Abstract Comparison of Muscular Strength and Range of Motion & Pain according to the Tear Size after a Rotator Cuff Repair when a 12-Week Rehabilitation Program is Applied Oh, Kyoung Jin Dept. of Sports Medicine Graduate school of Biomedical Science Korea University Supervised by Prof. Kim, Chang ko...
Abstract Comparison of Muscular Strength and Range of Motion & Pain according to the Tear Size after a Rotator Cuff Repair when a 12-Week Rehabilitation Program is Applied Oh, Kyoung Jin Dept. of Sports Medicine Graduate school of Biomedical Science Korea University Supervised by Prof. Kim, Chang kook The purpose of this very research is to carry out a comparative analysis on the values of muscular strength, range of motion, and painfulness index after applying the 12-week rehabilitation program for 4 different subject groups according to the size of tear, which has gone through the Rotator cuff repair in order to provide a fundamental data for development of suitable rehabilitation program as well as to support the relevant education and consultation for those in rehabilitation stage after the surgery. Selected subjects are male patients between the age of 40 and 65 who have had the Arthroscopic Repair due from Rotator cuff complete tear. These subjects are then divided according to the categorization of Deorio and Cofield into, Small size for less than 1cm, Medium size for between 1cm~3cm, Large Size for between 3cm~5cm, and finally the Massive size for more than 5cm, 10 subjects for each group and in total of 40 subjects are selected. For each group of four groups (Small size, Medium size, Large size, Massive size), which totals to 40 subjects, was given a similar rehabilitation program for 12weeks, 5 times a week. The rehabilitation program in this very research is based on the accelerated rehabilitation program suggested by Wilcox (2007) and it is distinguished into the total of 4 stages where the rehabilitation program of R-Sports Clinic is applied. Whenever the program is changed, the level of painfulness, periods and etc for each patient were considered. The examination was done on the 4th, 8th, and 12th week after the surgery where the level of painfulness, range of joint motion, and muscular strength are measured. The data analysis is done by using Two-way ANOVA(MIX), and the significance level is set at p0.05). In regards to the result in which the time flow (4weeks, 8weeks, 12weeks) is considered, VAS has statistically significantly decreased(p0.05). 2. There were no significant difference in range of motion of Flexion, Internal rotation, External rotation between 4 groups according to the tear size(p>0.05). Regarding the result in which only the time flow (4weeks, 8weeks, 12weeks) is considered, all range of motion for Flexion, Internal rotation, External rotation showed significant increase(p0.05). 3. There were significant difference in the deficit ratio regarding uninvolve for both Foward elevation isometric test, and Abduction isometric test between 4 groups according to the tear size(p<0.05). For the result that only considered the time flow (4weeks, 8weeks, 12weeks), the deficit ratio regarding uninvolve deceased (p<0.05) for all Foward elevation isometric test, and Abduction isometric test. The deficit ratio (Time*Group) regarding uninvolve for both Foward elevation isometric test, and Abduction isometric test, it showed a statistically significant different between groups according to the time flow(p0.05). However, there was a significant difference between Small size group, Medium size group, Large size group and Massive size group (p<0.05). The deficit ratio of all four groups of Small size group, Medium size group, Large size group and Massive size group decreased along with the flow of time, in case of Massive size group, it showed a relatively higher level of deficit ratio when compared to Small size group, Medium size group, and Large size group.
Abstract Comparison of Muscular Strength and Range of Motion & Pain according to the Tear Size after a Rotator Cuff Repair when a 12-Week Rehabilitation Program is Applied Oh, Kyoung Jin Dept. of Sports Medicine Graduate school of Biomedical Science Korea University Supervised by Prof. Kim, Chang kook The purpose of this very research is to carry out a comparative analysis on the values of muscular strength, range of motion, and painfulness index after applying the 12-week rehabilitation program for 4 different subject groups according to the size of tear, which has gone through the Rotator cuff repair in order to provide a fundamental data for development of suitable rehabilitation program as well as to support the relevant education and consultation for those in rehabilitation stage after the surgery. Selected subjects are male patients between the age of 40 and 65 who have had the Arthroscopic Repair due from Rotator cuff complete tear. These subjects are then divided according to the categorization of Deorio and Cofield into, Small size for less than 1cm, Medium size for between 1cm~3cm, Large Size for between 3cm~5cm, and finally the Massive size for more than 5cm, 10 subjects for each group and in total of 40 subjects are selected. For each group of four groups (Small size, Medium size, Large size, Massive size), which totals to 40 subjects, was given a similar rehabilitation program for 12weeks, 5 times a week. The rehabilitation program in this very research is based on the accelerated rehabilitation program suggested by Wilcox (2007) and it is distinguished into the total of 4 stages where the rehabilitation program of R-Sports Clinic is applied. Whenever the program is changed, the level of painfulness, periods and etc for each patient were considered. The examination was done on the 4th, 8th, and 12th week after the surgery where the level of painfulness, range of joint motion, and muscular strength are measured. The data analysis is done by using Two-way ANOVA(MIX), and the significance level is set at p0.05). In regards to the result in which the time flow (4weeks, 8weeks, 12weeks) is considered, VAS has statistically significantly decreased(p0.05). 2. There were no significant difference in range of motion of Flexion, Internal rotation, External rotation between 4 groups according to the tear size(p>0.05). Regarding the result in which only the time flow (4weeks, 8weeks, 12weeks) is considered, all range of motion for Flexion, Internal rotation, External rotation showed significant increase(p0.05). 3. There were significant difference in the deficit ratio regarding uninvolve for both Foward elevation isometric test, and Abduction isometric test between 4 groups according to the tear size(p<0.05). For the result that only considered the time flow (4weeks, 8weeks, 12weeks), the deficit ratio regarding uninvolve deceased (p<0.05) for all Foward elevation isometric test, and Abduction isometric test. The deficit ratio (Time*Group) regarding uninvolve for both Foward elevation isometric test, and Abduction isometric test, it showed a statistically significant different between groups according to the time flow(p0.05). However, there was a significant difference between Small size group, Medium size group, Large size group and Massive size group (p<0.05). The deficit ratio of all four groups of Small size group, Medium size group, Large size group and Massive size group decreased along with the flow of time, in case of Massive size group, it showed a relatively higher level of deficit ratio when compared to Small size group, Medium size group, and Large size group.
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