• Clinics in Shoulder and Elbow
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• v.24 no.1
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• pp.21-26
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• 2021

Background: To evaluate the demographics, clinical and radiographic features of calcific tendinitis of the shoulder in the Korean population, specifically focusing on the incidence of coexisting rotator cuff tear. Methods: Between October 2014 and January 2015, we performed a prospective multicenter study with 506 patients from 11 training hospitals in Korea. We collected data of demographics and radiographic analysis based on simple radiographs, clinical assessments based on visual analog scale (VAS) and the American Shoulder Elbow Surgeons (ASES) score, and treatment modalities that are used currently. We also evaluated coexisting rotator cuff tear by ultrasonography (US) or magnetic resonance imaging (MRI) images. Results: There were 402 female patients (79%) with mean age of 55 years (range, 31-87 years). Mean duration of symptoms was 16 months. Mean size of calcific materials was 11.4 mm (range, 0-35 mm). Mean value of VAS and ASES scores were 6.5 (range, 1-10) and 47 (range, 8-95), respectively. Of 383 patients (76%), 59 (15%) had rotator cuff tear including 15 full-thickness tears on US or MRI. Patients with rotator cuff tears were significantly associated with older age, recurrent symptoms, menstrual disorders in females, and having undergone calcification removal surgery and rotator cuff repair (all p<0.05). Conclusions: This study reported demographic, radiographic, and clinical features of calcific tendinitis of the shoulder in Korean population, which were not different from those of Western population. Coexisting rotator cuff tear was found with 15% incidence in this large series, suggesting that further radiographic study to evaluate rotator cuff tear might be needed in some calcific tendinitis patients of older age and presenting with recurrent symptoms.

• Physical Therapy Korea
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• v.24 no.3
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• pp.21-29
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• 2017

Background: The measurement of the strength of the shoulder muscles is an important element of the overall assessment of patients with various shoulder disorders. However, the clinical utilization of this measurement is dependent on its reproducibility. Objects: To explore the reproducibility of the measurements derived from testing of the isokinetic strength of shoulder muscles in patients with tendinitis of the rotator cuff. Methods: A total of 20 patients with tendinitis of the rotator cuff participated in this study and were assessed twice in 1 week. Isokinetic testing was performed concentrically for shoulder flexors, abductors, and external rotators and eccentrically for the shoulder extensors, adductors, and internal rotators. The relative and absolute reproducibility of the peak torque (PT) and ratios were assessed using intra-class correlation coefficients (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID), respectively. Results: Overall, high to excellent ICC, clinically acceptable SEM and MCID values were obtained for the PT (ICC: .83-.95, SEM: 1.2%-9%, MCID: 3.4%-25%) and ratios (ICC: .85-.93, SEM: 5.1%-10%, MCID: 14.2%-27.6%). Conclusion: These findings suggest that isokinetic tests may be effectively utilized for the determination of shoulder strength profiles and appropriate position are recommended to perform test without pain in patients with tendinitis of the rotator cuff.

• International Journal of Contents
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• v.10 no.3
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• pp.90-95
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• 2014

The purpose of this study was to analyze the changes in muscle fatigue by using electromyography (EMG) measurements of the median frequency of shoulder muscles of patients who underwent rotator cuff repair, and to provide basic data for efficient exercise methods during rehabilitation after the repair. In the study, 24 male and 8 female patients who underwent rotator cuff repair performed continuous passive shoulder joint motion for 3 weeks and the median frequency of their shoulder muscles before and after the repair were compared using measurements by EMG. The infraspinatus, supraspinatus, and serratus anterior muscles showed significant differences in the changes in the median frequency before and after the repair. Significant differences were also found in the median frequency of the three muscles both before and after the repair. Additionally, the middle deltoid muscle had a lower median frequency than the supraspinatus muscle before the repair and the infraspinatus muscle had a lower median frequency than the middle deltoid muscle after the repair. It is expected that these results will serve as important data in developing rehabilitation exercise programs for the infraspinatus, supraspinatus, and serratus anterior muscles by compensating the middle deltoid muscle with the lowest muscle fatigue after the rotator cuff repair erase.

• Clinics in Shoulder and Elbow
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• v.6 no.2
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• pp.161-166
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• 2003

Purpose: To evaluate the usefulness of arthroscopic repair that was related with full thickness rotator cuff tear and assess clinical result. Materials and Methods: Twenty-one cases of arthroscopically repaired full thickness tear of rotator cuffs were studied. Between October 1998 to July 2002 we have analysed 21 repairs of FTRCT the average age 54(42∼74) years old, mean follow-up was 24(12∼41) months We analyzed the results statistically by paired t-test. Results: Postoperative VAS of pain improved average 7.2 to 1.9, UCLA score improved 13.9 to 31.9, ADL improved 11.5 to 25.5 respectively(all, p<0.001). Eighty-seventh ％ of the patients showed excellent St good results at the final follow-up. The satisfied rate was 90.5%(19cases). Conclusions: Arthroscopic repair in full thickness rotator cuff tear is effective surgical methods.

• The Journal of Korean Physical Therapy
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• v.30 no.1
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• pp.8-13
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• 2018

Purpose: The present study was to investigate effects of scapular position and pain on a trunk stabilization exercise with gym ball for patients with arthroscopic rotator cuff repair. Methods: Subjects were patients after 2 weeks of rotator cuff repairs. Subjects were randomly assigned to conservative treatment group (CTG, n=10) or trunk stabilization with gym ball group (SBG, n=10), and participated one of those groups for 2 weeks. Measurements about pain and scapular position were assessed in before and after treatment programs. Results: Pain reduced in both rest and night in SBG compared to CTG. In the case of scapular position, decreased scapular retraction (increased protraction) was found in CTG and vice versa in SBG. Reduced scapular anterior tilting was also found on SBG. Conclusion: The present study showed that early performed trunk stabilization with gym ball could bring a scapular alignment that increases subacromial space and reduces pain. This suggests early trunk stabilization with gym ball programs to restore shoulder functions for patients with rotator cuff repair.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.22 no.2
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• pp.15-20
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• 2016

Background: The purpose of this study was to compared of scapular position between operation side and non-operation side to the rotator cuff surgery. Methods: This study was carried out with a total 34 patients: male (n=14), female (n=20). Shoulder range of motion (ROM), the quadruple visual analogue scale (QVAS), the shoulder pain and disability index (SPADI), and the scapular index (SI) were used to assess shoulder posture and function. SI was the resting position of the scapular was determined by measuring the distance from the mid-point of the sternal notch (SN) to the medial aspect of the coracoid process (CP) and the horizontal distance from the posterolateral angle of the acromion (PLA) to the thoracic spine (TS) with a soft tape measure. The SI was calculated using the equation: [(SN to CP/PLA to TS) ${\times}$ 100]. Results: There were no significant difference in ROM, QVAS to rotator repair patients according to SI (p>.05). There were significant differences in SI between the operation side and the non-operation side (p<.01). Conclusions: Scapular position was operation side more internal rotation, protraction, abduction than non-operation side. Therefore, health professionals managing for rotator cuff tear repair patients should consider scapular position.

• Clinics in Shoulder and Elbow
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• v.18 no.2
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• pp.80-85
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• 2015

Background: This study measured the rate of adrenal insufficiency among rotator cuff tear patients, and determined the roles of steroid treatment and herbal medicine as specific risk factors of adrenal insufficiency. Methods: We prospectively evaluated the 53 patients who agreed to participate in the study and underwent arthroscopic rotator cuff repair due to a chronic full-thickness tear from March 2012 to September 2013. The diagnosis of adrenal insufficieny was made by rapid adrenocortical hormone test before the operation. We collected information regarding their history of steroid and herbal medicine treatment within the last 12 months. Results: The rate of adrenal insufficiency among the rotator cuff tear patients in our study was 18.9% (10 of 53 patients). Steroid treatment (p=0.034), frequency of local steroid injection (p=0.008), and herbal medicine treatment (p=0.02) showed significant association with the risk of adrenal insufficiency. Conclusions: In this study, careful taking of a patient's medical history, such as the use of steroids and herbal medicine, is important when investigating adrenal function before surgery.

• Clinics in Shoulder and Elbow
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• v.9 no.1
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• pp.111-118
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• 2006

Most pigmented villonodular synovitis (PVNS) is occurred in knee joint and finger of hand. PVNS is rarely occurred in shoulder joint. In English and French literatures, less than 30 cases were reported. We report 3 PVNS cases with rotator cuff tears, which was treated by arthroscoic extensive synovectomy, debridement and rotator cuff repair. The PVNS with rotator cuff tear in shoulder joint was rarely reported in the Korean literature.

• Journal of Korean Orthopaedic Sports Medicine
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• v.10 no.1
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• pp.8-12
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• 2011

Rotator cuff disease is one of the most common shoulder problems. When dealing with patients suffering from rotator cuff disease, whether to perform surgery or not is the most common difficulty faced by the outpatient clinic. Choosing the adequate operation time as well as the method of operation is important when deciding to perform surgery. Selecting the type of non-surgical treatment is an important issue when opting not to perform surgery. This review article will focus on the decision-making process involved in the treatment of rotator cuff disease.

• The Journal of Korean Physical Therapy
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• v.33 no.2
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• pp.114-121
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• 2021

Purpose: This study examined the effects of therapeutic massage (TMP) and home exercise program (HEP) on pain, range of motion (ROM), depression, and quality of life (QOL) after arthroscopic rotator cuff repair in middle-aged women. Methods: Nineteen middle-aged women who underwent arthroscopic rotator cuff repair were enrolled in the study. All subjects were assigned randomly to the experimental group (n=9) or the control group (n=10). The subjects in both groups performed HEP for 30 minutes, three times per day, for eight weeks. The subjects in the experimental group also performed HEP, with TMP being performed for 30 minutes, 16 sessions for eight weeks. All subjects were evaluated with a visual analogue scale (VAS), shoulder ROM, self-rating depression scale (SDS), and Korean brief version of WHO quality of life scale (WHOQOL-BREF). A paired t-test was performed to test the significant differences between before and after the intervention. An independent t-test was conducted to test the significant differences between the groups. Results: Following the intervention, both groups showed significant differences than before the intervention in the VAS, shoulder ROM, SDS, and WHOQOL-BREF (p<0.05). There were significant differences in the ROM of shoulder flexion, SDS, and WHOQOL-BREF between the groups (p<0.05). Conclusion: These findings suggest that intensive TMP is an effective method for improving shoulder flexion mobility, depressive symptom, and QOL in middle-aged women after arthroscopic rotator cuff repair.