The Effect of Exercise Using Grasping on Shoulder Muscle Activity and Muscle Thickness of Patients with Rotator Cuff Repair

  • Choi, Eun-Young (Department of Physical Therapy, Gwangyang Health College) ;
  • Choi, Hyun (Department of Physical Therapy, Mokpo Mirae Hosipital)
  • Received : 2016.01.18
  • Accepted : 2016.02.22
  • Published : 2016.02.25

Abstract

Purpose: This study intended to mediate shoulder exercise using grasping and investigate examine how its effects on affects activities of the shoulder surrounding muscles of the shoulder and thickness of shoulder muscle to suggest effective exercise for patients with rotator cuff repair to return to daily life. Methods: This study has been done targeteding male patients more than 6 weeks after having En-masse Suture Bridge Technique as rotator cuff repair of the right shoulder, aged 40 to 55 in a medical institution located in Jeollanam-do. Experimental group I (n=15) was selected for a conducting common exercise therapy program and Experimental group II (n=15) was selected for an conducting exercise therapy program using grasping. %RVC was measured by surface electromyography and muscle thickness was measured by ultrasound before mediation to for analysisze of before and after results within group and between groups. Results: In comparison of change of %RVC, Tthere were meaningful differences in only posterior deltoid and infraspinatus in comparing a change of %RVC within experimental group I (p<0.001),. and Tthere were meaningful differences in both supraspinatus and infraspinatus in muscle thickness within experimental group I (p<0.001). In comparison of change of %RVC, Tthere were meaningful differences in anterior deltoid, posterior deltoid and infraspinatus in comparing a change of %RVC within experimental group II (p<0.05)(p<0.01) (p<0.001), and there were meaningful differences in both supraspinatus and infraspinatus in muscle thickness within experimental group II (p<0.001). In comparison of change of %RVC between groups, Tthere was a meaningful difference in only posterior deltoid in comparing a change of %RVC between groups (p<0.001). Conclusion: We found that exercise therapy using grasping has a positive effect on shoulder stability muscles such as supraspinatus muscle and infraspinatus muscle and activity of deltoid muscle.

Keywords

References

  1. Sokk J, Gapeyeva H, Ereline J et al. Shoulder muscle function in frozen shoulder syndrome patients following manipulation under anesthesia: A 6-month follow-up study. Orthop Traumatol Surg Res. 2013;99(6): 699-705. https://doi.org/10.1016/j.otsr.2013.04.008
  2. Song HS, Kim SY. Comparison of the rehabilitation program after rotator cuff repair by time closed chain exercise. J Korean Soc Phys Med. 2014;9(4):485-92. https://doi.org/10.13066/kspm.2014.9.4.485
  3. Wiliams GR, Rockwood CA, Bigliani LU et al. Rotator cuff tears: why do we repair them?. J Bone Joint Surg Am. 2004;86-A(12):2764-76.
  4. Seitz AL, McClure PW, Finucane S et al. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both?. Clin Biomech, 2011;26(1):1-12. https://doi.org/10.1016/j.clinbiomech.2010.08.001
  5. Maxwell CP, James ET, Thay QL. History, physical examination, radiographic anatomy, and biomechanics and physiological function of the rotator cuff. Oper Tech Sports Med. 2012;20(3):201-6. https://doi.org/10.1053/j.otsm.2012.09.008
  6. Kim YK. Controversy in pathophysiology of rotator cuff tear: degenerative tear. CiSE. 2008;11(2):71-6.
  7. Oliva F, Osti L, Padulo, J et al. Epidemiology of the rotator cuff tears: a new incidence related to thyroid disease. Muscles Ligaments Tendons J. 2014;4(3):309.
  8. Papadopoulos P, Karataglis D, Boutsiadis A et al. Functional outcome and structural integrity following mini-open repair of large and massive rotator cuff tears: a 3-5 year follow-up study. J Shoulder Elbow Surg. 2011;20(1):131-7. https://doi.org/10.1016/j.jse.2010.05.026
  9. McKee MD, Yoo DJ. The effect of surgery for rotator cuff disease on general health status. Results of a prospective trial. J Bone Joint Surg Am, 2000;82-A(7):970-9.
  10. Namdari S, Green A. Range of motion limitation after rotator cuff repair. J Shoulder Elbow Surg, 2010;19(2):290-6. https://doi.org/10.1016/j.jse.2009.07.009
  11. Huberty DP, Schoolfield JD, Brady PC et al. Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair. Arthroscopy. 2009;25(8):880-90. https://doi.org/10.1016/j.arthro.2009.01.018
  12. Seo BD, Shin HS. The effect of self-stretching exercise in patients with shoulder adhesive capsulitis. J Kor Soc Phys Ther. 2010;22(1):19-26
  13. Kibler WB, McMullen J, Uhl T. Shoulder rehabilitation strategies, guidelines, and practice. Orthop Phys Ther Clin N Am. 2001;32(3):527-38. https://doi.org/10.1016/S0030-5898(05)70222-4
  14. Yoon HY, Choi JD. Effects of Low-intensity Scapular Stabilization Exercise in Arthroscopic Shoulder Surgery Patients. J Kor Soc Phys Ther. 2012;24(3):229-34.
  15. Worsley P, Warner M, Mottram S et al. Motor control retraining exercises for shoulder impingement: effects on function, muscle activation, and biomechanics in young adults. J Shoulder Elbow Surg. 2013;22(4):11-9.
  16. Kim jH. Rehabilitation of rotator cuff repair. The Korean Journal of Arthroscopy Soc. 2008;12(2):82-6.
  17. Kang JI, Moon YJ, Park sk et al. Effects of exercise program intervention on muscle activity in rotator cuff repair patient. J Kor Soc Phys Ther. 2013;25(2):56-63.
  18. Antony NT, Keir PJ. Effects of posture, movement and hand load on shoulder muscle activity. J Electromyogr Kinesiol. 2010;20:191-8. https://doi.org/10.1016/j.jelekin.2009.04.010
  19. Choi H. The effect of hand grip force on the activity of shoulder muscles in the patterns of arm position. Journal of Digital Convergence. 2012; 10(9):435-41. https://doi.org/10.14400/JDPM.2012.10.9.435
  20. Smets MP, Potvin JR, Keir PJ. Constrained handgrip force decreases upper extremity muscle activation and arm strength. Ergonomics. 2009; 52(9):1144-52. https://doi.org/10.1080/00140130902919113
  21. Juul-Kristensen B, Bojsen-Moller F, Holst E et al. Comparison of muscle sizes and moment arms of two rotator cuff muscles measured by ultrasonography and magnetic resonance imaging. Eur J Ultrasound. 2000; 11(3):161-73. https://doi.org/10.1016/S0929-8266(00)00084-7
  22. Steenbrink F, Nelissen RG, Meskers CG et al. Teres major muscle activation relates to clinical outcome in tendon transfer surgery. Clin Biomech. 2010;25(3):187-93. https://doi.org/10.1016/j.clinbiomech.2009.11.001
  23. Lee SY, Gong WT, Park MC et al. A study of shoulder stabilizer muscle exercise using the contraction of finger flexor muscle. J Phys Ther Sci. 2011;23:41-3. https://doi.org/10.1589/jpts.23.41
  24. McCully SP, Suprak DN, Kosek P et al. Suprascapular nerve block results in a compensatory increase in deltoid muscle activity. J Biomech. 2007; 40(8):1839-46. https://doi.org/10.1016/j.jbiomech.2006.07.010
  25. Cuff DJ, Pupello DR. Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol. J Shoulder Elbow Surg. 2012;21(11):1450-5. https://doi.org/10.1016/j.jse.2012.01.025
  26. Roy JS, Moffet H, Hebert LJ et al. Effect of motor control and strengthening exercises on shoulder function in persons with impingement syndrome: a single-subject study design. Man Ther. 2009;14(2):180-8. https://doi.org/10.1016/j.math.2008.01.010
  27. Alpert SW, Pink MM, Jobe FW et al. Electromyographic analysis of deltoid and rotator cuff function under varying loads and speeds. J Shoulder Elbow Surg. 2000;9(1):47-58. https://doi.org/10.1016/S1058-2746(00)90009-0
  28. Braddom RL, R.M. Buschbacher. Physical medicine and rehabilitation. 2nd, W.B. Saunders Company, 2002.
  29. Struyf F, Cagnie B, Cools A et al. Scapulothoracic muscle activity and recruitment timing in patients with shoulder impingement symptoms and glenohumeral instability. J Electromyogr Kinesiol. 2014;24(2):277-84. https://doi.org/10.1016/j.jelekin.2013.12.002
  30. De Mey K, Danneels L, Cagnie B et al. Kinetic chain influences on upper and lower trapezius muscle activation during eight variations of a scapular retraction exercise in overhead athletes. J Sci Med Sport. 2013;16(1): 65-70. https://doi.org/10.1016/j.jsams.2012.04.008
  31. Jang HJ, Kim JS, Choi JD et al. The effects of hand grip force on shoulder muscle activity in two arm posture. JKAIS. 2012;13(3):1229-37.
  32. Sporrong H, Palmerud G, Herberts P. Hand grip increases shoulder muscle activity, An EMG analysis with static hand contractions in 9 subjects. Acta Orthop Scand Suppl. 1996;67(5):485-90. https://doi.org/10.3109/17453679608996674
  33. Hodder JN, Keir PJ. Targeted gripping reduces shoulder muscle activity and variability. Electromyogr Kinesiol. 2012;22(2):186-90. https://doi.org/10.1016/j.jelekin.2011.11.011
  34. Oschman Z, Janse van Rensburg C, Maritz NGJ et al. Ultrasound study of the asymptomatic shoulder in patients with a confirmed rotator cuff tear in the opposite shoulder. South African Sports Medicine Assoc. 2007;19(1):23-8. https://doi.org/10.17159/2078-516X/2007/v19i1a272
  35. Myung MS. The effect of sling exercises on increase muscles' thickness, function, and range of motion in rotator cuff surgery patients. Junnam University. Dissertation of Master's Degree. 2013.