[논문]PNF를 이용한 작은가슴근 신장과 아래등세모근 강화 운동이 둥근 어깨 자세를 가진 돌림근띠 복원술 환자의 자세변화와 어깨 관절가동범위 및 통증에 미치는 영향

김범룡; 강태우

doi:10.21598/jkpnfa.2023.21.1.75

PNF를 이용한 작은가슴근 신장과 아래등세모근 강화 운동이 둥근 어깨 자세를 가진 돌림근띠 복원술 환자의 자세변화와 어깨 관절가동범위 및 통증에 미치는 영향
Effects of Pectoralis Minor Stretching and Lower Trapezius Strengthening Exercise using PNF on Posture Change, Shoulder Range of Motion, and Pain in Rotator Cuff Repair Patients with Rounded Shoulder Posture 원문보기

PNF and movement, v.21 no.1, 2023년, pp.75 - 86

김범룡 (대자인병원 통합재활팀) , 강태우 (우석대학교 보건복지대학 물리치료학과)

Abstract ▼ AI-Helper

Purpose: This study aims to determine the effect of proprioceptive neuromuscular facilitation (PNF) pectoralis minor stretching and lower trapezius strengthening exercise on posture change, shoulder range of motion (ROM), and pain in rotator cuff repair patients with a rounded shoulder posture (RSP). Methods: Following baseline measurements, the subjects (n = 25) with rotator cuff repair were randomized into two groups: the PNF group (n = 13), which engaged in PNF pectoralis minor stretching and lower trapezius strengthening exercise, and the control group (n = 12), which received traditional physical therapy. Each group participated in the intervention five times per week for two weeks. The RSP values for the postural changes, flexion and abduction ROM, and visual analogue scales (VASs) of both groups were recorded at both pre- and post-intervention. In addition, before and after the intervention, a paired t-test was conducted to compare the within-group changes and an independent t-test to compare the between-group differences. Results: After the two-week intervention, both groups experienced significantly decreased RSP and VAS values (p < 0.05) and a significantly increased ROM (p < 0.05). Meanwhile, the PNF group showed greater improvements in RSP, ROM, and VAS than the control group (p < 0.05). Conclusion: These results suggest that PNF pectoralis minor stretching and lower trapezius strengthening exercise reduce posture and shoulder pain and enhance ROM in rotator cuff repair patients with RSP.

주제어

표/그림 (7)

표 Table 1. General characteristics of the participants (n = 25)
그림 Fig. 1. Study flow diagram. TPT: traditional physical therapy, CPM: continuous passive motion, PNF: proprioceptive neuromuscular facilitation.
그림 Fig. 2. PNF pectoralis minor stretching exercise.
그림 Fig. 3. PNF lower trapezius strengthening exercise.
표 Table 2. RSP at baseline and post intervention (n = 25)
표 Table 3. Shoulder ROM at baseline and post intervention (n = 25)
표 Table 4. VAS at baseline and post intervention (n = 25)

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