어깨가슴운동과 등뼈가동운동이 어깨돌림근띠 파열을 가진 환자들의 통증과 기능장애에 미치는 영향 (The Effect of Scapulothoracic Exercise and Thoracic Mobilization on Shoulder Pain and Function in Shoulder Partial Thickness Rotator Cuff Tear)

서지정보

· 발행기관 : 대한통합의학회
· 수록지 정보 : 대한통합의학회지 / 8권 / 2호 / 41 ~ 51페이지
· 저자명 : 김동현, 김명철

초록

Purpose : The purpose of this study is to determine the effect of scapulothoracic exercise and thoracic mobilization on shoulder pain and function in shoulder partial thickness rotator cuff tear.
Methods : 45 subjects were recruited and randomly divided into 3groups which have 15 subjects each : Scapulothoracic exercise with Thoracic mobilization (STwTM), Scapulothoracic exercise (ST) and Thoracic mobilization (TM) groups. All subjects were assessed for pain and disability of shoulder, angle of thoracic by Shoulder Pain and Disability Index (SPADI) and Thoracic kyphosis assessment (TKA) using Baseline Bubble Inclinometer. All groups performed 50 minutes each day for twice a week for a total of six weeks. These tests were evaluated Three times : prior to the start of the performance, after three weeks and lastly, after six weeks had passed.
Results : The SPADI score showed the STwTM's pain decreased compared to the other two groups, and showed a decrease in dysfunction relative to both groups. TKA showed a decrease over time in the order of ST, TM, STwTM. However, STwTM decreased significantly compared to the other two groups.
Conclusion : ST and TM were effective in improving pain and dysfunction in patients. However, STwTM would be more effective for the patients.

영어초록

Purpose : The purpose of this study was to determine the effect of shoulder scapulothoracic exercise and thoracic mobilization on shoulder dysfunction and pain with shoulder partial thickness rotator cuff tear.
Methods : In the study designed ‘true experimental design’, 45 subjects were recruited and randomly divided into 3groups which have 15 subjects each : Scapulothoracic exercise with Thoracic mobilization(STwTM), Scapulothoracic exercise(ST) and Thoracic mobilization(TM) groups. All subjects were assessed for pain, mobility and disability of shoulder, angle of thoracic by Shoulder Pain and Disability Index(SPADI) and Thoracic kyphosis assessment(TKA) using Baseline Bubble Inclinometer. The intervention including warm-up and finishing exercise was carried out twice a week for about 50 minutes for 6 weeks.
Results : The SPADI score showed no significant difference between the ST and TM, indicating that the STwTM's pain decreased compared to the two groups, STwTM showed a decrease in dysfunction relative to both groups. TKA showed a decrease over time in the order of ST, TM, STwTM. However, STwTM decreased significantly compared to the other two groups.
Conclusion : ST and TM were effective in improving pain and dysfunction in patients in Shoulder Partial thickness Rotator cuff tear Shoulder. Nevertheless, STwTM was found to be more effective

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