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pISSN 2288-6982
eISSN 2288-7105

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Phys. Ther. Korea 2020; 27(1): 19-29

Published online February 20, 2020

https://doi.org/10.12674/ptk.2020.27.1.19

© Korean Research Society of Physical Therapy

돌림근띠 근력강화를 위한 가정 운동프로그램이 유착성 관절주머니염 환자의 어깨 통증과 관절가동범위, 기능장애 수준, 삶의 질에 미치는 영향

오병환1, 김선엽2

1대전대학교 보건의료대학원 물리치료학과, 2대전대학교 보건의료과학대학 물리치료학과

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

Byeong-hwan Oh1, BHSc, PT, Suhn-yeop Kim2 , PhD, PT

1Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University, 2Department of Physical Therapy, College of
Health & Medical Science, Daejeon University, Daejeon, Korea

Correspondence to: Suhn-yeop Kim
E-mail: kimsy@dju.kr
https://orcid.org/0000-0002-0558-7125

Received: October 16, 2019; Revised: November 15, 2019; Accepted: December 2, 2019

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0)which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 WHOQOLBREF 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,