[논문]Effects of Soft Tissue Massage of the Posterior Deltoid Muscle on Shoulder Horizontal Adduction

Park, Kyue-Nam; Kwon, Oh-Yun; Kim, Si-Hyun; Choi, Houng-Sik

[국내논문] Effects of Soft Tissue Massage of the Posterior Deltoid Muscle on Shoulder Horizontal Adduction 원문보기

한국전문물리치료학회지 = Physical Therapy Korea, v.17 no.4, 2010년, pp.35 - 40

Park, Kyue-Nam (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University) , Kwon, Oh-Yun (Dept. of Physical Therapy, College of Health Science, Yonsei University) , Kim, Si-Hyun (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University) , Choi, Houng-Sik (Dept. of Physical Therapy, Hanseo University)

Abstract ▼ AI-Helper

Stiffness of the posterior deltoid is as a causative factor in the limited range of glenohumeral horizontal adduction and various other shoulder pathologies including shoulder impingement syndrome, frozen shoulder, and humerus anterior glide syndrome. The purpose of this study was to compare the effects of two techniques (soft tissue massage and cross-body stretch) on increasing the range of horizontal adduction. Thirty-two subjects with a $10^{\circ}$ or greater difference between the right and left sides in horizontal adduction were selected. Sixteen subjects from each group were allocated randomly. Interventions were applied on six occasions for 2 weeks, and the range of horizontal adduction was measured using an inclinometer at pre-and post-intervention. A $2{\times}2$ analysis of variance (intervention${\times}$time) was used to compare the effects of the two techniques. In the soft tissue massage group, the angle of horizontal adduction significantly increased compared with the cross-body stretch group. These findings indicate that the soft tissue massage of the posterior deltoid muscle is a more effective method to increase the flexibility of the glenohumeral horizontal adduction.

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문제 정의

The purpose of the present study was to investigate the effects of soft tissue massage of the posterior deltoid on the flexibility of glenohumeral horizontal adduction. We hypothesized that soft tissue massage of the posterior deltoid muscle would provide a more effective method for improving the range of horizontal adduction compared with the conventional cross-body stretch technique.

가설 설정

HA: horizontal adduction.

제안 방법

A 2×2 analysis of variance was used to compare the effects of the soft tissue massage and cross-body stretch interventions, with one between-subjects factor (type of interventions) and one within-subjects factor (pre and post-intervention).
For the measurement of horizontal adduction, the participants lay supine on the therapeutic table while the tester stood at the end of the table near the head of the subject and positioned the test shoulder and elbow at 90° of abduction and flexion.
71°, respectively (Laudner et al, 2006). The exclusion criterias were past or present shoulder surgery, shoulder symptoms, and glenohumeral joint pain above 5/10 using a visual analog scale (VAS) in centimeters. Prior to the study, the principal investigator explained all the procedures in detail to the subjects, and all subjects signed an informed written consent form for participation in the study.
The intervention was repeated six times over a 2-week period. Two interventions consisted of 10 sessions (one session was 20 seconds of soft tissue massage or of cross-body stretch and 10 seconds rest) and took 5 minutes. The subjects did not receive any other massage, stretching, and treatment related to shoulder area during the intervention period.

대상 데이터

Thirty-two subjects with a 10° or greater difference in glenohumeral horizontal adduction between the right and left sides were selected from among 50 students in the department of physical therapy, Yonsei University, Korea (Table 1).

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[국내논문] Effects of Soft Tissue Massage of the Posterior Deltoid Muscle on Shoulder Horizontal Adduction 원문보기

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[국내논문] Effects of Soft Tissue Massage of the Posterior Deltoid Muscle on Shoulder Horizontal Adduction 원문보기

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