Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Handgrip Exercise on the Shoulder Muscle Activation and Cross-Sectional Area of the Supraspinatus Muscle in Rotator Cuff Repair Patient

  • Lee, Dong-Rour (Department of Physical Rehabilitation Team, Good Gang-An Hospital) ;
  • Choi, Young-Eun (Department of Physical Therapy, College of Health Medicine, Kaya University)
  • Received : 2020.01.06
  • Accepted : 2020.01.26
  • Published : 2020.02.29
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Abstract

PURPOSE: This study examined the effects of handgrip exercise, which was started two weeks after surgery for shoulder rotator cuff repair, on the extent of muscle activation around the shoulder and the cross-sectional area of the supraspinatus muscle. METHODS: Among patients diagnosed with rotator cuff rupture by an orthopedic surgeon and rotator cuff repair was performed using an arthroscope, 28 were selected as subjects. These subjects were allocated randomly to the experimental group and control group with 14 subjects in each group. An electromyogram was measured as a measure of the extent of muscle activation around the shoulder for a total of six times (%RVC). The cross-sectional area of the supraspinatus muscle was measured before and after the rotator cuff repair by magnetic resonance imaging. RESULTS: The extent of muscle activation in accordance with time in both the experimental group and control group displayed significant differences in various muscles including the anterior deltoid, pectoralis major, upper trapezius and infraspinatus muscle(p<.05). A significant difference in the variation of the cross-sectional area of the supraspinatus muscle was observed between the experimental group and the control group(p<.05). CONCLUSION: Handgrip exercise helps rehabilitate the shoulder joint at the acute stage after rotator cuff repair when assertive exercise therapy cannot be applied.

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References

  1. McBeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best Pact Res Clin Rheumatol. 2007;21(3):403-25. https://doi.org/10.1016/j.berh.2007.03.003
  2. Meyer DC, Gerber C. Failure of anterior shoulder instability repair caused by eyelet cutout of absorbable suture anchors. Arthroscopy. 2004;20(5):521-3. https://doi.org/10.1016/j.arthro.2004.01.033
  3. Hong F, Haldeman BD, John OA, et al. Characterization of tightly associated smooth muscle myosin-myosin light-chain kinase-calmodulin complexes. J Mol Biol. 2009;390(5):879-92. https://doi.org/10.1016/j.jmb.2009.05.033
  4. Bartolozzi A, Andreychik D, Ahmad S. Determinants of outcome in the treatment of rotator cuff disease. Clin Orthop Relat Res. 1994;308:90-7.
  5. Green A. Chronic massive rotator cuff tears: evaluation and management. J Am Acad Orthop Surg. 2003;11(5):321-31. https://doi.org/10.5435/00124635-200309000-00005
  6. Boudreau S, Boudreau ED, Higgins LD, et al. Rehabilitation following reverse total shoulder arthroplasty. J Orthop Sport Phys Ther. 2007;37(12):734-43. https://doi.org/10.2519/jospt.2007.2562
  7. Koo SS, Burkhart SS. Rehabilitation following arthroscopic rotator cuff repair. Clin Sports Med. 2010;29(2):203-11. https://doi.org/10.1016/j.csm.2009.12.001
  8. Psatha M, Wu Z, Gammie FM, et al. A longitudinal MRI study of muscle atrophy during lower leg immobilization following ankle fracture. J Magn Reson Imaging. 2012;35(3):686-95. https://doi.org/10.1002/jmri.22864
  9. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. https://doi.org/10.2165/00007256-200636030-00001
  10. Au AK, Keir PJ. Interfering effects of multitasking on muscle activity in the upper extremity. J Electromyogr Kinesiol. 2007;17(5):578-86. https://doi.org/10.1016/j.jelekin.2006.06.005
  11. DeOrio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am. 1984;66(4):563-7. https://doi.org/10.2106/00004623-198466040-00011
  12. Cram JR, Kasman GS, Holtz J. Introduction to Surface Electromyography. Gaithersburg, MD: Aspen Publishers, Inc. 1998.
  13. Thomazeau H, Rolland Y, Lucas C, et al. Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta orthop Scand. 1996;67(3):264-8. https://doi.org/10.3109/17453679608994685
  14. Manheim CJ, Lavett DK. The myofascial release manual. Thorofare(NJ): Slack. 1994.
  15. American college of sports medicine. Guidelines for exercise testing and prescription. 8th ed. Philadelphia (PA): Lippincott, Wilkins, and Williams. 2009.
  16. Ross D, Maerz T, Lynch J, et al. Rehabilitation following arthroscopic rotator cuff repair; a review of current literature. J Am Acad Orthop Surg. 2014;22(1):1-9. https://doi.org/10.5435/JAAOS-22-01-1
  17. Escamilla RF, Yamashiro K, Paulos L, et al. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med. 2009;39(8):663-85. https://doi.org/10.2165/00007256-200939080-00004
  18. Howell SM, Kraft TA. The role of the supraspinatus and infraspinatus muscles in glenohumeral kinematics of anterior should instability. Clin Orthop Relat Res. 1991;(263):128-34.
  19. De Witte PB, van der Zwaal P, Visch W, et al. Arm adductor with arm abduction in rotator cuff tear patients vs. healthy design of a new measuring instrument. Hum Mov Sci. 2012;31(2):461-71. https://doi.org/10.1016/j.humov.2011.08.007
  20. Sigholm G, Herberts P, Almstrom C, et al. Electromyographic analysis of shoulder muscle load. J Orthop Res. 1984;1(4):379-86. https://doi.org/10.1002/jor.1100010406
  21. Sporrong H, Palmerud G, Herberts P. Influences of handgrip on shoulder muscle activity. Eur J Appl Physiol Occup Physiol. 1995;71(6):485-92. https://doi.org/10.1007/BF00238549
  22. Hodder JN, Keir PJ. Targeted gripping reduces shoulder muscle activity and variability. J Electromyogr Kinesiol. 2012;22(2):186-90. https://doi.org/10.1016/j.jelekin.2011.11.011
  23. Koester MC, George MS, Kuhn JE. Shoulder impingement syndrome. Am J Med. 2005;118(5):452-5. https://doi.org/10.1016/j.amjmed.2005.01.040
  24. Reddy AS, Mohr KJ, Pink MM, et al. Electromyographic analysis of the deltoid and rotator cuff muscles in persons with subacromial impingement. J Shoulder Elbow Surg. 2000:9(6):519-23. https://doi.org/10.1067/mse.2000.109410
  25. Clisby EF, Bitter NL, Sandow MJ, et al. Relative contributions of the infraspinatus and deltoid during external rotation in patients with symptomatic subacromial impingement. J Shoulder Elbow Surg. 2008;17(1):87-92.
  26. Oh JH, Kim SH, Ji HM, et al. Prognostic factors affecting anatomic outcome of rotator cuff repair and correlation with functional outcome. Arthroscopy. 2009;25(1):30-9. https://doi.org/10.1016/j.arthro.2008.08.010
  27. Gladstone JN, Bishop JY, Lo IK, et al. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med. 2007;35(5):719-28. https://doi.org/10.1177/0363546506297539
  28. Goutallier D, Postel JM, Gleyze P, et al. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg. 2003;12(6):550-4. https://doi.org/10.1016/S1058-2746(03)00211-8
  29. Liem D, Lichtenberg S, Magosch P, et al. Magnetic resonance imaging of arthroscopic supraspinatus tendon repair. J Bone Joint Surg Am. 2007;89(8):1770-6. https://doi.org/10.2106/00004623-200708000-00015
  30. Khoury V, Cardinal E, Brassard P. Atrophy and fatty infiltration of the supraspinatus muscle; sonography versus MRI. AJR Am J Roentgenol. 2008;190(4):1105-11. https://doi.org/10.2214/AJR.07.2835
  31. Chung SW, Kim SH, Tae SK, et al. Is the supraspinatus muscle atrophy truly irreversible after surgical repair of rotator cuff tears? Clin Orthop Surg. 2013;5(1):55-65. https://doi.org/10.4055/cios.2013.5.1.55