Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med 2010;38:2346-56. https://doi.org/10.1177/0363546509348048
  2. Tasto JP, Elias DW. Adhesive capsulitis. Sports Med Arthrosc Rev 2007;15:216-21. https://doi.org/10.1097/JSA.0b013e3181595c22
  3. Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow 2017;9:75-84. https://doi.org/10.1177/1758573216676786
  4. Guler-Uysal F, Kozanoglu E. Comparison of the early response to two methods of rehabilitation in adhesive capsulitis. Swiss Med Wkly 2004;134:353-8.
  5. Mao CY, Jaw WC, Cheng HC. Frozen shoulder: correlation between the response to physical therapy and follow-up shoulder arthrography. Arch Phys Med Rehabil 1997;78:857-9. https://doi.org/10.1016/S0003-9993(97)90200-8
  6. Vermeulen HM, Rozing PM, Obermann WR, le Cessie S, Vliet Vlieland TP. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys Ther 2006;86:355-68. https://doi.org/10.1093/ptj/86.3.355
  7. Holloway GB, Schenk T, Williams GR, Ramsey ML, Iannotti JP. Arthroscopic capsular release for the treatment of refractory postoperative or post-fracture shoulder stiffness. J Bone Joint Surg Am 2001;83:1682-7. https://doi.org/10.2106/00004623-200111000-00010
  8. Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg 2011;19:536-42. https://doi.org/10.5435/00124635-201109000-00004
  9. Abbott JH. Mobilization with movement applied to the elbow affects shoulder range of movement in subjects with lateral epicondylalgia. Man Ther 2001;6:170-7. https://doi.org/10.1054/math.2001.0407
  10. Backstrom KM. Mobilization with movement as an adjunct intervention in a patient with complicated de Quervain's tenosynovitis: a case report. J Orthop Sports Phys Ther 2002;32:86-94;discussion 94-7. https://doi.org/10.2519/jospt.2002.32.3.86
  11. Konstantinou K, Foster N, Rushton A, Baxter D. The use and reported effects of mobilization with movement techniques in low back pain management; a cross-sectional descriptive survey of physiotherapists in Britain. Man Ther 2002;7:206-14. https://doi.org/10.1054/math.2002.0469
  12. Paungmali A, O'Leary S, Souvlis T, Vicenzino B. Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Phys Ther 2003;83:374-83. https://doi.org/10.1093/ptj/83.4.374
  13. Doner G, Guven Z, Atalay A, Celiker R. Evalution of Mulligan's technique for adhesive capsulitis of the shoulder. J Rehabil Med 2013;45:87-91. https://doi.org/10.2340/16501977-1064
  14. Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching: mechanisms and clinical implications. Sports Med 2006;36:929-39. https://doi.org/10.2165/00007256-200636110-00002
  15. Alter MJ. Science of flexibility. 3rd ed. Champaign (IL): Human Kinetics; 2004.
  16. Youdas JW, Haeflinger KM, Kreun MK, Holloway AM, Kramer CM, Hollman JH. The efficacy of two modified proprioceptive neuromuscular facilitation stretching techniques in subjects with reduced hamstring muscle length. Physiother Theory Pract 2010;26:240-50. https://doi.org/10.3109/09593980903015292
  17. Yang JL, Chang CW, Chen SY, Wang SF, Lin JJ. Mobilization techniques in subjects with frozen shoulder syndrome: randomized multiple-treatment trial. Phys Ther 2007;87:1307-15. https://doi.org/10.2522/ptj.20060295
  18. Pragassame SA, Kurup VM. Efficacy of limited treatment frequency of Mulligan's mobilization with movement for frozen shoulder. Indian J Physiother Occup Ther 2014;8:218-23. https://doi.org/10.5958/j.0973-5674.8.2.089
  19. Waddington G, Diong J, Adams R. Development of a hand dynamometer for the control of manually applied forces. J Manipulative Physiol Ther 2006;29:297-304. https://doi.org/10.1016/j.jmpt.2006.03.007
  20. Decicco PV, Fisher MM. The effects of proprioceptive neuromuscular facilitation stretching on shoulder range of motion in overhand athletes. J Sports Med Phys Fitness 2005;45:183-7.
  21. Dundar U, Toktas H, Cakir T, Evcik D, Kavuncu V. Continuous passive motion provides good pain control in patients with adhesive capsulitis. Int J Rehabil Res 2009;32:193-8. https://doi.org/10.1097/MRR.0b013e3283103aac
  22. Crouch DL. Musculoskeletal biomechanical analysis of brachial plexus injury and treatment [Doctor dissertation]. Winston-Salem: Wake Forest University; 2014.
  23. Baschung Pfister P, de Bruin ED, Sterkele I, Maurer B, de Bie RA, Knols RH. Manual muscle testing and hand-held dynamometry in people with inflammatory myopathy: an intra- and interrater reliability and validity study. PLoS One 2018;13:e0194531. https://doi.org/10.1371/journal.pone.0194531
  24. Peolsson A, Hedlund R, Oberg B. Intra- and inter-tester reliability and reference values for hand strength. J Rehabil Med 2001;33:36-41. https://doi.org/10.1080/165019701300006524
  25. Crichton N. Visual analogue scale (VAS). J Clin Nurs 2001;10:706.
  26. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 2001;8:1153-7. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x
  27. Mawdsley RH, Hoy DK, Erwin PM. Criterion-related validity of the figure-of-eight method of measuring ankle edema. J Orthop Sports Phys Ther 2000;30:149-53. https://doi.org/10.2519/jospt.2000.30.3.149
  28. Seo HD, Lee KW, Jung KS, Chung YJ. Reliability and validity of the Korean version of Shoulder Pain and Disability Index. J Spec Educ Rehabil Sci 2012;51:319-36.
  29. Suri SA, Anand M. Comparative study on the effectiveness of Maitland mobilization technique versus muscle energy technique in treatment of shoulder adhesive capsulitis. Indian J Physiother Occup Ther 2013;7:1-6.
  30. Handel M, Horstmann T, Dickhuth HH, Gulch RW. Effects of contract-relax stretching training on muscle performance in athletes. Eur J Appl Physiol Occup Physiol 1997;76:400-8. https://doi.org/10.1007/s004210050268
  31. Birinci T, Razak Ozdincler A, Altun S, Kural C. A structured exercise programme combined with proprioceptive neuromuscular facilitation stretching or static stretching in posttraumatic stiffness of the elbow: a randomized controlled trial. Clin Rehabil 2019;33:241-52. https://doi.org/10.1177/0269215518802886
  32. Nakra N, Quddus N, Khan SA, Kumar S, Meena RL. Efficacy of proprioceptive neuromuscular facilitation on shoulder function in secondary shoulder impingement. Int J Ther Rehabil 2013;20:450-8. https://doi.org/10.12968/ijtr.2013.20.9.450