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http://dx.doi.org/10.15268/ksim.2022.10.1.061

Physiotherapy Approaches for Chronic Subacromial Impingement Syndrome : Comparison of Effects of Eccentric Training and General Exercise  

Choo, Yeon-Ki (Dept. of Rehabilitation Therapy, Guposungshim Hospital)
Bae, Won-Sik (Dept. of Physical Therapy, Kyungnam College of Information & Technology)
Kim, In-Seob (Dept. of Physical Therapy, Daejeon Health Science University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.10, no.1, 2022 , pp. 61-72 More about this Journal
Abstract
Purpose : This study was to verify the effect of eccentric training and suggest a specific application method by comparing the effects of acromohumeral distance (AHD), supraspinatus tendon thicknees (STT), pain intensity and functional performance after MWM and eccentric training (MWM-ET) or general exercise (MWM-GE) in chronic subacromial impingement syndrome (SAIS) patients. Methods : A total of 55 participants were randomly assigned to each group, and according to the intervention method, "MWM-ET group (n=28)" vs. "MWM-GE group (n=27)" was divided into two groups. AHD, STT, pain intensity, and functional performance were measured before intervention, and both groups were re-measured 3 times a week after 6 weeks of intervention in the same way. Results : The AHD was significantly increased in MWM-ET group compared to MWM-GE group. No significant difference was observed between the groups in the STT, but Pain intensity was significantly lower in MWM-ET group than in MWM-GE group, and functional performance was significantly increased in MWM-ET group compared to MWM-GE group. Conclusion : As a result of MWM-ET intervention that further increases AHD compared to MGE, it can be clinically presented as a more effective intervention method for faster recovery from injury due to pain reduction and smooth return to daily life due to improved functional performance.
Keywords
acromio-humeral distance; eccentric training; general exercise; mobilization with movement; subacromial impingement syndrome;
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