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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

대한통합의학회지 2020년 8권 2호 p.41 ~ 51
김동현, 김명철,
소속 상세정보
김동현 ( Kim Dong-Hyeon ) - Eulji University Graduate School of Health Science
김명철 ( Kim Myung-Chul ) - Eulji University Department of Physical Therapy

Abstract


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

키워드

Scapulothoracic exercise; Thoracic mobilization; Rotator cuff partial tear

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