The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effects of Low-intensity Scapular Stabilization Exercise in Arthroscopic Shoulder Surgery Patients

  • Yoon, Hee-Yeon (Department of Physical Therapy, Daejeon Sewoori Hospital, College of Health Science, Daejeon University) ;
  • Choi, Jong-Duk (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • Received : 2012.05.31
  • Accepted : 2012.06.18
  • Published : 2012.06.26
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Abstract

Purpose: The purpose of this study was to compare a control group and an experimental group, consisting of arthroscopic shoulder surgery patients who had received acute rehabilitation treatment and who were to perform scapular stabilization exercise. Methods: Sixteen subjects were studied. The control group, n=8, received instruction for basic physical therapy intervention. An experimental group, n=8, received instruction for doing scapular stabilization exercise (protraction, retraction, elevation, depression) 10 times, 6 times per week. To evaluate the effects of exercise, subjects were evaluated using a joint position sense of shoulder (JPS), disability of the arm, shoulder index (DASH), shoulder pain and disability index (SPADI). Results: Participants showed after the intervention, both groups saw their JPS errors at $30^{\circ}$, $60^{\circ}$, and $90^{\circ}$ significantly decrease relative to before the intervention (p<0.05). Both groups saw their JPS rates at $90^{\circ}$ significantly decrease (p<0.05), with no significant changes in JPS at $30^{\circ}$ and $60^{\circ}$ (p>0.05). SPADI and DASH significantly decrease after the intervention (p<0.05), with no significant decreases before the intervention (p>0.05). The change rates of SPADI and DASH significantly reduced (p<0.05). Conclusion: Low-intensity scapular stabilization exercise is considered effective as a clinical treatment for arthroscopic shoulder surgery patients who receive acute rehabilitation treatment.

Keywords

References

  1. Beaufils P, Prevot N, Boyer T et al. Arthroscopic release of the glenohumeral joint in shoulder stiffness: a review of 26 cases.French Society for Arthroscopy. Arthroscopy. 1999;15(1):49-55. https://doi.org/10.1053/ar.1999.v15.0150041
  2. Duplay S. La Periarthrite scapulo-humerale. Rev Prat Med. 1896;53:226-7.
  3. Codman A. The shoulder. Boston, Todd, 1934.
  4. DePalma AF. Loss of Scapulohumeral Motion (Frozen Shoulder) Clin Orthop Relat Res. 2008;466(3):552-60. https://doi.org/10.1007/s11999-007-0101-7
  5. De Palma F. Surgery of the shoulder. 3rd ed. Philadelphia, JB Lippincott, 1983;193-204.
  6. Ozaki J, Nakagawa Y, Sakurai G et al. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg Am. 1989;71(10):1511-5. https://doi.org/10.2106/00004623-198971100-00009
  7. Zuckermann JD, Cuomo F, Rokito S. Definition and classification of frozen shoulder: a consensus approach. J Shoulder Elbow Surg. 1994;27:S72(part 2).
  8. Neviaser S. Adhesive capsulitis of the shoulder. A study of the pathological findings in periarthritis of the shoulder. J Bone Joint Surg. 1945;27:211-22.
  9. Murnaghan JP. Adhesive capsulitis of the shoulder: current concepts and treatment. Orthopedics. 1988;11(1):153-8.
  10. Hannafin JA, E.F. D, Wickiewicz TL, Warren RF. Adhesive capsulitis: capsular fibroplasia of the glenohumeral joint. J Shoulder Elbow Surg 1994;3(Suppl):5.
  11. Boykin E, Heuer J, Vaishnav S, et al. Rotator Cuff Disease: basics of diagnosis and treatment. Rheuma Rep. 2010;2(1):1-12. https://doi.org/10.4081/rr.2010.e1
  12. Bin S, Jung S. Diagnosis of lesions of the rotator cuff tear; a comparison of ultrasonography, magnetic resonance imaging and operative findings. J Kor Sports Surg. 1995;13(2):102-7.
  13. Higgins LD, Warner JJ. Superior labral lesions: anatomy, pathology, and treatment. Clin Orthop Relat Res. 2001;(390):73-82.
  14. Mileski RA, Snyder SJ. Superior labral lesions in the shoulder: pathoanatomy and surgical management. J Am Acad Orthop Surg. 1998;6(2):121-31. https://doi.org/10.5435/00124635-199803000-00007
  15. Snyder SJ, Banas MP, Karzel RP. An analysis of 140 injuries to the superior glenoid labrum. J Shoulder Elbow Surg. 1995;4(4):243-8. https://doi.org/10.1016/S1058-2746(05)80015-1
  16. Gartsman GM, Hammerman SM. Superior labrum, anterior and posterior lesions. When and how to treat them. Clin Sports Med. 2000;19(1):115-24. https://doi.org/10.1016/S0278-5919(05)70299-4
  17. Maffet MW, Gartsman GM, Moseley B. Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med. 1995;23(1):93-8. https://doi.org/10.1177/036354659502300116
  18. Duzgun I, Baltaci G, Atay OA. Comparison of slow and accelerated rehabilitation protocol after arthroscopic rotator cuff repair: pain and functional activity. Acta Orthop Traumatol Turc. 2011;45(1):23-33. https://doi.org/10.3944/AOTT.2011.2386
  19. Carpenter JE, Blasier RB, Pellizzon GG. The effects of muscle fatigue on shoulder joint position sense. Am J Sports Med. 1998;26(2):262-5. https://doi.org/10.1177/03635465980260021701
  20. Miura K, Ishibashi Y, Tsuda E et al. The effect of local and general fatigue on knee proprioception. Arthroscopy. 2004;20(4):414-8. https://doi.org/10.1016/j.arthro.2004.01.007
  21. Tsuda E, Okamura Y, Otsuka H et al. Direct evidence of the anterior cruciate ligament-hamstring reflex arc in humans. Am J Sports Med. 2001;29(1):83-7. https://doi.org/10.1177/03635465010290011801
  22. Friemert B, Bach C, Schwarz W et al. Benefits of active motion for joint position sense. Knee Surg Sports Traumatol Arthrosc. 2006;14(6):564-70. https://doi.org/10.1007/s00167-005-0004-7
  23. Uchio Y, Ochi M, Fujihara A et al. Cryotherapy influences joint laxity and position sense of the healthy knee joint. Arch Phys Med Rehabil. 2003;84(1):131-5. https://doi.org/10.1053/apmr.2003.50074
  24. Habernek H, Schmid L, Frauenschuh E. Five year results of rotator cuff repair. Br J Sports Med. 1999;33(6):430-3. https://doi.org/10.1136/bjsm.33.6.430
  25. Jun AY, Jung KI, Choi EH. The effect of visual feedback training on proprioception of the wrist joint in stroke patients. Korean J Stroke. 2003;5(1):78-82.
  26. Baek JH, Kim JW, Kim SY et al. Acute effect of repeated passive motion exercise on shoulder position sense in patients with hemiplegia: a pilot study. NeuroRehabilitation. 2009;25(2):101-6.
  27. Portney G, atkins P. Foundations of clinical research: Applications to practice. 2nd ed. New Jearsy, Prentice-hall, 2000.
  28. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. Am J Ind Med. 1996;29(6):602-8. https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L
  29. Roach KE, Budiman-Mak E, Songsiridej N et al. Development of a shoulder pain and disability index. Arthritis Care Res. 1991;4(4):143-9. https://doi.org/10.1002/art.1790040403
  30. Jae L, Yong H. Clinical study of physical therapy on the frozen shoulder. J of Health Scie & Med Tech. 1985;14(1):1-8.
  31. Tae K. The effects of proprioceptive position sense by exercise-induced muscle fatigue of shoulder joint. J coll health scie.2006;26:47-56.
  32. Mottram SL. Dynamic stability of the scapula. Man Ther. 1997;2(3):123-31. https://doi.org/10.1054/math.1997.0292
  33. Bartlett MJ, Warren PJ. Effect of warming up on knee proprioception before sporting activity. Br J Sports Med. 2002;36(2):132-4. https://doi.org/10.1136/bjsm.36.2.132