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Effects of Static Stretching on Shoulder Joint Pain and Range of Motion in Middle Aged Women Patients with Frozen Shoulder

정적 스트레칭이 중년 여성 어깨굳음증 환자의 통증과 운동범위에 미치는 영향

  • Sung Jun Han (Dept. of Physical Therapy, Graduated school of Kyungsung University) ;
  • Hyeon Nam Ryu (Dept. of Physical Therapy, Graduated school of Kyungsung University) ;
  • Jin Tae Han (Dept. of Physical Therapy, and Institute for Rehabilitation Science, Kyungsung University)
  • 한성준 (경성대학교 대학원 물리치료학과) ;
  • 유현남 (경성대학교 대학원 물리치료학과) ;
  • 한진태 (경성대학교 물리치료학과 재활과학연구소)
  • Received : 2023.09.11
  • Accepted : 2024.02.02
  • Published : 2024.06.30

Abstract

Background: This study aimed to determine the effects of static stretching on the pain and range of motion (ROM) of shoulder joints in middle aged women patients with frozen shoulders. Design: One group pretest-posttest design Methods: The participants were 15 middle aged women patients with frozen shoulders in their 40s to 60s. Subjective and objective pain and joint ROM(range of motion) were measured, and the static stretching intervention consisted of 15 minutes of flexion, abduction and external rotation stretching. Results: The results of this study indicated that the daily pain of shoulder joints and pressure pain thresholds of the muscles surrounding the shoulder joints were generally improved after the intervention with the static stretching, for which significant differences were observed (p<0.05). The ROM of shoulder joint flexion, abduction, and external rotation was significantly increased (p<0.05) after the intervention with the static stretching. Conclusion: Static stretching intervention in patients with frozen shoulders relieved shoulder joint pain and had positive effects on the ROM of shoulder joints. Thus, the application of static stretching in middle aged womenpatients who experience severe pain could be effective at enhancing the function of shoulder joints without pain.

Keywords

References

  1. 고은경. 어깨뼈 아래쪽돌림 증후군이 있는 대상자에게서 둥근어깨각, 어깨뼈 아래돌림비율과 아래등세모근 근력과의 상관관계. 대한물리치료과학회지, 2023;30(3):14-22.
  2. 건강보험심사평가원. 생활 속 질병․진료행위 통계. 건강보험심사평가원. 2021;163:52-53.
  3. 배주영. 도수 스트레칭이 유착성 관절낭염 환자의 견관절 가동범위와 통증에 미치는 영향[석사학위논문]. 영남대학교 대학원; 2016.
  4. 이규한, 박시복, 이상건, 등. 전화교환원에서의 골격근 압통 역치와 Grip 및 Pinch Strength. 대한재활의학회지 199 7;21:589-593.
  5. 이남기, 이정우. 만성 목-어깨 통증이 있는 여성 성인에게 시청각 매체를 활용한 탄력밴드 저항운동이 통증, 고유수용성 감각과 운동기능에 미치는 영향. 대한물리치료과학회지, 2023;31910;33-45.
  6. 정진규, 박재철. 다양한 지지면에서 푸쉬업 플러스 운동이 20대 건강한 성인의 어깨 안정화 근육 두께에 미치는 영향. 대한물리치료과학회지, 2022;29(3):48-55.
  7. 최정민. 동적스트레칭을 병행한 도수치료가 유착성 관절낭염의 통증, 가동범위, 기능 및 삶의 질에 미치는 효과[석사학위논문]. 삼육대학교 대학원; 2023.
  8. 한상완, 김용남. 효과적인 스트레칭 방법의 연구 고찰. 대한물리치료과학회지 1998;5(3):675-689.
  9. 홍대종, 최기섭, 박시복, 등. 견관절 주위근의 스트레칭후 동통유발점 압통역치의 변화. 대한재활의학회지 1998;2 2(6):1298-1304.
  10. Asheghan, M., Aghda, AK, Hashemi E, et al. Investigation of the effectiveness of acupuncture in the treatment of frozen shoulder. Materia socio-medica 2016;28(4):253.
  11. Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Physical therapy 1997;77(10):1090-1096.
  12. Begum MR, Hossain MA. Validity and reliability of visual analogue scale (VAS) for pain measurement. Journal of Medical Case Reports and Reviews 2019;2:11.
  13. Boonstra AM, Preuper HR, Reneman MF, et al. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehab Res. 2008 Jun 1;31(2):165-9.
  14. Brue S, Valentin A, Forssblad M, et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg Sports Traumatol Arthrosc 2007;15(8):1048-1054.
  15. Cheatham SW, Kolber MJ, Cain M, et al. The effects of self-myofascial release using a foam roller massager on joint range of motion, muscle recovery, and performance: a systematic review. Int J Sports Phys Ther 2015;10(6):827-838.
  16. Cho CH, Bae KC, Kim DH. Treatment strategy for frozen shoulder. Clin Orthop Surg 2019;11(3):249-257.
  17. Contractor ES, Agnihotri DS, Patel RM. Effect of spencer muscle energy technique on pain and functional disability in cases of adhesive capsulitis of shoulder joint. IAIM 2016;3(8):126-131.
  18. Dudkiewicz I, Oran A, Salai M, et al. Idiopathic adhesive capsulitis: long-term results of conservative treatment. IMAJ-RAMAT GAN 2004;6:524-526.
  19. Duzgun I, Turgut E, Eraslan L, et al. Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization?. Journal of musculoskeletal & neuronal interactions 2019;19(3):311.
  20. Gummesson C, Atroshi I, Ekdahl C. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery. BMC musculoskeletal disorders 2003;4(1):1-6.
  21. Hahm SC, Kim IB. Effects of static stretching and hold-relax on recovering range of motion and reducing pain of patient s with frozen shoulder. J Korean Phys Ther Sci 2012;19(3):39-47.
  22. Heller GZ, Manuguerra M, Chow R. How to analyze the Visual Analogue Scale: Myths, truths and clinical relevance. Scand J Pain 2016;13:67-75.
  23. Hotta K, Bedley B, Arjmandi B, et al. Daily muscle stretching enhances blood flow, endothelial function, capillarity, vascular volume and connectivity in aged skeletal muscle. J Physiol 2018;596(10):1903-1917.
  24. Hussein AZ, Ibrahim MI, Hellman MA, et al. Static progressive stretch is effective in treating shoulder adhesive capsulitis: Prospective, randomized, controlled study with a two-year follow-up. European Journal of Physiotherapy 201 5;17(3):138-147.
  25. Iqbal M, Riaz H, Ghous M, et al. Comparison of Spencer muscle energy technique and passive stretching in adhesive capsulitis: a single blind randomized control trial. J Pak Med Assoc 2020;70(12):2113-2118.
  26. Iwata M, Yamamoto A, Matsuo S, et al. Dynamic stretching has sustained effects on range of motion and passive stiffness of the hamstring muscles. Journal of Sports Science & Medicine 2019;18(1):13.
  27. Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder adhesive capsulitis: a systematic review. Journal of Back and Musculoskeletal Rehabilitation 2014;27(3):247-273.
  28. Jayson MI. Frozen shoulder: adhesive capsulitis. British medical journal 1981;283(6298):1005.
  29. Jerosch J, Nasef NM, Peters O, et al. Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis. Knee surgery, sports traumatology, arthroscopy 2013;21(5):1195-1202.
  30. Kelley MJ, Mcclure PW, Leggin BG. Frozen shoulder:evidence and a proposed model guiding rehabilitation. Journal of orthopaedic & sports physical therapy 2009;39(2):135-148.
  31. Kelley MJ, Shaffer MA, Kuhn JE, et al. Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association. Journal of Orthopaedic &Sports Physical Therapy 2013;43(5):A1-A31.
  32. Khosravi F, Amiri Z, Masouleh NA, et al. Shoulder pain prevalence and risk factors in middle-aged women: A cross-sectional study. Journal of Bodywork and Movement Therapies 2019;23(4):752-757.
  33. Kim CM, Lee JK, Hwang JH, et al. The Effect of Manual Physical Therapy on Improvement in the Range of Motion of Frozen Shoulder Patients: A Meta-Analysis of Cases in South Korea. J Kor Phys Ther 2021;33(5):211-216.
  34. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques. Fa Davis.;2017.p 637-714
  35. Ko MG, Song CH, Lee BH. The effect of computer game and stretching on muscle tone and concentration. J Korea Enter Indus Assoc 2019;13(13):225-233.
  36. Kosek E, Hansson P. The influence of experimental pain intensity in the local and referred pain area on somatosensory perception in the area of referred pain. European Journal of Pain 2002;6(6):413-425.
  37. Lee ES. Effect of Cervical Stabilization Exercise on Temporomandibular Joint Function and Pain Threshold for Life Care of Patients with Temporomandibular Joint Disorder. J Korea Entertain Ind Assoc 2019;13(7):461-468.
  38. Lee JA, Park DA, Ji ES. Effect of Kynesio-Taping Therapy on Pain Among Community-Dwelling Older Adults. Journal of East-West Nursing Research 2008;14(2);67-73.
  39. Lee JH, Jang KM, Kim ES, et al. Static and dynamic quadriceps stretching exercises in patients with patellofemoral pain: A randomized controlled trial. Sports Health 2021;13(5):482-489.
  40. Levine WN, Kashyap CP, Bak SF, et al. Nonoperative management of idiopathic adhesive capsulitis. J Shoulder Elbow Surg 2007;16(5):569-573.
  41. Locher H. Manual Medicine, manual treatment: Principles, mode of action, indication and evidence. Unfallchirurg 2021;124(6):433-445.
  42. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Current Reviews in Musculoskeletal Medicine 2008; 5:1-10.
  43. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Current Reviews in Musculoskeletal Medicine 2008;5:1-10.
  44. Mertens MG, Meert L, Sturyf F, et al. Exercise is effective for improvement in range of motion, function, and pain in patients with frozen shoulder: A Systematic review and meta-analysis. Arch Phys Med Rehabil 2022;103(5):998-1012.
  45. Nam KW, Ha MS. Effect of Self Resistance Exercise in Women with Frozen Shoulder. J Korean Phys Ther Sci 2012;19(2):35-42.
  46. Naredo E, Aguado P, De-Miguel E, et al. Painshoulder: Comparison of physical examination and ultrasonographic findings. Annals of the RheumaticDiseases 2003;61(2):132-136.
  47. Page P, Labbe A. Adhesive capsulitis: use the evidence to integrate your interventions. N Am J Sports Phys Ther 2010;5(4):266-273.
  48. Paller CJ, Campbell CM, Edwards RR, et al. Sex-based differences in pain perception and treatment. Pain Med 2009;10:289-299.
  49. Pandey V, Madi S. Clinical guidelines in the management of frozen shoulder: an update!. Indian journal of orthopaedics 2021;55(2):299-309.
  50. Park G, Kim CW, Park SB, et al. Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Ann rehabil med. 2011;35(3):412-7.
  51. Riley DA, Vandyke JM. The effects of active and passive stretching on muscle length. Phys Med Rehanil Clin N Am 2012;23(1):51-57.
  52. Robinson PM, Norris J, Roberts CP. Randomized controlled trial of supervised physiotherapy versus a home exercise program after hydrodilatation for the management of primary frozen shoulder. J Shoulder Elbow Surg 2017;26(5):757-765.
  53. Sahrmann S, Azevedo DC, Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Brazilian journal of physical therapy 2017;21(6):391-399.
  54. Sharma R, Kumari S, Thakur R et al. Prevalence Of Frozen Shoulder In Post-Menopausal Women: A Cross-Sectional Study. Journal of Pharmaceutical Negative Results 2022;13(3),1124-1130.
  55. Silverson OA, Lemaster NG, Hettrich CM, et al. Reliability and Validity of a Clinical Assessment Tool for 201 Measuring Scapular Motion in All 3 Anatomical Planes. Journal of athletic training, 2021:56(6):586-93.
  56. Tangawa MC. Comparison of the hold-relax procedure and passive mobilization on increasing muscle length. Phys Ther 1972;52(7):725-735.
  57. Tedla JS, Sangadala DR. Proprioceptive neuromuscular facilitation techniques in adhesive capsulitis: a systematic review and meta-analysis. Journal of Musculoskeletal & Neuronal Interactions 2019;19(4):482.
  58. Tyree KA, May J. A novel approach to treatment utilizing breathing and a total motion release exercise program in a high school cheerleader with a diagnosis of frozen shoulder: a case report. Int J Sports Phys Ther 2018;13(5):905-919.
  59. Unruh AM. Gender variations in clinical pain experience. Pain 1996;65:123-167.
  60. Vanderweeen L, Oostendorp RAB, Vaes P et al. Pressure algometry in manual therapy. Man Ther 1996;1(5):258-65.
  61. Vaughan B, McLaughlin P, Gosling C. Validity of an electronic pressure algometer. International Journal of Osteopathic Medicine 2007;10(1):24-28.
  62. Vermeulen HM, Rozing PM, Obemann WR, et al. Comparisonofhigh-gradeand low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder:Randomized controlled trial. Physical Therapy 2006;86(3):355-365.
  63. Vonkorff M, jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research Spine 2000;25(24):3140-3151.
  64. Wijnhoven HA, devet HC, Picavet HS. Explaining sex differences in chronic musculoskeletal pain in a general population. Pain 2006;124:158-166.