Eccentric Versus Concentric Exercises in Patients With Rheumatoid Arthritis and Rotator Cuff Tendinopathy: A Randomized Comparative Study
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Objective To determine the efficacy of concentric vs. eccentric exercise in improving shoulder function, pain, and tendon characteristics for patients with rheumatoid arthritis and rotator cuff tendinopathy. Methods Forty patients with rheumatoid arthritis and rotator cuff tendinopathy were divided into either concentric or eccentric exercise groups, with 20 patients in each group. Patients received 12 sessions at a pace of 3 sessions per week. Shoulder Pain and Disability Index (SPADI), the visual analogue scale (VAS), supraspinatus and subscapularis thickness, echo pixels, and the Disease Activity Score-28-erythrocyte sedimentation rate (DAS-28-ESR) were assessed at baseline and post-treatment. Results There was a significant difference between the concentric and eccentric groups regarding SPADI and VAS scores in favor of the eccentric group. However, there was no significant difference between the two groups regarding tendon thickness, echo pixels, or DAS-28-ESR. Conclusion Eccentric exercises were more effective than concentric exercises in improving shoulder function and pain intensity. However, neither of the two types of exercises was superior in improving tendon characteristics or disease activity.
Abstract
Objective To determine the efficacy of concentric vs. eccentric exercise in improving shoulder function, pain, and tendon characteristics for patients with rheumatoid arthritis and rotator cuff tendinopathy. Methods Forty patients with rheumatoid arthritis and rotator cuff tendinopathy were divided into either concentric or eccentric exercise groups, with 20 patients in each group. Patients received 12 sessions at a pace of 3 sessions per week. Shoulder Pain and Disability Index (SPADI), the visual analogue scale (VAS), supraspinatus and subscapularis thickness, echo pixels, and the Disease Activity Score-28-erythrocyte sedimentation rate (DAS-28-ESR) were assessed at baseline and post-treatment. Results There was a significant difference between the concentric and eccentric groups regarding SPADI and VAS scores in favor of the eccentric group. However, there was no significant difference between the two groups regarding tendon thickness, echo pixels, or DAS-28-ESR. Conclusion Eccentric exercises were more effective than concentric exercises in improving shoulder function and pain intensity. However, neither of the two types of exercises was superior in improving tendon characteristics or disease activity.
참고문헌 (40)
- Zamanpoor M, "The genetic pathogenesis, diagnosis and therapeutic insight of rheumatoid arthritis", Clin Genet, 95, pp.547~557 (2019)
- Hunter TM, "Prevalence of rheumatoid arthritis in the United States adult population in healthcare claims databases, 2004-2014", Rheumatol Int, 37, pp.1551~1557 (2017)
- Suzuki T, "Achilles paratendonitis as the initial manifestation of rheumatoid arthritis", Mod Rheumatol, 21, pp.219~222 (2011)
- Boutry N, "Early rheumatoid arthritis : a review of MRI and sonographic findings", AJR Am J Roentgenol, 189, pp.1502~1509 (2007)
- Hayer S, "Tenosynovitis and osteoclast formation as the initial preclinical changes in a murine model of inflammatory arthritis", Arthritis Rheum, 56, pp.79~88 (2007)
- Luime JJ, "Prevalence and incidence of shoulder pain in the general population; a systematic review", Scand J Rheumatol, 33, pp.73~81 (2004)
- Rees JL, "The pathogenesis and surgical treatment of tears of the rotator cuff", J Bone Joint Surg Br, 90, pp.827~832 (2008)
- Wang WT, "Patients with rheumatoid arthritis were associated with a risk of rotator cuff diseases", J Clin Med, 8, pp.129~ (2019)
- Bilberg A, "Significantly impaired shoulder function in the first years of rheumatoid arthritis : a controlled study", Arthritis Res Ther, 17, pp.261~ (2015)
- Lehtinen JT, "Subacromial space in the rheumatoid shoulder : a radiographic 15-year followup study of 148 shoulders", J Shoulder Elbow Surg, 9, pp.183~187 (2000)
- Chen AL, "Rheumatoid arthritis of the shoulder", J Am Acad Orthop Surg, 11, pp.12~24 (2003)
- Liu CJ, "Progressive resistance strength training for improving physical function in older adults", Cochrane Database Syst Rev, 2009, pp.CD002759~ (2009)
- Lourenzi FM, "Effectiveness of an overall progressive resistance strength program for improving the functional capacity of patients with rheumatoid arthritis : a randomized controlled trial", Clin Rehabil, 31, pp.1482~1491 (2017)
- Larsson R, "Effects of eccentric exercise in patients with subacromial impingement syndrome : a systematic review and metaanalysis", BMC Musculoskelet Disord, 20, pp.446~ (2019)
- Aletaha D, "2010 rheumatoid arthritis classification criteria : an American College of Rheumatology", European League Against Rheumatism collaborative initiative, 2010, pp.69, 1892~
- Cook JL, "Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy", Br J Sports Med, 43, pp.409~416 (2009)
- Chaconas EJ, "Shoulder external rotator eccentric training versus general shoulder exercise for subacromial pain syndrome : a randomized controlled trial", Int J Sports Phys Ther, 12, pp.1121~1133 (2017)
- Roy JS, "Measuring shoulder function : a systematic review of four questionnaires", Arthritis Rheum, 61, pp.623~632 (2009)
- Alsanawi HA, "Cross-cultural adaptation and psychometric properties of an Arabic version of the Shoulder Pain and Disability Index", Int J Rehabil Res, 38, pp.270~275 (2015)
- Boonstra AM, "Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain", Int J Rehabil Res, 31, pp.165~169 (2008)
- Tashjian RZ, "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, pp.927~932 (2009)
- Michener LA, "Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome", Knee Surg Sports Traumatol Arthrosc, 23, pp.363~369 (2015)
- Karthikeyan S, "Ultrasound dimensions of the rotator cuff in young healthy adults", J Shoulder Elbow Surg, 23, pp.1107~1112 (2014)
- Smith TO, "Diagnostic accuracy of ultrasound for rotator cuff tears in adults : a systematic review and meta-analysis", Clin Radiol, 66, pp.1036~1048 (2011)
- Collinger JL, "Reliability of quantitative ultrasound measures of the biceps and supraspinatus tendons", Acad Radiol, 16, pp.1424~1432 (2009)
- Anderson JK, "Measures of rheumatoid arthritis disease activity: Patient (PtGA) and Provider (PrGA) Global Assessment of Disease Activity, Disease Activity Score (DAS) and Disease Activity Score with 28-Joint Counts (DAS28), Simplified Disease Activity Index (SDAI), Clinical Disease Activity Index (CDAI), Patient Activity Score (PAS)and Patient Activity Score-II (PASII), Routine Assessment of Patient Index Data (RAPID), Rheumatoid Arthritis Disease Activity Index (RADAI) and Rheumatoid Arthritis Disease Activity Index-5 (RADAI-5), Chronic Arthritis Systemic Index (CASI), Patient-Based Disease Activity Score With ESR (PDAS1) and Patient-Based Disease Activity Score without ESR (PDAS2), and Mean Overall Index for Rheumatoid Arthritis (MOI-RA)", Arthritis Care Res (Hoboken), 63(Suppl 11), pp.S14~S36 (2011)
- Borstad JD, "Comparison of three stretches for the pectoralis minor muscle", J Shoulder Elbow Surg, 15, pp.324~330 (2006)
- Moezy A, "The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome : a controlled randomized clinical trial", Med J Islam Repub Iran, 28, pp.87~ (2014)
- Kinsella R, "A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome", rotator cuff tendinopathy : study protocol for a pilot randomised controlled trial, 2017, pp.3, 45~
- Camci E, "Scapular kinematics during shoulder elevation performed with and without elastic resistance in men without shoulder pathologies", J Orthop Sports Phys Ther, 43, pp.735~743 (2013)
- El-Labban AS, "Pattern of young and old onset rheumatoid arthritis(YORA and EORA)among a group of Egyptian patients with rheumatoid arthritis", Clin Med Insights Arthritis Musculoskelet Disord, 3, pp.25~31 (2010)
- Desmeules F, "Efficacy of exercise therapy in workers with rotator cuff tendinopathy : a systematic review", J Occup Health, 58, pp.389~403 (2016)
- Blume C, "Comparison of eccentric and concentric exercise interventions in adults with subacromial impingement syndrome", Int J Sports Phys Ther, 10, pp.441~455 (2015)
- Chow BC, "Effects of descending or ascending stair exercise on body composition, insulin sensitivity, and inflammatory markers in young Chinese women with obesity : a randomized controlled trial", J Sports Sci, 39, pp.496~502 (2021)
- Rees JD, "Current concepts in the management of tendon disorders", Rheumatology(Oxford), 45, pp.508~521 (2006)
- Yu TY, "The effects of aging on quantitative sonographic features of rotator cuff tendons", J Clin Ultrasound, 40, pp.471~478 (2012)
- Grigg NL, "Eccentric calf muscle exercise produces a greater acute reduction in Achilles tendon thickness than concentric exercise", Br J Sports Med, 43, pp.280~283 (2009)
- Chimenti RL, "Altered tendon characteristics and mechanical properties associated with insertional Achilles tendinopathy", J Orthop Sports Phys Ther, 44, pp.680~689 (2014)
- Kadi R, "Shoulder anatomy and normal variants", J Belg Soc Radiol, 101(Suppl 2), pp.3~ (2017)
- Wells G, "Validation of the 28-joint Disease Activity Score(DAS28)and European League Against Rheumatism response criteria based on C-reactive protein against disease progression in patients with rheumatoid arthritis, and comparison with the DAS28based on erythrocyte sedimentation rate", Ann Rheum Dis, 68, pp.954~960 (2009)
