Comparison of the Rehabilitation Program after Rotator Cuff Repair by Time Closed Chain Exercise (회전근개봉합술 후 닫힌사슬운동 적용 시점에 따른 효과 비교)

Hyun-seung Song (송현승); Suhnyeop Kim (김선엽)

Comparison of the Rehabilitation Program after Rotator Cuff Repair by Time Closed Chain Exercise

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2014, 9(4), pp.485-492
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

Hyun-seung Song ¹, Suhnyeop Kim ²

¹광주씨티재활병원 재활센터
²대전대학교

Candidate

ABSTRACT

PURPOSE: This study aimed to examine the pain, range of motion (ROM), upper extremity task performance, and functional levels of patients after rotator cuff repair according to the timing of a closed chain exercise thereby presenting basic data for an effective rehabilitation program. METHODS: The intervention was applied three times per week, one hour per day, for four weeks to 40 participants, 78 of whom had undergone rotator cuff repair. The participants were divided into four groups and assigned to usual general physical therapy and an open chain exercise. Group I consisted of the open chain exercise only. The closed chain exercise was applied to group II after the 4 times, group III after the 7 times, group IV after the 10 times. Measurement were used ROM, visual analogue scale (VAS), box and block test (BBT), and shoulder pain and disability index (SPADI).A one-way analysis of variance was conducted to test differences. RESULTS: There were significant differences in the internal/external rotation between group I and group II. The VAS significantly differed between group II and group I, group III, and group IV. The BBT results of group II and group I were significantly different compared to those of group IV. The SPADI significantly differed between group II and group I and between group II and group IV. CONCLUSION: The closed chain exercise was effective for patients following rotator cuff repair from the second week after active exercise was prescribed, verifying its applicability in rehabilitation programs.

KEYWORDS

Close chain exercise, Rotator cuff repair, Rehabilitation

Citation status

* References for papers published after 2023 are currently being built.

[journal] Boes MT / 2005 / Diagnosis and management of massive rotator cuff tears: the surgeon’s dilemma / Instructional course lectures 55 : 45~57

[journal] BurbanK KM / 2008 / Chronic shoulder pain: part II. Treatment / Am Fam Physician 77(4) : 493~497

[journal] Burkhart SS / 2001 / Arthroscopic rotator cuff repair: analysis of results by tear size and by repair technique―margin convergence versus direct tendon-to-bone repair / Arthroscopy 17(9) : 905~912

[journal] Cohen BB. / 2002 / Rehabilitation of the shoulder after rotator-cuff repair / Operative Techniques in Orthopaedics 12(3) : 218~224

[journal] Desrosiers J. / 1994 / Validation of the Box and Block Test as a measure of dexterity of elderly people: reliability, validity, and norms studies / Arch Phys Med Rehabil 75(7) : 751~755

[journal] Dodson CC / 2010 / The long-term outcome of recurrent defects after rotator cuff repair / Am J Sports Med 38(1) : 35~39

[journal] Ellenbecker TS / 2006 / Descriptive report of shoulder range of motion and rotational strength 6 and 12 weeks following rotator cuff repair using a mini-open deltoid splitting technique / J Orthop Sports PhysTher 36(5) : 326~335

[book] Ellman H. / 1991 / Surgical treatment of rotator cuff rupture / Surgical Disorders of the Shoulder : 283~284

[journal] Ginn KA / 2005 / Exercise therapy for shoulder pain aimed at restoring neuromuscular control: a randomized comparative clinical trial / J Rehabil Med 37(2) : 115~122

[journal] Kibler WB / 2006 / Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test / Am J Sports Med 34(10) : 1643~1647

[journal] Kim JH / 2008 / Rehabilitation of Rotator Cuff Repair / The Journal of Korean Arthroscopy 12(2) : 82~86

[book] Kisner C / 2012 / Therapeutic exercise: foundations and techniques / FA Davis

[journal] Lee BG / 2012 / Effect of two rehabilitation protocols on range of motion and healing rates after arthroscopic rotator cuff repair: aggressive versus limited early passive exercises / Arthroscopy: Arthroscopy 28(1) : 34~42

[journal] Ludewig PM / 2000 / Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement / PhysTher 80(3) : 276~291

[journal] Mattew AC / 2005 / Orthipaedic sports medicine board review manual: Rotator cuff injury / Orthop Sports Med 2(2) : 1~13

[report] Ministry of Labor / 2006 / Analysis of the current state of work-related accidents 1998-2006

[book] Neumann DA / 2013 / Kinesiology of the musculoskeletal system: Foundations for rehabilitation / Elsevier Health Sciences

[journal] Östör A. / 2005 / Diagnosis and relation to general health of shoulder disorders presenting to primary care / Rheumatology 44(6) : 800~805

[book] Park JY / 2003 / Pathology of impingement syndrome and anatomy of the shoulder joint / Orthopedics classroom of DankookMedical University

[book] Prentice WE / 2001 / Techniques in musculoskeletal rehabilitation / McGraw Hill Professional

[journal] Tashjian RZ / 2009 / Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease / J Shoulder Elbow Surg 18(6) : 927~932

[journal] Wilk KE. / 1993 / Current concepts in the rehabilitation of the athletic shoulder / J Orthop Sports Phys Ther 18(1) : 365~378

[journal] William GB. / 2007 / Patient outcome following rehabilitation for rotator cuff repair surgery / J Orthop Sports Phys Ther 37(6) : 312~319

[journal] Williams Jr JW / 1995 / Measuring shoulder function with the Shoulder Pain and Disability Index / J Rheumatol 22(4) : 727~732

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