재활 프로그램을 적용한 코칭 운동과 자가 운동이 견관절 충돌증후군 환자의 견부통증, 근력 및 일상생활기능에 미치는 효과
Effects of Rehabilitation Programs with Couching Exercise or Home Exercise on Shoulder Pain, Muscle Strength, and Daily Living Functions in Patients with Shoulder Impingement Syndrome
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Purpose: This study aimed to investigate the effects of rehabilitation programs with coaching exercise (CE) or homeexercise (HE) on shoulder pain, muscle strength, and daily living functions (DLF) in patients with shoulder impingementsyndrome. Methods: With quasi-experimental design, thirty patients (15 CE and 15 HE) participated in rehabilitationprograms for 12 weeks. At first, data were collected for pain and DLF using questionnaires with testing muscle strengthand range of motion. Then, subjects were allowed to receive training on rehabilitation with structured training materials. CE group visited sports center three times a week at P hospital and HE group did self-exercise at home. Data wereanalyzed using SPSS program. Results: After 12 weeks, both groups showed statistically significant changes in improvingpain, muscle strength, and DLF. Compare to HE group, CE group showed a statistically significant improvement inshoulder pain (p=.021), muscle strength in internal rotation (p=.001) and abduction (p=.013) and DLF (p=.012). Conclusion: Rehabilitation programs for patients with shoulder impingement syndrome were effective to improve pain,muscle strength, and DLF. Although CE would bring the better effects, it is possible to apply HE through structurededucation to patients who are difficult to visit hospitals.
Abstract
Purpose: This study aimed to investigate the effects of rehabilitation programs with coaching exercise (CE) or homeexercise (HE) on shoulder pain, muscle strength, and daily living functions (DLF) in patients with shoulder impingementsyndrome. Methods: With quasi-experimental design, thirty patients (15 CE and 15 HE) participated in rehabilitationprograms for 12 weeks. At first, data were collected for pain and DLF using questionnaires with testing muscle strengthand range of motion. Then, subjects were allowed to receive training on rehabilitation with structured training materials. CE group visited sports center three times a week at P hospital and HE group did self-exercise at home. Data wereanalyzed using SPSS program. Results: After 12 weeks, both groups showed statistically significant changes in improvingpain, muscle strength, and DLF. Compare to HE group, CE group showed a statistically significant improvement inshoulder pain (p=.021), muscle strength in internal rotation (p=.001) and abduction (p=.013) and DLF (p=.012). Conclusion: Rehabilitation programs for patients with shoulder impingement syndrome were effective to improve pain,muscle strength, and DLF. Although CE would bring the better effects, it is possible to apply HE through structurededucation to patients who are difficult to visit hospitals.
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