The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Home Exercise Program and Manual Therapy on Shoulder Function and Quality of Life in Patients with Adhesive Capsulitis

  • Received : 2016.09.13
  • Accepted : 2016.11.04
  • Published : 2016.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to identify the effects of home exercise programs and manual therapy on shoulder function and quality of life in patients with adhesive capsulitis. Methods: A total of 31 patients were enrolled in the study. All subjects were randomly assigned to a home exercise group (n=15) or a manual therapy group (n=16). Both groups performed each intervention program three times a week for four weeks. After four weeks, both groups performed a home exercise program continuously until week 12. Shoulder function was evaluated using the Korean Shoulder Scoring (KSS) system, while quality of life was evaluated using the WHO Quality of Life-BREF (WHOQOL-BREF) before and 4, 8, and 12 weeks after the intervention. Data were analyzed using two-way repeated measures analysis of variance (ANOVA). Results: There were significant differences in KSS before intervention and 4, 8, and 12 weeks after intervention for both the home exercise group and manual therapy group (p<0.001). There was also a significant difference in KSS at 4, 8, and 12 weeks when compared to the home exercise group and manual therapy group (p<0.001). Moreover, there was a significant difference in WHOQOL-BREF before and 4, 8, and 12 weeks after intervention in the home exercise group and manual therapy group (p<0.001). Conclusion: Home exercise and manual therapy improved shoulder function, but manual therapy led to a greater improvement in shoulder function better than home exercise. Home exercise and manual therapy improved quality of life, but there was no significant difference between groups.

Keywords

References

  1. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Physiotherapy. 2003;89(6):335-6. https://doi.org/10.1016/S0031-9406(05)60024-7
  2. Hsu JE, Anakwenze OA, Warrender WJ et al. Current review of adhesive capsulitis. J Shoulder Elbow Surg. 2011;20(3):502-14. https://doi.org/10.1016/j.jse.2010.08.023
  3. Wong PL, Tan HC. A review on frozen shoulder. Singapore Med J. 2010; 51(9):694-7.
  4. Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br. 1995;77(5):677-83.
  5. Hannafin JA, DiCarlo EF, Wickiewicz TL et al. Adhesive capsulitis: capsular fibroplasia of the glenohumeral joint. J Shoulder Elbow Surg. 1994; 3(5):435-40.
  6. Fotias F, Grouios G, Ypsilanti A et al. Hemiplegic shoulder syndrome: possible underlying neurophysiological mechanisms. Phys Ther Rev. 2005;10(1):51-8. https://doi.org/10.1179/108331905X43445
  7. Seo BD, Shin HS. The effect of self stretching exercise in patients with shoulder adhesive capsulitis. J Kor Phys Ther. 2010;22(1):19-26.
  8. Gupta S, Raja K, Manikandan N. Impact of adhesive capsulitis on quality of life in elderly subjects with diabetes: A cross sectional study. Int J Diabetes Dev Ctries. 2008;28(4):125-9. https://doi.org/10.4103/0973-3930.45272
  9. Cho CH, Jung SW, Son ES et al. Sleep status and quality of life in patients with frozen shoulder. J Korean Orthop Assoc. 2012;47(3):205-10. https://doi.org/10.4055/jkoa.2012.47.3.205
  10. Fernandes MR. Correlation between functional disability and quality of life in patients with adhesive capsulitis. Acta ortop bras. 2015;23(2):81-4. https://doi.org/10.1590/1413-78522015230200791
  11. Hamdan TA, Al-Essa KA. Manipulation under anaesthesia for the treatment of frozen shoulder. Int Orthop. 2003;27(2):107-9.
  12. Page MJ, Green S, Kramer S et al. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev. 2014; 26(8):CD011275.
  13. Lim WS, Shin HS, Kim IS et al. The Effects of Scapular Pattern and Hold-Relax Technique of PNF on the ROM and VAS in Frozen Shoulder Patients. J Kor Phys Ther. 2002;14(1):15-26. https://doi.org/10.1589/jpts.14.15
  14. Kim SM, Lee HO, Bae SS. Effects on frozen shoulder as seen in the comparison hold-relax technique and rom exercise. J Kor Phys Ther. 1995; 7(1):51-9.
  15. Choi WH, Lee JH, Min DK et al. The Effects of the Range of Motion of Joint with Vibratory Stimulation of the Patients of Adhesive Capsulitis of the Shoulder. The Journal of the Convergence on Culture Technology (JCCT). 2015;1(2):77-83. https://doi.org/10.17703/JCCT.2015.1.2.77
  16. Kwag KI, Seo EY, Kim TY. The effects of group exercise, manual therapy and home exercise on pain, range of motion and function in patient with adhesive capsulitis. J Kor Phys Ther. 2016;28(2):101-5. https://doi.org/10.18857/jkpt.2016.28.2.101
  17. Lee MH, Park RJ. The Effects of Taping Therapy on the ROM and VAS in Adhesive Capsulitis. J Kor Phys Ther. 2003;15(3):223-38.
  18. Vermeulen HM, Rozing PM, Obermann WR et al. Comparison of high-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys Ther. 2006;86(3)355-68.
  19. Hyong IH, Ha MS. The effect of additional mobilization with conservative physical therapy in patients with frozen shoulder on rom and subjective pain scale. Journal of the Korea Contents Association. 2009;9(11): 271-9. https://doi.org/10.5392/JKCA.2009.9.11.271
  20. Jones GR, Frederick JA, Co-op BH. The Canadian centre for activity and aging's home support exercise program. Geriatrics and Aging. 2003; 6(7):48-9.
  21. Carette S, Moffet H, Tardif J et al. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder. Arthritis Rheum. 2003;48(3):829-38. https://doi.org/10.1002/art.10954
  22. Outpatient ST. Therapy-based rehabilitation services for stroke patients at home. Cochrane Database Syst Rev. 2003;(1):CD002925.
  23. Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am. 1992;74(5):738-6. https://doi.org/10.2106/00004623-199274050-00013
  24. Miller MD, Wirth MA, Rockwood CA. Thawing the frozen shoulder: the ''patient'' patient. Orthopedics. 1996;19(10):849-53.
  25. Tae SK, Rhee YG, Park TS et al. The development and validation of an appraisal method for rotator cuff disorders: The Korean Shoulder Scoring System. J Shoulder Elbow Surg. 2009;18(5):689-96. https://doi.org/10.1016/j.jse.2008.11.019
  26. Kim DW, Sung JH, Jung JE et al. Correlation between shoulder scoring system and isokinetic muscle strength test. J Korean Orthop Soc Sports Med. 2010;9(2):104-8.
  27. Min SK, Lee CI, Kim KI et al. Development of Korean version of WHO Quality of life scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc. 2000;39(3):571-9.
  28. The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998; 28(3):551-8. https://doi.org/10.1017/S0033291798006667
  29. Ackerman IN, Graves SE, Bennell KL et al. Evaluating quality of life in hip and knee replacement: psychometric properties of the World Health Organization Quality of Life short version instrument. Arthritis Rheum. 2006;55(4):583-90. https://doi.org/10.1002/art.22107
  30. Koo HJ, Cho CH, Jung SW. Psychological status and quality of life in patients with rotator cuff disease. J Korean Soc Biol Ther Psychiatry. 2011; 17(1):96-103.
  31. O'Kane JW, Jackins S, Sidles JA et al. Simple home program for frozen shoulder to improve patients' assessment of shoulder function and health status. J Am Board Fam Pract. 1999;12(4):270-7. https://doi.org/10.3122/jabfm.12.4.270
  32. Ma SY, Je HD, Jeong JH et al. Effects of whole-body cryotherapy in the management of adhesive capsulitis of the shoulder. Arch Phys Med Rehabil. 2013;94(1):9-16. https://doi.org/10.1016/j.apmr.2012.07.013
  33. Seo JH, Bae SS, Kim CY. The Effects of Glenohumeral Abduction Motion and Intra-articular Movement after Passive Caudal Gliding Mobilization in Frozen Shoulder Patients. J Kor Phys Ther. 2003;15(3):126-52.
  34. Mangus BC, Hoffman LA, Hoffman MA et al. Basic principles of extremity joint mobilization using a Kaltenborn approach. J Sport Rehabil. 2002;11(4):235-50. https://doi.org/10.1123/jsr.11.4.235
  35. Cho KH, Song JY, Lee H et al. The effect of subacromial bursa injection of hyaluronate in patients with adhesive capsulitis of shoulder joint: multicenter, prospective Study. J Korean Acad Rehabil Med. 2002;26(1):73-80.
  36. Bagheri F, Ebrahimzadeh MH, Moradi A et al. Factors Associated with Pain, Disability and Quality of Life in Patients Suffering from Frozen Shoulder. Arch Bone Jt Surg. 2016;4(3):243-7.

Cited by

  1. The Effects of High Intensity Laser Therapy on Pain and Function of Patients with Frozen Shoulder vol.29, pp.4, 2016, https://doi.org/10.18857/jkpt.2017.29.4.207
  2. 돌림근띠 근력강화를 위한 가정 운동프로그램이 유착성 관절주머니염 환자의 어깨 통증과 관절가동범위, 기능장애 수준, 삶의 질에 미치는 영향 vol.27, pp.1, 2016, https://doi.org/10.12674/ptk.2020.27.1.19