DOI QR코드

DOI QR Code

The Effects of Scapular Stabilization Training using the Different Exercise Prop for Impingement Syndrome of Factory Workers

  • Taewoo Kang (Department of Physical Therapy, College of Health and Welfare, Woosuk University) ;
  • Soung Kyun Hong (Department of Physical Therapy, College of Health and Welfare, Woosuk University)
  • Received : 2022.12.14
  • Accepted : 2022.12.23
  • Published : 2022.12.31

Abstract

Objective: The purpose of this studyaimed to investigate the effects of scapular stabilization training using the different exercise prop for impingement syndrome of factory workers. Design: A randomized controlled trial Methods: Twenty shoulder impingement syndrome subjects were randomly divided into two groups of ten subjects each. Inclusion criteria was presence of positive sign in at least two of Neer test, Hawkins test, Yocum test, Jobe test and Speeds test. Andexclusion criteria, those with surgical history of rotator cuff, those with disease in upper limb other than shoulder impingement syndrome, those who took anti-inflammatory drugs over the past 12 months were excluded from the sample. One group was performed scapula stabilization exercise using elastic bands, while dumbbell group performed the exercise using dumbbell. Both groups performed the exercise after applying the general physical therapy. After applying five days a week for a total of six weeks, range of motion of shoulder joint, muscle strength and pain and function level were evaluated. Results: After the intervention, in both groups, all dependent variables at the 6-week post-test significantly improved compared with the pre-test (p<0.05). In addition, elastic band exercise group showed a significant differences in SPADI function score and SPADI total score compared to the dumbbell group(p<0.05). Conclusions: The elastic band training may be effective methodology using low-to-moderate intensity resistance for SPADI scores.

Keywords

References

  1. Neer CS. Impingement lesions. Clin Orthop Relat Res. 1983;173:70-7. 
  2. Jarvholm U, Styf J, Suurkula M, Herberts P. Intramuscular pressure and muscle blood flow in supraspinatus. Eur J Appl Physiol Occup Physiol. 1988;58(3):219-24.  https://doi.org/10.1007/BF00417252
  3. Health UDo, Services H. Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for workrelated musculoskeletal disorders of the neck, upper extremity and low back. 1997;134-5. 
  4. Angst F, Goldhahn J, Drerup S, Flury M, Schwyzer H-K, Simmen BR. How sharp is the short QuickDASH? A refined content and validity analysis of the short form of the disabilities of the shoulder, arm and hand questionnaire in the strata of symptoms and function and specific joint conditions. Qual Life Res. 2009;18(8):1043-51.  https://doi.org/10.1007/s11136-009-9529-4
  5. Buckle PW, Devereux JJ. The nature of work-related neck and upper limb musculoskeletal disorders. Appl Ergon. 2002;33(3):207-17.  https://doi.org/10.1016/S0003-6870(02)00014-5
  6. Barr AE, Barbe MF, Clark BD. Work-related musculoskeletal disorders of the hand and wrist: epidemiology, pathophysiology, and sensorimotor changes. J Orthop Sports Phys Ther. 2004;34(10):610-27.  https://doi.org/10.2519/jospt.2004.34.10.610
  7. Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther. 2000;30(3):126-37.  https://doi.org/10.2519/jospt.2000.30.3.126
  8. Wang CH, McClure P, Pratt NE, Nobilini R. Stretching and strengthening exercises: their effect on three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999;80(8):923-9.  https://doi.org/10.1016/S0003-9993(99)90084-9
  9. Baskurt Z, Baskurt F, Gelecek N, H Ozkan M. 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
  10. De Mey K, Danneels L, Cagnie B, Cools AM. 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(8):1906-15.  https://doi.org/10.1177/0363546512453297
  11. Voight ML, Thomson BC. The role of the scapula in the rehabilitation of shoulder injuries. J Athl Train. 2000;35(3):364. 
  12. Taylor NF, Dodd KJ, Damiano DL. Progressive resistance exercise in physical therapy: a summary of systematic reviews. Phys Ther. 2005;85(11):1208-23.  https://doi.org/10.1093/ptj/85.11.1208
  13. Andersen LL, Kjaer M, SOgaard K, Hansen L, Kryger AI, Sjogaard G. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum. 2008;59(1):84-91.  https://doi.org/10.1002/art.23256
  14. Braun S, Kokmeyer D, and PJ, Millett. Shoulder injuries in the throwing athlete. J Bone Joint Surg. 2009;91(4):966-78.  https://doi.org/10.2106/JBJS.H.01341
  15. Suetta C, Andersen JL, Dalgas U, Berget J, Koskinen S, Aagaard P, et al.Resistance training induces qualitative changes in muscle morphology, muscle architecture, and musclefunction in elderly postoperative Patients. J Appl Physiol. 2008;105(1):180-6.  https://doi.org/10.1152/japplphysiol.01354.2007
  16. Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard P. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther. 2006;86(5):683-97.  https://doi.org/10.1093/ptj/86.5.683
  17. Rogers ME, Sherwood HS, Rogers NL, Bohlken RM. Effects of dumbbell and elastic band training on physical function in older inner-city African -American women. Women Health. 2002;36(4):33-41. 
  18. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques: FA Davis; 2012. 
  19. Andersen LL, Saervoll CA, Mortensen OS, Poulsen OM, Hannerz H, Zebis MK. Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: randomised controlled trial. Pain. 2011;152(2):440-6.  https://doi.org/10.1016/j.pain.2010.11.016
  20. Brill PA, Drimmer AM, Morgan LA, Gordon NF. The feasibility of conducting strength and flexibility programs for elderly nursing home residents with dementia. Gerontologist. 1995;35(2):263-6.  https://doi.org/10.1093/geront/35.2.263
  21. Mikesky AE, Topp R, Wigglesworth JK, Harsha DM, Edwards JE. Efficacy of a home-based training program for older adults using elastic tubing. Eur J Appl Physiol Occup Physiol. 1994;69(4):316-20.  https://doi.org/10.1007/BF00392037
  22. Andersen LL, Andersen CH, Mortensen OS, Poulsen OM, Bjornlund IBT, Zebis MK. Muscle activation and perceived loading during rehabilitation exercises: comparison of dumbbells and elastic resistance. Phys Ther. 2010;90(4):538-49.  https://doi.org/10.2522/ptj.20090167
  23. Magee DJ. Orthopedic physical assessment: Elsevier Health Sciences; 2014. 
  24. Barnes CJ, Van Steyn SJ, Fischer RA. The effects of age, sex, and shoulder dominance on range of motion of the shoulder. J Shoulder Elbow Surg. 2001;10(3):242-6.  https://doi.org/10.1067/mse.2001.115270
  25. Bohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil. 1997;78(1):26-32.  https://doi.org/10.1016/S0003-9993(97)90005-8
  26. Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Rheum. 1991;4(4):143-9.  https://doi.org/10.1002/art.1790040403
  27. Homayouni K, Naseri M, Zaravar F, Zaravar L, Karimian H. COMPARISON THE EFFECT OF AQUATIC PHYSICAL THERAPY AND CONVENTIONAL PHYSICAL THERAPY IN PATIENTS WITH LUMBAR SPINAL STENOSIS (A RANDOMIZED CONTROLLED TRIAL). J Musculoskelet Res. 2015:1550002. 
  28. Engebretsen K, Grotle M, Bautz-Holter E, Sandvik L, Juel NG, Ekeberg OM, et al. Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. Bmj. 2009;339. 
  29. Flores DF, Gentil P, Brown LE, Pinto RS, Carregaro RL, Bottaro M. Dissociated time course of recovery between genders after resistance exercise. J Strength Cond Res. 2011;25(11):3039-44.  https://doi.org/10.1519/JSC.0b013e318212dea4
  30. Cools AM, Witvrouw EE, Declercq GA, Vanderstraeten GG, Cambier DC. Evaluation of isokinetic force production andassociated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms. Br J Sports Med. 2004;38(1):64-8.  https://doi.org/10.1136/bjsm.2003.004952
  31. Cools AM, Witvrouw EE, Mahieu NN, Danneels LA.Isokinetic scapular muscle performance in overhead athletes with and without impingement symptoms. J Athl Train. 2005;40(2):104. 
  32. Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scand J Med Sci Sports. 2007;17(1):25-33. 
  33. Mottram S. Dynamic stability of the scapula. Man Ther. 1997;2(3):123-31.  https://doi.org/10.1054/math.1997.0292
  34. Atalar H, Yilmaz C, Polat O, Selek H, Uras I, Yanik B. Restricted scapular mobility during arm abduction: implications for impingement syndrome. Acta Orthop Belg. 2009;75(1):19. 
  35. Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, et al. Rehabilitation of Scapular Muscle Balance Which Exercises to Prescribe? Am J Sports Med. 2007;35(10):1744-51.  https://doi.org/10.1177/0363546507303560
  36. Youdas JW, Arend DB, Exstrom JM, Helmus TJ, Rozeboom JD, Hollman JH. 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):1058-65.  https://doi.org/10.1519/JSC.0b013e31822e597f
  37. McClure PW, Bialker J, Neff N, Williams G, Karduna A. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther. 2004;84(9):832-48.  https://doi.org/10.1093/ptj/84.9.832
  38. Townsend H, Jobe FW, Pink M, Perry J. Electromyographic analysis of the glenohumeral muscles during a baseball rehabilitation program. Am J Sports Med. 1991;19(3):264-72.  https://doi.org/10.1177/036354659101900309
  39. Moseley JB, Jobe FW, Pink M, Perry J, Tibone J. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med. 1992;20(2):128-34.  https://doi.org/10.1177/036354659202000206
  40. Green S, Buchbinder R, Glazier R, Forbes A. Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. Bmj. 1998;316(7128):354-60.  https://doi.org/10.1136/bmj.316.7128.354
  41. Colado JC, Garcia-Masso X, Pellicer M, Alakhdar Y, Benavent J, Cabeza-Ruiz R. A comparison of elastic tubing and isotonic resistance exercises. Int J Sports Med. 2010;31(11): 810-7.  https://doi.org/10.1055/s-0030-1262808
  42. Colado JC, Triplett NT. Effects of a short-term resistance program using elastic bands versus weight machines for sedentary middle-aged women. J Strength Cond Res. 2008;22(5):1441-8.  https://doi.org/10.1519/JSC.0b013e31817ae67a
  43. Andersen LL, Andersen CH, Zebis MK, Nielsen PK, Sogaard K, Sjogaard G. Effect of physical training on function of chronically painful muscles: a randomized controlled trial. J Appl Physiol. 2008;105(6):1796-801.  https://doi.org/10.1152/japplphysiol.91057.2008
  44. Faber E, Kuiper JI, Burdorf A, Miedema HS, Verhaar JA. Treatment of impingement syndrome: asystematic review of the effects on functional limitations and return to work. J Occup Rehabil. 2006;16(1):6-24.  https://doi.org/10.1007/s10926-005-9003-2
  45. Grant HJ, Arthur A, Pichora DR.Evaluation of interventions for rotator cuff pathology: a systematic review. J Hand Ther. 2004;17(2):274-99.  https://doi.org/10.1197/j.jht.2004.02.013
  46. Walther M, Werne A, Stahlschmidt T, Woelfel R, Gohlke F. The subacromial impingement syndromeof the shoulder treated by conventional physiotherapy, self-training, and a shoulder brace: results of a prospective, randomized study. J Shoulder Elbow Surg. 2004;13(4):417-23.  https://doi.org/10.1016/j.jse.2004.02.002
  47. Medicine ACoS. ACSM's guidelines for exercise testing and prescription: Lippincott Williams & Wilkins; 2013. 
  48. Melnick M. Therapeutic Exercise: Moving Toward Function. J Phys Ther Educ. 1999;13(2):56.