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KMID : 1035420220100010061
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Journal of The Korean Society of Integrative Medicine
2022 Volume.10 No. 1 p.61 ~ p.72
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Physiotherapy Approaches for Chronic Subacromial Impingement Syndrome : Comparison of Effects of Eccentric Training and General Exercise
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Choo Yeon-Ki
Bae Won-Sik
Kim In-Seob
Kim In-Seob
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Abstract
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Purpose : This study was to verify the effect of eccentric training and suggest a specific application method by comparing the effects of acromohumeral distance (AHD), supraspinatus tendon thicknees (STT), pain intensity and functional performance after MWM and eccentric training (MWM-ET) or general exercise (MWM-GE) in chronic subacromial impingement syndrome (SAIS) patients.
Methods : A total of 55 participants were randomly assigned to each group, and according to the intervention method, “MWM-ET group (n=28)” vs. “MWM-GE group (n=27)” was divided into two groups. AHD, STT, pain intensity, and functional performance were measured before intervention, and both groups were re-measured 3 times a week after 6 weeks of intervention in the same way.
Results : The AHD was significantly increased in MWM-ET group compared to MWM-GE group. No significant difference was observed between the groups in the STT, but Pain intensity was significantly lower in MWM-ET group than in MWM-GE group, and functional performance was significantly increased in MWM-ET group compared to MWM-GE group.
Conclusion : As a result of MWM-ET intervention that further increases AHD compared to MGE, it can be clinically presented as a more effective intervention method for faster recovery from injury due to pain reduction and smooth return to daily life due to improved functional performance.
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KEYWORD
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acromio-humeral distance, eccentric training, general exercise, mobilization with movement, subacromial impingement syndrome
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