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KMID : 1021220210120042446
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국제물리치료학회지
2021 Volume.12 No. 4 p.2446 ~ p.2455
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Effects of Thoracic Mobilization and Core Stability Exercise on Shoulder Pain, Range of Motion, and Function in Patients after Rotator Cuff Repair
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Jang Yu-Sung
Choi Wan-Suk
Cho Kyun-Hee
Kim Soon-Hee
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Abstract
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Background: Patients who underwent rotator cuff repair (RCR) require management to control pain and prevent re tear and stiffness. Thoracic mobilization has been applied for the improvement of vertebra and shoulder movements and pain reduction. Also, core stability exercise is an intervention necessary for rehabilitation after shoulder surgery.
Objective: To examine the short term benefits of thoracic mobilization and core stability exercise for patients after RCR.
Design: Randomized controlled trial with multi arm parallel group and single blind assessor.
Methods: 30 participants after RCR were recruited. Participants were categorized into conventional physical therapy (CPT) group, thoracic mobilization (TM) group, and core stability exercise (CSE) group according to the randomization program. Each treatment, transcutaneous electrical nerve stimuli (TENS), TM, and CSE was applied to each group. 3 physical therapists only conducted evaluations; VAS (visual analogue scale), ROM (range of motion), and Korean version of Shoulder Pain and Disability Index (SPADI).
Results: VAS and SPADI were statistically reduced, and ROM was statistically improved in all 3 groups. In between three group comparisons of changes in outcome variables, there was not a significant difference in VAS, but there was a significant difference in ROM and SPADI. In the post hoc test, ROM and SPADI showed a significant difference in TM and CSE compared to CPT.
Conclusion: TM according to Maitland concept and CSE had beneficial effects compared to CPT in patients after RCR.
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KEYWORD
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Rotator cuff repair, Thoracic mobilization, Core stability exercise, Maitland
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