DOI QR코드

DOI QR Code

The Effects of Myofascial Trigger Point Release and Mobility Exercise on Pain and Functions in Patient with Rotator Cuff Tendinopathy

  • Shin, Beom-Cheol (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Choi, Wonjae (Department of Physical Therapy, Joongbu University) ;
  • Jung, Jihye (Institute of SMART Rehabilitation, Sahmyook University) ;
  • Lee, Seungwon (Institute of SMART Rehabilitation, Sahmyook University)
  • 투고 : 2022.06.21
  • 심사 : 2022.06.29
  • 발행 : 2022.06.30

초록

Objective: The aim of this study was to evaluate the effects on pain and function of patients with rotator cuff tendinopathy when applying trigger point of infraspinatus and teres minor to myofascial trigger point release (MFR) plus mobility exercise and MFR. Design: A randomized controlled trial. Methods: The total participants were 30patients and were separated to MFR plus mobility exercise group(n=15) and MFR group (n=15) according to the randomized treatment method. The MFR was performed at two infraspinatus tampon points and one teres minor tampon point for twice a week for 4 weeks and the treatment time was 6 minutes 20 seconds in each position. The MFR group also carried out the myofascial trigger point release in the same way as the MFR plus mobility exercise group. Results: The MFR plus mobility exercise group significantly reduced objective and subjective pain (p<0.05). The range of motion of the shoulder joint flexion and external rotation, Quick-Disability of the Arm, shoulder and Hand, and Shoulder Pain and Disability Index were significantly improved in the group to which MFR plus mobility exercise was applied (p<0.05). Conclusions: These results confirmed that MRF plus mobility exercise is more effective in relieving shoulder pain and improving function in rotator cuff tendinopathy.

키워드

참고문헌

  1. Tekavec E, Joud A, Rittner R, Mikoczy Z, Nordander C, Petersson IF, et al. Population-based consultation patterns in patients with shoulder pain diagnoses. BMC Musculoskelet Disord. 2012;13:238. https://doi.org/10.1186/1471-2474-13-238
  2. Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G. The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci. 2013;17:370-4.
  3. Neer Cn. Impingement lesions. Clin Orthop Relat Res. 1983;173:70-7.
  4. Seitz AL, McClure PW, Finucane S, Boardman ND, 3rd, Michener LA. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clin Biomech (Bristol, Avon). 2011;26:1-12. https://doi.org/10.1016/j.clinbiomech.2010.08.001
  5. van der Windt DA, Bouter LM. Physiotherapy or corticosteroid injection for shoulder pain? Ann Rheum Dis. 2003;62:385-7. https://doi.org/10.1136/ard.62.5.385
  6. Hanchard NN, Cummins JJ, Jeffries CC. Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of shoulder impingement syndrome. 2004.
  7. Paris SV. A history of manipulative therapy through the ages and up to the current controversy in the United States. J Man Manip Ther. 2000;8:66-77. https://doi.org/10.1179/106698100790819555
  8. Hanratty CE, McVeigh JG, Kerr DP, Basford JR, Finch MB, Pendleton A, et al. The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis. Semin Arthritis Rheum. 2012;42:297-316. https://doi.org/10.1016/j.semarthrit.2012.03.015
  9. Bergman GJ, Winters JC, Groenier KH, Pool JJ, Meyboom-de Jong B, Postema K, et al. Manipulative therapy in addition to usual medical care for patients with shoulder dysfunction and pain: a randomized, controlled trial. Ann Intern Med. 2004;141:432-9. https://doi.org/10.7326/0003-4819-141-6-200409210-00008
  10. McClure PW, Michener LA, Karduna AR. Shoulder function and 3-dimensional scapular kinematics in people with and without shoulder impingement syndrome. Phys Ther. 2006;86:1075-90. https://doi.org/10.1093/ptj/86.8.1075
  11. Kibler WB, Sciascia A, Dome D. Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test. Am J Sports Med. 2006;34:1643-7. https://doi.org/10.1177/0363546506288728
  12. McDevitt A, Young J, Mintken P, Cleland J. Regional interdependence and manual therapy directed at the thoracic spine. J Man Manip Ther. 2015;23:139-46. https://doi.org/10.1179/2042618615Y.0000000005
  13. Sobel JS, Kremer I, Winters JC, Arendzen JH, de Jong BM. The influence of the mobility in the cervicothoracic spine and the upper ribs (shoulder girdle) on the mobility of the scapulohumeral joint. J Manipulative Physiol Ther. 1996;19:469-74.
  14. Bron C, de Gast A, Dommerholt J, Stegenga B, Wensing M, Oostendorp RA. Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial. BMC Med. 2011;9:8. https://doi.org/10.1186/1741-7015-9-8
  15. Mintken PE, McDevitt AW, Cleland JA, Boyles RE, Beardslee AR, Burns SA, et al. Cervicothoracic Manual Therapy Plus Exercise Therapy Versus Exercise Therapy Alone in the Management of Individuals With Shoulder Pain: A Multicenter Randomized Controlled Trial. J Orthop Sports Phys Ther. 2016;46:617-28. https://doi.org/10.2519/jospt.2016.6319
  16. Hains G, Descarreaux M, Hains F. Chronic Shoulder Pain of Myofascial Origin: A Randomized Clinical Trial Using Ischemic Compression Therapy. J Manipulative Physiol Ther. 2010;33:362-9. https://doi.org/10.1016/j.jmpt.2010.05.003
  17. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques: Fa Davis; 2017.
  18. Bijur PE, Latimer CT, Gallagher EJ. Validation of a verbally administered numerical rating scale of acute pain for use in the emergency department. Acad Emerg Med. 2003;10:390-2. https://doi.org/10.1111/j.1553-2712.2003.tb01355.x
  19. Walton DM, Macdermid JC, Nielson W, Teasell RW, Chiasson M, Brown L. Reliability, standard error, and minimum detectable change of clinical pressure pain threshold testing in people with and without acute neck pain. J Orthop Sports Phys Ther. 2011;41:644-50. https://doi.org/10.2519/jospt.2011.3666
  20. Yang Y-J, Lee S-J, Matthew C. Pressure pain threshold and visual analogue scale changes in the high and low energy extracorporeal shock wave. Physical therapy rehabilitation science. 2014;3:142-7. https://doi.org/10.14474/ptrs.2014.3.2.142
  21. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry: FA Davis; 2016.
  22. Hudak PL, Amadio PC, Bombardier C, Beaton D, Cole D, Davis A, et al. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and head). Am J Ind Med. 1996;29:602-8. https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L
  23. Kitis A, Celik E, Aslan UB, Zencir M. DASH questionnaire for the analysis of musculoskeletal symptoms in industry workers: a validity and reliability study. Appl Ergon. 2009;40:251-5. https://doi.org/10.1016/j.apergo.2008.04.005
  24. Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and its short version (Quick DASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, Constant (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S174-88. https://doi.org/10.1002/acr.20630
  25. Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1991;4:143-9.
  26. Angst F, Goldhahn J, Pap G, Mannion AF, Roach KE, Siebertz D, et al. Cross-cultural adaptation, reliability and validity of the German Shoulder Pain and Disability Index (SPADI). Rheumatology (Oxford). 2007;46:87-92. https://doi.org/10.1093/rheumatology/kel040
  27. Jamnik H, Spevak MK. Shoulder Pain and Disability Index: validation of Slovene version. Int J Rehabil Res. 2008;31:337-41. https://doi.org/10.1097/MRR.0b013e3282fcae09
  28. Aguilera FJ, Martin DP, Masanet RA, Botella AC, Soler LB, Morell FB. Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study. J Manipulative Physiol Ther. 2009;32:515-20. https://doi.org/10.1016/j.jmpt.2009.08.001
  29. Moraska AF, Hickner RC, Kohrt WM, Brewer A. Changes in Blood Flow and Cellular Metabolism at a Myofascial Trigger Point With Trigger Point Release (Ischemic Compression): A Proof-of-Principle Pilot Study. Arch Phys Med Rehabil. 2013;94:196-200. https://doi.org/10.1016/j.apmr.2012.08.216
  30. Gordon CM, Andrasik F, Schleip R, Birbaumer N, Rea M. Myofascial triggerpoint release (MTR) for treating chronic shoulder pain: A novel approach. J Bodyw Mov Ther. 2016;20:614-22. https://doi.org/10.1016/j.jbmt.2016.01.009
  31. Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation: Elsevier Health Sciences; 2016.
  32. Finley MA, Lee RY. Effect of sitting posture on 3-dimensional scapular kinematics measured by skin-mounted electromagnetic tracking sensors. Arch Phys Med Rehabil. 2003;84:563-8. https://doi.org/10.1053/apmr.2003.50087
  33. Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach. Journal of orthopedic & sports physical therapy. 2011;41:799-800.
  34. Norlander S, Aste-Norlander U, Nordgren B, Sahlstedt B. Mobility in the cervico-thoracic motion segment: an indicative factor of musculo-skeletal neck-shoulder pain. Scand J Rehabil Med. 1996;28:183-92.
  35. Craven J. The autonomic nervous system, sympathetic chain and stellate ganglion. Anaesthesia & Intensive Care Medicine. 2011;12:55-7. https://doi.org/10.1016/j.mpaic.2010.10.013
  36. Menck JY, Requejo SM, Kulig K. Thoracic spine dysfunction in upper extremity complex regional pain syndrome type I. J Orthop Sports Phys Ther. 2000;30:401-9. https://doi.org/10.2519/jospt.2000.30.7.401
  37. Tyler TF, Roy T, Nicholas SJ, Gleim GW. Reliability and validity of a new method of measuring posterior shoulder tightness. J Orthop Sports Phys Ther. 1999;29:262-9; discussion 70-4. https://doi.org/10.2519/jospt.1999.29.5.262
  38. Littlewood C, Bateman M, Brown K, Bury J, Mawson S, May S, et al. A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: a randomised controlled trial (the SELF study). Clin Rehabil. 2016;30:686-96. https://doi.org/10.1177/0269215515593784
  39. Azzoni R, Cabitza P, Parrini M. Sonographic evaluation of subacromial space. Ultrasonics. 2004;42:683-7. https://doi.org/10.1016/j.ultras.2003.11.015