DOI QR코드

DOI QR Code

The Effect of Shoulder Stabilization Exercise through Visit Rehabilitation on Muscle Activity and Postural Alignment, Self-Efficacy in Rural Elderly People with Round Shoulders

  • Kim, Yong-Nam (Department of Physical Therapy, Nambu University) ;
  • Kim, Jae-Woon (Department of Physical Therapy, Chung-yeon Korean Medicine Hospital)
  • Received : 2021.05.18
  • Accepted : 2021.06.11
  • Published : 2021.06.30

Abstract

Purpose: This study covered the effect of shoulder stabilization exercise on muscle activity, postural alignment and self-efficacy of the elderly people with round shoulders by visiting village hall in rural area. Methods: 40 elderly people with round shoulders were recruited for this study (experimental group: 20 subjects and control group: 20 subjects). The experimental group was asked to perform shoulder stabilization exercise 60 minutes per one time for 8 weeks and three times in a week and the control group was asked to receive education related to pain management for the initial one time. Before and after the experiment, we measured the subjects' muscle activity of upper trapezius, serratus anterior, infraspinatus, pectoralis major and the lower trapezius, then postural alignment of craniovertebral angle and round shoulder posture. In addition, self-efficacy is measured through the questionnaire. Results: Compared to the control group, the experimental group showed significant differences in the muscle activity of all muscles, posture alignment of the craniovertebral angle. round shoulder posture, and improvement of self-efficacy. Conclusion: We found that shoulder stabilization exercise is effective in muscle activity, postural alignment and self-efficacy of the elderly people through visit-rehabilitation service. This study can be used for improving the physical and mental abilities through active visit-rehabilitation service for areas where have poor medical benefits. It is considered that systematic visit rehabilitation service should have institutional framework ultimately.

Keywords

References

  1. Sahrmann S, Azevedo DC, Dillen LV. Diagnosis and treatment of movement impairment syndromes. Braz J Physical Ther. 2017;21(6):391-9. https://doi.org/10.1016/j.bjpt.2017.08.001
  2. Harman K, Hubley-Kozey CL, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. J Man Manip Ther. 2005;13(3):163-76. https://doi.org/10.1179/106698105790824888
  3. Kim JS, Choi JH, Lee MY. Effect of self-postural control with visual feedback in the foot pressures in the subject with forward head posture. J Kor Phys Ther. 2017;29(4):153-7. https://doi.org/10.18857/jkpt.2017.29.4.153
  4. Kong YS, Kim YM, Shim JM. Effects of modified cervical exercise on respiratory functions in smartphone users with forward head posture. J Kor Phys Ther. 2016;28(5):292-6. https://doi.org/10.18857/jkpt.2016.28.5.292
  5. 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):173-9. https://doi.org/10.3233/BMR-2011-0291
  6. Kim YJ. The buffering effects of social supports on depression of the rural elderly. Jeonbuk University. Dissertation of Master's Degree. 2007.
  7. Bandura A. Self-efficacy: toward a uniflying theory of behavioral change. Psychol Rev. 1977;84(2):191-215. https://doi.org/10.1037/0033-295X.84.2.191
  8. Forkan R, Pumper B, Smyth N et al. Exercise adherence following physical therapy intervention in older adults with impaired balance. Phys Ther. 2006;86(3):401-10. https://doi.org/10.1093/ptj/86.3.401
  9. Rhodes RE, Martin AD, Taunton JE. Temporal relationships of self-efficacy and social support as predictors of adherence in a 6-month strengthtraining program for older women. Percept Mot Skills. 2001;93(3):693-703. https://doi.org/10.2466/pms.2001.93.3.693
  10. French DP, Olander EK, Chisholm A et al. Which behaviour change techniques are most effective at increasing older adults' self-efficacy and physical activity behaviour? a systematic review. Ann Behav Med. 2014;48(2):225-34. https://doi.org/10.1007/s12160-014-9593-z
  11. Bauman AE, Reis RS, Sallis JF et al. Correlates of physical activity: why are some people physically active and others not?. Lancet. 2012;380(9838):258-71. https://doi.org/10.1016/S0140-6736(12)60735-1
  12. Rhodes RE, Pfaeffli LA. Mediators of physical activity behaviour change among adult non-clinical populations: a review update. Int J Behav Nutr Phys Act. 2010;7:37-48. https://doi.org/10.1186/1479-5868-7-37
  13. McAuley E, Jerome GJ, Elavsky S et al. Predicting long-term maintenance of physical activity in older adults. Prev Med. 2003;37(2):110-8. https://doi.org/10.1016/S0091-7435(03)00089-6
  14. Simek EM, McPhate L, Haines TP. Adherence to and efficacy of home exercise programs to prevent falls: a systematic review and meta-analysis of the impact of exercise program characteristics. Prev Med. 2012;55(4):262-75. https://doi.org/10.1016/j.ypmed.2012.07.007
  15. Wolfe CD, Tilling K, Rudd AG. The effectiveness of community-based rehabilitation for stroke patients who remain at home: a pilot randomized trial. Clin Rehabil. 2000;14(6):563-9. https://doi.org/10.1191/0269215500cr362oa
  16. Park SK, Ji HY, Heo JW. Effects of home visiting physical therapy on activites of daily living and function in disabled persons living at home. J Kor Phys Ther. 2011;23(2):61-8.
  17. Kwon CS, Kim SY, Jang HJ. The effects of home visiting physical therapy on the motor function, activity of daily living, and pain for disabled veterans. J Korean Soc Phys Med. 2014;9(2):171-9. https://doi.org/10.13066/kspm.2014.9.2.171
  18. Hesse S, Staats M, Werner C et al. Ambulatory rehabilitation exercise for strike patients at home. preliminary results of scope, methods and effectiveness. Nervenarzt. 2001;72(12):950-4. https://doi.org/10.1007/s001150170009
  19. Boettcher CE, Ginn KA, Cathers I. Standard maximum isometric voluntary contraction tests for normalizing shoulder muscle EMG. J Orthop Res. 2008;26(12):1591-7. https://doi.org/10.1002/jor.20675
  20. Wochatz M, Rabe S, Wolter M et al. Reproducibility of scapular muscle activity in isokinetic shoulder flexion and extension. J Electromyogr Kinesiol. 2017;34:86-92. https://doi.org/10.1016/j.jelekin.2017.04.006
  21. Bitter NL, Clisby EF, Jones MA et al. Relative contributions of infraspinatus and deltoid during external rotation in healthy shoulders. J Shoulder Elbow Surg. 2007;16(5):563-8. https://doi.org/10.1016/j.jse.2006.11.007
  22. Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clin Rehabil. 2012;26(4):351-61. https://doi.org/10.1177/0269215511419536
  23. Borstad JD. Resting position variables at the shoulder: evidence to support a posture-impairment association. Phys Ther. 2006;86(4):549-57. https://doi.org/10.1093/ptj/86.4.549
  24. Sherer M, Maddux JE, Meracn dnte B et al. The self-efficacy Scale: construction and validation. Psychol Rep. 1982;51(2):663-71. https://doi.org/10.2466/pr0.1982.51.2.663
  25. Cools AM, Geerooms E, Van den Berghe DFM et al. Isokinetic scapular muscle performance in young elite gymnasts. J Athl Train. 2007;42(4):458-63.
  26. Kang JI, Choi HH, Jeong DK et al. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci. 2018;30(6):804-8. https://doi.org/10.1589/jpts.30.804
  27. Lin JJ. Functional activity characteristics of individuals with shoulder dysfunctions. J Electromyogr Kinesiol. 2005;15(6):576-86. https://doi.org/10.1016/j.jelekin.2005.01.006
  28. Cools AM, Witvrouw EE, Declercq GA et al. Scapular muscle recruitment patterns: trapezius muscle latency with and without impingement symptoms. Am J Sport Med. 2003;31(4):542-9. https://doi.org/10.1177/03635465030310041101
  29. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-91. https://doi.org/10.1093/ptj/80.3.276
  30. Yun SW, Kang JH. Effects of scapular dynamic stabilization exercise applying EMG biofeedback on upper trapezius, pectoralis major and serratus anterior activities. J Converg Inf Technol. 2017;7(4):159-64. https://doi.org/10.22156/CS4SMB.2017.7.4.159
  31. Go SU, Lee BH. Effects of scapular stability exercise on shoulder stability and rehabilitative ultrasound images in office workers. J Phys Ther Sci. 2016;28(11):2999-3002. https://doi.org/10.1589/jpts.28.2999
  32. Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019;20(1):86. https://doi.org/10.1186/s12891-019-2438-y
  33. Moezy A, Sepehrifar S, Solaymani Dodaran M. The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial. Med J Islam Repub Iran. 2014;28:87.
  34. Wada T, Matsumoto H, Hagino H. Customized exercise programs implemented by physical therapists improve exercise-related self-efficacy and promote behavioral changes in elderly individuals without regular exercise: a randomized controlled trial. BMC Public Health. 2019;19(1):917. https://doi.org/10.1186/s12889-019-7270-7
  35. Jonsson T, Ekvall Hansson E, Thorstensson CA et al. The effect of education and supervised exercise on physical activity, pain, quality of life and self-efficacy an intervention study with a reference group. BMC Musculoskelet Disord. 2018;19(1):198. https://doi.org/10.1186/s12891-018-2098-3
  36. Oliveira AL, Simoes A. A study of the impact of socio-demographic and psychological variables on the self-directedness of higher education students. Int J Self-Direct Learn. 2006;3(1):1-12.
  37. Maltais F, Bourbeau J, Shapiro S et al. Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Ann Intern Med. 2008;149(12):869-78. https://doi.org/10.7326/0003-4819-149-12-200812160-00006
  38. De Oliveira JCM, Leitao Filho FSS, Sampaio LMM et al. Outpatient vs. home-based pulmonary rehabilitation in COPD: a randomized controlled trial. Multi Discip Resp Med. 2010;5(6):401-8. https://doi.org/10.1186/2049-6958-5-6-401