Effects of Nerve Mobilization Exercise and Scapula Postural Correction Exercise for Adhesive Capsulitis Patients

신경가동운동과 견갑골 자세교정운동이 오십견 환자에게 미치 는 영향

  • Jung, Min-keun (Dept. of Physical Therapy, Graduate School of Daejeon University) ;
  • Kim, Yu-ri (Dept. of Physical Therapy, Gangnam Wooridul Spine hospital) ;
  • Kim, Wan-ki (Dept. of Physical Therapy, Hwaseong Jungang General hospital) ;
  • Jeon, Jae-guk (Dept. of Physical Therapy, Gangnam Wooridul Spine hospital)
  • 정민근 (대전대학교 대학원 물리치료학과) ;
  • 김유리 (강남 우리들병원 척추건강치료실) ;
  • 김완기 (화성중앙종합병원) ;
  • 전재국 (강남 우리들병원 척추건강치료실)
  • Received : 2018.02.20
  • Accepted : 2018.05.29
  • Published : 2018.06.30

Abstract

Background: This study examined the effects of nerve mobilization exercise and scapula postural correction exercise and scapula postural correction exercise after applying conservative physical therapy to frozen shoulder. Methods: Thirty-four outpatients were divided into a nerve mobilization exercise and scapula postural correction exercise group and scapula postural correction exercise group. Each group performed its own exercise 30 minutes per day, three times per week, for 6 weeks. Pain intensity was measured by the visual analogue scale. Range of motion was measured by the goniometer. The scapular position was measured by scapular index. Grasping power was measured by the Grip Track Commander. Measurements were made at baseline and six weeks after the intervention. Results: the visual analogue scale, range of motion (except lateral rotation), and grasping power for each group showed significant changes at baseline and six weeks after the intervention (p<.05). Significant differences were also evident between the two groups for these three measurements (p<.05). Conclusions: Nerve mobilization exercise & scapula postural correction exercise is more effective than scapula postural correction exercise for reducing pain intensity and increasing grasping power, scapular index and range of motion (except lateral rotation) in frozen shoulder syndrome patients.

Keywords

References

  1. 방수미. 자가운동 및 자가운동과 견갑골 안정화 복합 운동이 오십견환자에게 미치는 효과. 계명대학교 스포츠산업대학원 석사학위논문. 2007.
  2. Akpinar S, Ozalay M, Hersekli MA, et al. Arthroscopic capsular release for frozen shoulder. Acta Orthop Traumatol. Turc. 2003;37(3):213-218.
  3. Alvemalm A, Furness A, Wellington L. Measurement of shoulder joint kinesthesia. Man Ther. 1996;1:140-145. https://doi.org/10.1054/math.1996.0262
  4. Baskurt Z, Baskurt F, Gelecek N, et al. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil. 2011;24(3):173-179. https://doi.org/10.3233/BMR-2011-0291
  5. Beeton K. Manual Therapy Master Classes: The Peripheral Joints. Philadelphia, USA. Churchill Living Stone, 2003.
  6. Borstad JD. Resting position variables at the shoulder: Evidence to support a posture-impairment association. Phys Ther. 2006;86(4):549-557.
  7. Borstad JD, Szucs KA. Three-dimensional scapula kinematics and shoulder function examined before and after surgical treatment for breast cancer. Hum Mov Sci. 2012;31(2):408-418. https://doi.org/10.1016/j.humov.2011.04.002
  8. Boonstra MC, Malefijt MDW, Verdonschot N. How to quantify knee function after total knee arthrolasty? The Knee. 2008;15(5):390-395. https://doi.org/10.1016/j.knee.2008.05.006
  9. Butler DS. Mobilization of the Nervous System. Edinburgh. Churchill Living stone. 1991.
  10. Bulter D, Gifford L. the concept of adverse mechanical tension in the nerve system. Physiotherapy. 1989;75(11):622-636. https://doi.org/10.1016/S0031-9406(10)62374-7
  11. Butler DS. The Sensitive Nervous System. Adelaide. Noigroup Publications. 2000.
  12. Choi SH. The Effect of Shoulder Stability Exercise on Shoulder Pain and Function in Middle-aged Women. Seoul, Sahmyook University, Master Thesis. 2012.
  13. Cleland JA, Childs JD, Palmer JA, et al. Slump stretching in the management of non-radicular low back pain: A pilot clinical trial. Man Ther. 2006;11(4):279-286. https://doi.org/10.1016/j.math.2005.07.002
  14. Codman EA. The Shoulder. Boston, MA; Todd, 1934.
  15. Coppieters MW. Shoulder girdle elevation during neurodynamic testing: An assessable sign? Man Ther. 2001;6(2):88-96. https://doi.org/10.1054/math.2000.0375
  16. Fess EE, Morgan C. Clinical assessment recommendations, Indianapolis. American Society of Hand Therapist. 1981.
  17. Griggs SM, Ahn A, Green A. Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment. J. Bone Joint Surg Am. 2000;82-A(10):1398-1407.
  18. Jones MA, Rivett DA. Clinical Reasoning for Manual Therapists London: Butterworth Heinemann. 2004;174.
  19. Jung YW, Seo HK, Kim BG, et al. The effect of neural mobilization on the grip strength. The Journal of Korean Academy of Orthop Manual Phys Ther. 2004;16(4):813-819.
  20. Kisner Colby. Therapeutic exercise. Foundations and Techniques. Davis Company, Philadelphia, Pennsylvania. 2007.
  21. Kibler WB, Chandler TJ, Shapiro R, et al. Muscle activation in coupled scapulohumeral motions in the high performance tennis serve. Br J Sports Med. 2007;41(11):745-749. https://doi.org/10.1136/bjsm.2007.037333
  22. Ludewig PM, Reynolds JF. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sports Phys Ther, 2009;39(2):90-104. https://doi.org/10.2519/jospt.2009.2808
  23. Maitland GD. The slump test: examination and treatment. Aust J Physiother, 1985;31(6):215-219. https://doi.org/10.1016/S0004-9514(14)60634-6
  24. McClatchie L, Laprade J, Martin S, et al. Mobilizations of the asymptomatic cervical spine can reduce signs of shoulder dysfunction in adults. Man Ther. 2009;14(4):369-374. https://doi.org/10.1016/j.math.2008.05.006
  25. Mottram S. Dynamic stability of the scapula. manual therapy. 1997;2(3):123-131. https://doi.org/10.1054/math.1997.0292
  26. Park HS. The effect of neurodynamic technique and self management exercise for carpal tunnel syndrome patients. The Journal of Korean Academy of Orthop Manual Phys Ther, 2010;16(2):48-54.
  27. Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975;4:193-196. https://doi.org/10.3109/03009747509165255
  28. Sahrmann SA. Diagnosis and Treatment of Movement Impingement Syndrome: Concepts and principles of the movement. Mosby. St. Louse, Missouri. 2005.