Immediate Effects of Soft Tissue Massage on Posterior Shoulder Muscle Tightness: A Preliminary Study
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Posterior shoulder muscle tightness is frequently observed in shoulder impingement syndrome because tightness in the posterior portion of the shoulder muscles can cause anterior and superior translation of the humeral head in relation to the glenoid fossa. The purpose of this study was to determine the immediate effects of soft tissue massage on acromiohumeral distance (AHD), anterior translation of the humeral head, and glenohumeral (GH) range of motion (ROM) in subjects with posterior shoulder muscle tightness. Twenty-seven subjects with greater than 10° difference in the range of GH horizontal adduction between right and left sides were recruited. The range of GH horizontal adduction and internal rotation were measured by a digital inclinometer. The AHD and anterior translation of the humeral head were measured using ultrasonography. A paired t-test was used to compare AHD, anterior translation of the humeral head, and the range of GH horizontal adduction and internal rotation before and after soft tissue massage. The results showed that AHD increased significantly (p<.05) and the anterior translation of humeral head decreased slightly, but not significantly (p=.40) after the soft tissue massage. Furthermore, the ROM of horizontal adduction and internal rotation in the GH joint increased significantly after the soft tissue massage (p<.05). These findings indicate that soft tissue massage on posterior shoulder muscle tightness is an effective method to increase AHD and ROM in the horizontal adduction and internal rotation of the GH joint.
Abstract
Posterior shoulder muscle tightness is frequently observed in shoulder impingement syndrome because tightness in the posterior portion of the shoulder muscles can cause anterior and superior translation of the humeral head in relation to the glenoid fossa. The purpose of this study was to determine the immediate effects of soft tissue massage on acromiohumeral distance (AHD), anterior translation of the humeral head, and glenohumeral (GH) range of motion (ROM) in subjects with posterior shoulder muscle tightness. Twenty-seven subjects with greater than 10° difference in the range of GH horizontal adduction between right and left sides were recruited. The range of GH horizontal adduction and internal rotation were measured by a digital inclinometer. The AHD and anterior translation of the humeral head were measured using ultrasonography. A paired t-test was used to compare AHD, anterior translation of the humeral head, and the range of GH horizontal adduction and internal rotation before and after soft tissue massage. The results showed that AHD increased significantly (p<.05) and the anterior translation of humeral head decreased slightly, but not significantly (p=.40) after the soft tissue massage. Furthermore, the ROM of horizontal adduction and internal rotation in the GH joint increased significantly after the soft tissue massage (p<.05). These findings indicate that soft tissue massage on posterior shoulder muscle tightness is an effective method to increase AHD and ROM in the horizontal adduction and internal rotation of the GH joint.
참고문헌 (24)
- Bahk M, "Laxity testing of the shoulder: A review", Am J Sports Med, 35(1), pp.131~144 (2007)
- Court-Payen M, "Real-time sonography of anterior translation of the shoulder: An anterior approach", Eur J Ultrasound, 2(4), pp.283~287 (1995)
- Gohlke F, "The stabilizing function of the glenohumeral joint capsule. Current aspects of the biomechanics of instability", Z Orthop Ihre Grenzgeb, 132(2), pp.112~119 (1994)
- Harryman DT, "Translation of the humeral head on the glenoid with passive glenohumeral motion", J Bone Joint Surg Am, 72(9), pp.1334~1343 (1990)
- Hawkins RJ, "Controversy in anterior shoulder instability", Clin Orthop Relat Res, (272), pp.152~161 (1991)
- Hung CJ, "Relationships between posterior shoulder muscle stiffness and rotation in patients with stiff shoulder", J Rehabil Med, 42(3), pp.216~220 (2010)
- Kalra N, "Effect of posture on acromiohumeral distance with arm elevation in subjects with and without rotator cuff disease using ultrasonography", J Orthop Sports Phys Ther, 40(10), pp.633~640 (2010)
- 김현숙, "어깨관절의 수동적 내회전 관절 가동범위의 측정 방법에 따른 신뢰도와 상완골두의 전방 활주 거리 비교", 한국전문물리치료학회지, 17(3), pp.1~10 (2010), 한국전문물리치료학회
- Lunden JB, "Reliability of shoulder internal rotation passive range of motion measurements in the supine versus sidelying position", J Orthop Sports Phys Ther, 40(9), pp.589~594 (2010)
- Massimini DF, "In-vivo glenohumeral translation and ligament elongation during abduction and abduction with internal and external rotation", J Orthop Surg Res, 7, pp.29~37 (2012)
- Matsen FA, "Mechanics of glenohumeral instability", Clin Sports Med, 10(4), pp.783~788 (1991)
- McClure P, "A randomized controlled comparison of stretching procedures for posterior shoulder tightness", J Orthop Sports Phys Ther, 37(3), pp.108~114 (2007)
- Moore SD, "The immediate effects of muscle energy technique on posterior shoulder tightness: A randomized controlled trial", J Orthop Sports Phys Ther, 41(6), pp.400~407 (2011)
- Myers JB, "Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement", Am J Sports Med, 34(3), pp.385~391 (2006)
- Nordschow M, "The influence of manual massage on muscle relaxation: Effect on trunk flexion", J Am Phys Ther Assoc, 42, pp.653~657 (1962)
- Nové-Josserand L, "The acromio-humeral interval. A study of the factors influencing its height", Rev Chir Orthop Reparatrice Appar Mot, 82(5), pp.379~385 (1996)
- 박규남, "Effects of Soft Tissue Massage of the Posterior Deltoid Muscle on Shoulder Horizontal Adduction", 한국전문물리치료학회지, 17(4), pp.35~40 (2010), 한국전문물리치료학회
- Poser A, "Posterior glenohumeral stiffness: Capsular or muscular problem A case report", Man Ther, 13(2), pp.165~170 (2008)
- Speer KP, "Biomechanical evaluation of a Simulated Bankart lesion", J Bone Joint Surg Am, 76(12), pp.1819~1826 (1994)
- Tyler TF, "Quantification of posterior capsule tightness and motion loss in patients with shoulder impingement", Am J Sports Med, 28(5), pp.668~673 (2000)
- Warner JJ, "Arthroscopic release of postoperative capsular contracture of the shoulder", J Bone Joint Surg Am, 79(8), pp.1151~1158 (1997)
- Warner JJ, "Patterns of flexibility, laxity, and strength in normal shoulders and shoulders with instability and impingement", Am J Sports Med, 18(4), pp.366~375 (1990)
- Wiktorsson-Möller M, "Effects of warming up, massage, and stretching on range of motion and muscle strength in the lower extremity", Am J Sports Med, 11(4), pp.249~252 (1983)
- Yang JL, "Effects and predictors of shoulder muscle massage for patients with posterior shoulder tightness", BMC Musculoskelet Disord, 13, pp.46~53 (2012)