Browse > Article
http://dx.doi.org/10.12674/ptk.2020.27.1.19

The Effect of Home Exercise Programs for Rotator Cuff Strengthening on Pain, Range of Motion, Disability Level, and Quality of Life in Patients With Adhesive Capsulitis  

Oh, Byeong-hwan (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University)
Kim, Suhn-yeop (Department of Physical Therapy, College of Health & Medical Science, Daejeon University)
Publication Information
Physical Therapy Korea / v.27, no.1, 2020 , pp. 19-29 More about this Journal
Abstract
Background: Stretch-oriented home exercise programs are often used as treatments for patients with adhesive capsulitis; however, there is lack of research on home exercise programs to strengthen rotator cuffs. Objects: The aim of this study is to investigate the effect of home exercise programs for rotator cuff strengthening on pain, range of motion (ROM), disability level, and quality of life in patients with adhesive capsulitis. Methods: Twenty-two patients with adhesive capsulitis volunteered to participate in this study. The subjects were randomly divided into an experimental group (n = 11) and control group (n = 11). For the experimental group, manual therapy and home exercise programs for rotator cuff strengthening were applied for 6 weeks; for the control group, only manual therapy was applied for 6 weeks. Shoulder pain (quadruple visual analogue scale, QVAS), ROM, disability (shoulder pain and disability index-Korean version, SPADI), and quality of life (world health organization quality of life scale-Korean version, WHOQOL-BREF) were evaluated at baseline, after 3 weeks, and after 6 weeks of intervention. The changes in the measurement variables were analyzed by using repeated measure analysis of variance. Results: Significant differences were observed between the experimental group and control group in the QVAS; SPADI-pain scores; SPADI-disability scores; SPADI-total scores; flexion, abduction, internal and external rotation ROM of the glenohumeral joint; and WHOQOL-BREF total, overall, physical health, and psychological scores. All groups displayed statistically significant improvements as observed in the QVAS, SPADI, flexion, abduction, external and internal rotation ROM of the glenohumeral joint, and WHOQOL-BREF. Conclusion: Home exercise programs for rotator cuff strengthening had a positive impact on shoulder pain, shoulder ROM, disability level, and quality of life in patients with adhesive capsulitis. Therefore, we propose the use of home exercise programs for rotator cuff strengthening in the exercise rehabilitation of patients with adhesive capsulitis.
Keywords
Adhesive capsulitis; Disability; Home exercise; Pain; Quality of life; Rotator cuff strengthening;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Milgrom C, Novack V, Weil Y, Jaber S, Radeva-Petrova DR, Finestone A. Risk factors for idiopathic frozen shoulder. Isr Med Assoc J 2008;10(5):361-4.
2 Celik D, Kaya Mutlu E. Does adding mobilization to stretching improve outcomes for people with frozen shoulder? A randomized controlled clinical trial. Clin Rehabil 2016;30(8):786-94.   DOI
3 Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, et al. Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther 2013;43(5):A1-31.
4 Page P, Labbe A. Adhesive capsulitis: use the evidence to integrate your interventions. N Am J Sports Phys Ther 2010;5(4):266-73.
5 Jurgel J, Rannama L, Gapeyeva H, Ereline J, Kolts I, Paasuke M. Shoulder function in patients with frozen shoulder before and after 4-week rehabilitation. Medicina (Kaunas) 2005;41(1):30-8.   DOI
6 Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. St. Louis: Mosby; 2002.
7 Lee WS. (The) effects of improving posture of scapula stability home exercise program using thera-band on forward head position of tension-type headache. Yongin, Graduate School of Special Education, Dankook University, Master Thesis. 2012.
8 Jeong YD, Lee HO, Song MY. The effect of home exercise program on pelvic alignment and lumbar scoliosis of chronic low back pain. J Korean Soc Phys Med 2009;4(3):133-40.
9 Carette S, Moffet H, Tardif J, Bessette L, Morin F, Fremont P, et al. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum 2003;48(3):829-38.   DOI
10 Outpatient Service Trialists. Therapy-based rehabilitation services for stroke patients at home. Cochrane Database Syst Rev 2003;(1):CD002925.
11 Rundquist PJ, Anderson DD, Guanche CA, Ludewig PM. Shoulder kinematics in subjects with frozen shoulder. Arch Phys Med Rehabil 2003;84(10):1473-9.   DOI
12 Cho CH, Jung SW, Son ES, Hwang IS. Sleep status and quality of life in patients with frozen shoulder. J Korean Orthop Assoc 2012;47(3):205-10.   DOI
13 Song IG, Lee HS, Park SW. Comparison of the maximal muscular activities of the deltoid during shoulder abductions in patients with adhesive capsulitis. J Korean Soc Phys Med 2016;11(4):65-70.   DOI
14 Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol 2004;33(2):73-81.   DOI
15 Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003;(2):CD004258.
16 Mishra N, Mishra A, Goti K. Effect of capsular stretch versus sleeper stretch on pain, rom and shoulder functions in patients with adhesive capsulities - a comparative study. Int J Recent Sci Res 2018;9(4):25634-7.
17 Choi WH, Lee JH, Min DG, Choi JH, Shin SH. The Effects of the range of motion of joint with vibratory stimulation of the patients of adhesive capsulitis of the shoulder. J Converg Cult Technol 2015;1(2):77-83.   DOI
18 Horst R, Maicki T, Trabka R, Albrecht S, Schmidt K, Metel S, et al. Activity- vs. structural-oriented treatment approach for frozen shoulder: a randomized controlled trial. Clin Rehabil 2017;31(5):686-95.   DOI
19 Rawat P, Eapen C, Seema KP. Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: a randomized controlled trial. J Hand Ther 2016;30(3):235-41.e8.   DOI
20 Mullaney MJ, McHugh MP, Johnson CP, Tyler TF. Reliability of shoulder range of motion comparing a goniometer to a digital level. Physiother Theory Pract 2010;26(5):327-33.   DOI
21 Seo HD, Lee KW, Jung KS, Chung YJ. Reliability and validity of the Korean version of shoulder pain and disability index. J Spec Educ Rehabil Sci 2012;51(2):319-36.
22 Min SK, Kim KI, Lee CI, Jung YC, Suh SY, Kim DK. Development of the Korean versions of WHO Quality of Life scale and WHOQOL-BREF. J Korean Neuropsychiatr Assoc 2000;39(3):571-9.
23 Jung HJ, Jeon IH, Chun JM. Conservative treatment of impingement syndrome and rotator cuff tear. J Korean Arthrosc Soc 2012;16(1):79-86.
24 Han SW, Bang SM, Lee WJ. The effect of self-exercise, selfexercise and scapula stability complex exercise to frozen shoulder patient. Korea Sport Res 2007;18(4):387-96.
25 Kwak KI, Choi BJ, Yoon YJ. Effects of home exercise program and manual therapy on shoulder function and quality of life in patients with adhesive capsulitis. J Korean Phys Ther 2016;28(5):286-91.   DOI
26 Bang HJ, Lee HJ. Effects of muscle strengthening exercises on function and pain for rotator cuff partial tear patients. J Korean Soc Integr Med 2015;3(1):53-62.   DOI
27 Pajareya K, Chadchavalpanichaya N, Painmanakit S, Kaidwan C, Puttaruksa P, Wongsaranuchit Y. Effectiveness of physical therapy for patients with adhesive capsulitis: a randomized controlled trial. J Med Assoc Thai 2004;87(5):473-80.
28 Lin JJ, Wu YT, Wang SF, Chen SY. Trapezius muscle imbalance in individuals suffering from frozen shoulder syndrome. Clin Rheumatol 2005;24(6):569-75.   DOI
29 Seo BD, Shin HS. The effect of self stretching exercise in Patients with shoulder adhesive capsulitis. J Korean Soc Phys Ther 2010;22(1):19-26.
30 Boonstra MC, De Waal Malefijt MC, Verdonschot N. How to quantify knee function after total knee arthroplasty? Knee 2008;15(5):390-5.   DOI
31 Von Korff M, Deyo RA, Cherkin D, Barlow W. Back pain in primary care. Outcomes at 1 year. Spine (Phila Pa 1976) 1993;18(7):855-62.   DOI
32 Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. J Back Musculoskelet Rehabil 2014;27(3):247-73.   DOI