선택한 단어 수는 입니다.
최소 단어 이상 선택하여야 합니다.
최소 단어 이상 선택하여야 합니다.
선택한 단어 수는 30입니다.
최대 10 단어까지만 선택 가능합니다.
최대 10 단어까지만 선택 가능합니다.
제안 방법
- As a method of producing active joint movement with mobilization for shoulder flexion, the subject was seated in a comfortable sitting position with a belt on the head of the humerus, and the therapist’s hand was wrapped around an appropriate area of the humeral head to perform a glide.
- Shoulder flexor muscle strength, VAS, and SPADI were evaluated. Hold relax (HR)+MWM group combined HRC technique with MWM intervention for 6 times, 15 minutes/day, 3 times/week for shoulder flexion and external rotation, 4 weeks and 15 times for MWM, 3 sets/day, 3 times/week, 12 times in 4 weeks, the MWM group performed MWM 15 times, 3 sets/day, 3 times/week, 12 times in total for 4 weeks, and the control group performed general intervention in the hospital for 30 minutes/day, 3 times/wk for 4 wks, totaling up to 12 times.
- Although MWM was applied to improve muscle strength and reduce pain [10-13], this study did not show a significant difference from the control group. However, the reason why the MWM did not show a significant difference was that in the previous study, various MWMs such as shoulder flexion, extension, abduction, external rotation, and internal rotation were performed, but this study did not make a significant difference because only two types of MWMs were performed.
- In order to measure the shoulder flexion ROM, the subject maintained the anatomical posture in the supine position, and a goniometer was used to measure the flexion angle of the humeral head with the axis of the shoulder joint [18].
- One physical therapist with over 10 years of experience in the treatment of shoulder joint surgery was evaluated using a single blind method without knowing about the group of each patient. Shoulder flexor muscle strength, VAS, and SPADI were evaluated. Hold relax (HR)+MWM group combined HRC technique with MWM intervention for 6 times, 15 minutes/day, 3 times/week for shoulder flexion and external rotation, 4 weeks and 15 times for MWM, 3 sets/day, 3 times/week, 12 times in 4 weeks, the MWM group performed MWM 15 times, 3 sets/day, 3 times/week, 12 times in total for 4 weeks, and the control group performed general intervention in the hospital for 30 minutes/day, 3 times/wk for 4 wks, totaling up to 12 times.
- The HR technique was applied in supine position, and the shoulder joint was slightly relaxed at the end of the flexion range up to where the patient felt pain, so the therapist slowly provided resistance in the direction of flexion, abduction, or external rotation, and without the subject intending to move, the subject tried to go against the resistance towards extension, adduction, and internal rotation, with particular emphasis on trying to resist external rotation.
- The criterion-related validity was examined by correlating the results of the numerical rating scale (NRS), disability of the arm, shoulder and hand (DASH), and ROM scores [27]. The inter-rater test-retest reliabiilty of the SPADI is 0.
- The measurement method was conducted in a random order, and for the subjects’ safety, one assistant was present to assist with the experiment.
- The selection criteria were men and women between the ages of 40 to 60 years old who could read, speak, and can understand the research procedure, those who have complained of shoulder pain for at least 3 months, those with limited shoulder joint ROM (bending, widening, external/ internal rotation of the shoulder joint) [1,17], and those who were diagnosed with adhesive capsulitis and had surgery.
- Therefore, in parallel with the HRC technique, the purpose of this study was to investigate for changes in shoulder flexion ROM, shoulder flexion muscle strength, VAS, and Shoulder Pain And Disability Index (SPADI) during exercise with MWM in patients with adhesive capsulitis as well as to propose an efficient and systematic method of treatment.
- To evaluate the degree of shoulder dysfunction, the Korean version of the SPADI was used, which was ompleted in the form of a questionnaire, and it was divided into two subscales: five pain subscale questions and eight function/disability subscale questions. Each individual item carries the same within each area, and the score of the area is converted into percentage (%) where 0 represents perfect condition and 100 represents the worst condition.
데이터처리
- , Chicago, IL, USA) was used was data analysis. The general characteristics of the subjects were analyzed by descriptive statistics, and the pre- and post-intra-group changes were analyzed using the one-way ANOVA test. Statistical significance level of all data was p<0.
이론/모형
- Maximum shoulder flexion strength was measured by maintaining the muscle power at 90° of shoulder flexion with a palm-up position against vertically applied resistance for 5 seconds using the Nicholas frequency muscle strength evaluation tool (Lafayette, IN, USA) [22].
- The MWM technique of the HR-MWM group was applied to the MWM group.
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