Browse > Article
http://dx.doi.org/10.15268/ksim.2020.8.1.101

Comparison of Effects of Manual Therapy Interventions Combined with Exercise on Range of Motion, Muscle Strength, and Functional Performance in Adolescent Baseball Players with Internal Impingement of Shoulder Joint  

Choo, Yeonki (Dept. of Rehabilitation Therapy, Guposungshim Hospital)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.8, no.1, 2020 , pp. 101-111 More about this Journal
Abstract
Purpose : The purpose of this study was to identify the comparison of the effects of manual therapy combined with exercise on range of motion (ROM), muscle strength, and functional performance in adolescent baseball players with internal impingement syndrome of the shoulder. Methods : The subjects were 30 patients diagnosed with impingement syndrome of the shoulder. Thirty subjects are randomly assigned to each 3 different groups; Group 1. (exercise group), Group 2. (exercise+mobilization; EMOB group), Group 3. (exercise+mobilization with movement; EMWM group). The interventions were performed three times a week for 4 weeks. The main outcome measures were goniometer, Biodex dynamometer, and Korean Kerlan Jobe shoulder-elbow (K-KJOC) scores. The ROM (external and internal rotation), muscle strength (external and internal rotation: 60 °/sec., 180 °/sec.), and functional performance were compared among the groups. Results : No significant difference was observed among the groups in the range of external rotation of the shoulder before and after the intervention, but the range of internal and total rotation was significantly increased in Group 2, 3 compared to Groups 1. Muscle strength of external and internal rotation (60 °/sec., 180 °/sec.) was not significantly different among Group 1, 2, 3, and functional performance was significantly increased in Group 2, 3 compared to Group 1. However, there was no significant difference between Group 2 and Group 3 in all measurements. Conclusion : An intervention with manual therapy such as EMOB and EMWM was more effective than exercise alone for rapid recovery from shoulder injury and improvement in functional performance. However, further efforts are needed to identify effects of specific interventions with manual therapy.
Keywords
adolescent baseball players; exercise; internal impingement syndrome of the shoulder; joint mobilization; mobilization with movement;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Alberta FG, ElAttrache NS, Bissell S, et al(2010). The development and validation of a functional assessment tool for the upper extremity in the overhead athlete. Am J Sports Med, 38(5), 903-911.   DOI
2 Bang MD, Deyle GD(2000). Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther, 30(3), 126-137.   DOI
3 Burkhart SS, Morgan CD, Kibler WB(2003). The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy, 19(4), 404-420.   DOI
4 Chen FS, Diaz VA, Loebenberg M, et al(2005). Shoulder and elbow injuries in the skeletally immature athlete. J Am Acad Orthop Surg, 13(3), 172-185.   DOI
5 Gomez JE(2002). Upper extremity injuries in youth sports. Pediatr Clin North Am, 49(3), 593-626.   DOI
6 Grossman MG, Tibone JE, McGarry MH, et al(2005). A cadaveric model of the throwing shoulder: a possible etiology of superior labrum anterior-to-posterior lesions. J Bone Joint Surg Am, 87(4), 824-831.
7 Heyworth BE, Williams RJ(2009). Internal impingement of the shoulder. Am J Sports Med, 37(5), 1024-1037.   DOI
8 Ho CY, Sole G, Munn J(2009). The effectiveness of manual therapy in the management of musculoskeletal disorders of the shoulder: a systematic review. Man Ther, 14(5), 463-474.   DOI
9 Choo YK, Song JM, Lee EJ, et al(2014). Cross-cultural adaption for shoulder pain and functional measures into Korean. Korea-Japan Physical Therapy Joint Conference, 83, pp.123.
10 Choi CH, Eum DH(2002). Radiographic changes of the medial epicondyle in little league baseball player. J Korean Orthop Sport Med, 1(1), 43-48.
11 Cyriax JH(1975). Textbook of orthopedic medicine: Diagnosis of soft tissue lesions. 6th ed, Baltimore, Williams & Wilkins.
12 Delgado-Gil JA, Prado-Robles E, Rodrigues-de-Souza DP, et al(2015). Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: a randomized controlled trial. J Manipulative Physiol Ther, 38(4), 245-252.   DOI
13 Domb BG, Davis JT, Alberta FG, et al(2010). Clinical follow-up of professional baseball players undergoing ulnar collateral ligament reconstruction using the new Kerlan-Jobe orthopaedic clinic overhead athlete shoulder and elbow score (KJOC Score). Am J Sports Med, 38(8), 1558-1563.   DOI
14 Jobe FW(1989). Impingement problems in the athlete. Instr Course Lect, 38, 205-259.
15 Hsu AT, Ho L, Ho S, et al(2000). Joint position during anterior-posterior glide mobilization: its effect on glenohumeral abduction range of motion. Arch Phys Med Rehabil, 81(2), 210-214.   DOI
16 Janda V(1993). Muscle strength in relation to muscle length, pain, and muscle imbalance. In: Harms-Ringdahl K, ed. Muscle Strength (International Perspectives in Physical Therapy, Vol 8). Edinburgh, Churchill Livingstone, pp.83-91.
17 Jobe CM(1995). Posterior superior glenoid impingement: expanded spectrum. Arthroscopy, 11(5), 530-536.   DOI
18 Edmond SL(2006). Joint mobilization / manipulation: Extremity and spinal techniques. 2nd ed, St. Louis, Elsevier Mosby.
19 Kachingwe AF, Phillips B, Sletten E, et al(2008). Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: a randomized controlled pilot clinical trial. J Man Manip Ther, 16(4), 238-247.   DOI
20 Kuhn JE(2009). Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg, 18(1), 138-160.   DOI
21 Plotnikoff NA, MacIntyre DL(2002). Test-retest reliability of glenohumeral internal and external rotator strength. Clin J Sport Med, 12(6), 367-372.   DOI
22 Manske RC, Grant-Nierman M, Lucas B(2013). Shoulder posterior internal impingement in the overhead athlete. Int J Sports Phys Ther, 8(2), 194-204.
23 Manske RC, Meschke M, Porter A, et al(2010). A randomized controlled single-blinded comparison of stretching versus stretching and joint mobilization for posterior shoulder tightness measured by internal rotation motion loss. Sports Health, 2(2), 94-100.   DOI
24 McClure PW, Bialker J, Neff N, et al(2004). Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther, 84(9), 832-848.   DOI
25 Meeteren Jv, Roebroeck ME, Stam HJ(2002). Test-retest reliability in isokinetic muscle strength measurements of the shoulder. J Rehabil Med, 34(2), 91-95.   DOI
26 Mulligan B(2003). The painful dysfunctional shoulder. A new treatment approach using" mobilisation with movement". New Zealand Journal of Physiotherapy, 31(3), 140-142.
27 Shanley E, Thigpen C(2013). Throwing injuries in the adolescent athlete. Int J Sports Phys Ther, 8(5), 630-640.
28 Sherman WM, Plyley MJ, Vogelgesang D, et al(1981). Isokinetic strength during rehabilitation following arthrotomy: specificity of speed. Athl Train, 16(1), 138-141.
29 Turgut E, Duzgun I, Baltaci G(2017). Stretching exercises for shoulder impingement syndrome: Effects of 6-week program on shoulder tightness, pain and disability status. J Sport Rehabil, 27(2), 132-137.   DOI
30 Walch G, Boileau P, Noel E, et al(1992). Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg, 1(5), 238-245.   DOI
31 Korea Baseball Softball Association(KBSA). Baseball Information, 2019. Available at http://www.korea-baseball.com Accessed December 21, 2019.
32 Weir JP(2005). Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res, 19(1), 231-240.   DOI
33 Ylinen J, Vuorenmaa M, Paloneva J, et al(2013). Exercise therapy is evidence-based treatment of shoulder impingement syndrome. Current practice or recommendation only. Eur J Phys Rehabil Med, 49(4), 499-505.
34 Korea Baseball Organization(KBO). History Crowd, 2019. Available at https://www.koreabaseball.com Accessed December 21, 2019.