Research Article
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Omuz ağrılı hastalarda denetimli ev egzersiz tedavisinin engellilik ve fonksiyona etkisi

Year 2018, Volume: 5 Issue: 3, 143 - 149, 25.12.2018

Abstract

Amaç: Ev egzersizleri rehabilitasyon protokollerinde geniş ölçüde kullanıldığı halde, klinisyenler bazen hastaların egzersizleri doğru bir biçimde yapıp yapmadığını kontrol etmede yetersiz kalabilirler. Çalışmamızın amacı, denetimli ev egzersiz protokollerinin omuz ağrılı hastalarda engellilik ve fonksiyon üzerine etkisini araştırmaktı.

Yöntem: Omuz ağrısı olan ve ev egzersiz program için fizyoterapi kliniğine yönlendirilen hastalar Denetim Grubu (N=21) ve Kontrol Grubuna (N=20) rastgele olarak ayrıldılar. Tüm gönüllülere omuz için Pendulum, Wand ve İzometrik egzersizleri içeren ev egzersizi program öğretildi. Engellilik değerlendirmesi için Omuz Ağrı ve Engellilik İndeksi (SPADI), fonksiyon değerlendirmesi için Kol, Omuz ve El Sorunları Anketi (DASH) kullanıldı. Tüm hastalar başlangıçta ve altı haftalık egzersiz program sonunda değerlendirildi. Denetim Grubu iki haftada bir egzersizleri doğru yapıp yapmadıkları açısından kontrol edildi ve yanlış ya da unutulan egzersizler yeniden hatırlatıldı.

Bulgular: Altı hafta sonrasında her iki grupta omuz engelliliği ve fonksiyonu açısından anlamlı gelişmeler oldu (p<0,05). Altı hafta içerisindeki DASH ve SPADI puanlarının değişimi açısından gruplar arasında anlamlı fark yoktu (p>0,05).

Sonuç: Ev egzersizleri, omuz ağrısı ve fonksiyonlarının yönetiminde yararlı araçlar olmasına rağmen, sonuçlarımıza göre, omuz ağrısı için evde yapılan egzersizlerin denetlenmesi, engellilik ve fonksiyon bakımından ek fayda sağlamamıştır.

References

  • 1. Chester R, Jerosch-Herold C, Lewis J, et al. Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. Br J Sports Med. 2018;52:269-275.
  • 2. Ginn K, Cohen M. Exercise therapy for shoulder pain aimed at restoring neuromuscular control: a randomized comparative clinical trial. J Rehabil Med. 2005;37:115-122.
  • 3. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. In: The Cochrane Library, Issue 3, 2009. Chichester, UK: John Wiley & Sons, Ltd.
  • 4. Greenberg DL. Evaluation and treatment of shoulder pain. Med Clin North Am. 2014;98:487-504.
  • 5. Klintberg IH, Cools AM, Holmgren TM, et al. Consensus for physiotherapy for shoulder pain. Int Orthop. 2015;39:715-720.
  • 6. George SZ, Parr JJ, Wallace MR, et al. Biopsychosocial influence on exercise-induced injury: genetic and psychological combinations are predictive of shoulder pain phenotypes. J Pain. 2014;15:68-80.
  • 7. Myrtveit SM, Sivertsen B, Skogen JC, et al. Adolescent neck and shoulder pain—the association with depression, physical activity, screen-based activities, and use of health care services. J Adolesc Health. 2014;55:366-372.
  • 8. Salt E, Windt D, Chesterton L, et al. Physiotherapist‐led suprascapular nerve blocks for persistent shoulder pain: Evaluation of a new service in the UK. Musculoskeletal Care. 2017;16:214-221.
  • 9. Mitchell C, Adebajo A, Hay E, et al. Shoulder pain: diagnosis and management in primary care. BMJ: British Medical Journal. 2005;331:1124-1128.
  • 10. Brox JI. Shoulder pain. Best Pract Res Clin Rheumatol. 2003;17:33-56.
  • 11. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther. 2008;38:389-395.
  • 12. Engebretsen K, Grotle M, Bautz-Holter E, et al. Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. BMJ. 2009;339:b3360.
  • 13. Akbas E, Erdem EU. Does Pilates-based approach provide additional benefit over traditional physiotherapy in the management of rotator cuff tendinopathy? a randomised controlled trial. Ann Sports Med Res. 2016;3:1083.
  • 14. Elchami Z, Issa M, Massoud R, et al. Combination of trigger point injection applied to the mid and upper trapezius and shoulder injection in the management of exacerbation of shoulder pain. J Pain. 2016;17(4 Suppl):S72.
  • 15. Karlsson L, Gerdle B, Takala E-P, et al. Associations between psychological factors and the effect of home-based physical exercise in women with chronic neck and shoulder pain. SAGE Open Med. 2016;4:2050312116668933.
  • 16. Ludewig P, Borstad J. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med. 2003;60:841-849.
  • 17. Van Straaten MG, Cloud BA, Morrow MM, et al. Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury: a high-dose shoulder program with telerehabilitation. Arch Phys Med Rehabil. 2014;95:1810-1817.
  • 18. Smith J, Lewis J, Prichard D. Physiotherapy exercise programmes: Are instructional exercise sheets effective? Physiother Theory Pract. 2005;21:93-102.
  • 19. Friedrich M, Cermak T, Maderbacher P. The effect of brochure use versus therapist teaching on patients performing therapeutic exercise and on changes in impairment status. Phys Ther. 1996;76:1082-1088.
  • 20. Chan D, Can F. Patients’ adherence/compliance to physical therapy home exercises. Fizyoter Rehabil. 2010;21:132-139.
  • 21. Gecht MR, Connell KJ, Sinacore JM, et al. A survey of exercise beliefs and exercise habits among people with arthritis. Arthritis Rheumatol. 1996;9:82-88.
  • 22. Essery R, Geraghty A, Kirby S, et al. Predictors of adherence to home-based physical rehabilitation therapies: a systematic review. Disabil Rehabil. 2017;39:519-534.
  • 23. Edwards P, Ebert J, Joss B, et al. Exercise rehabilitation in the non-operative management of rotator cuff tears: a review of the literature. Int J Sports Phys Ther. 2016;11:279-301.
  • 24. Long JL, Ruberte Thiele RA, Skendzel JG, et al. Activation of the shoulder musculature during pendulum exercises and light activities. J Orthop Sports Phys Ther. 2010;40:230-237.
  • 25. Bumin G, Tüzün EH, Tonga E. The Shoulder Pain and Disability Index (SPADI): Crosscultural adaptation, reliability, and validity of the Turkish version. J Back Musculoskelet Rehabil. 2008;21:57-62.
  • 26. Williams Jr JW, Holleman Jr DR, Simel D. Measuring shoulder function with the Shoulder Pain and Disability Index. J Rheumatol. 1995;22:727-732.
  • 27. Hudak PL, Amadio PC, Bombardier C, et al. Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Hand). Am J Ind Med. 1996;29:602-608.
  • 28. Duger T, Yakut E, Oksuz C, et al. Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Fizyoter Rehabil. 2006;17:99-107.
  • 29. Campbell R, Evans M, Tucker M, et al. Why don't patients do their exercises? Understanding noncompliance with physiotherapy in patients with osteoarthritis of the knee. J Epidemiol Community Health. 2001;55:132-138.
  • 30. Henry KD, Rosemond C, Eckert LB. Effect of number of home exercises on compliance and performance in adults over 65 years of age. Phys Ther. 1999;79:270-277.
  • 31. Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med. 2003;60:841-849.
  • 32. Kromer TO, Tautenhahn UG, de Bie RA, Staal JB, Bastiaenen CH. Effects of physiotherapy in patients with shoulder impingement syndrome: a systematic review of the literature. J Rehabil Med.2009;41:870-880.
  • 33. Bachmann C, Oesch P, Bachmann S. Recommendations for improving adherence to home-based exercise: a systematic review. Phys Med Rehab Kuror. 2018;28,:20-31.

Effects of supervised home-based exercise therapy on disability and function in patients with shoulder pain

Year 2018, Volume: 5 Issue: 3, 143 - 149, 25.12.2018

Abstract

Purpose: Although home-based exercises are widely used in rehabilitation protocols, sometimes clinicians do not correctly check if patients perform the exercises properly. The objective of our study was to investigate the effects of supervised home exercise protocols on the disability and function in patients with shoulder pain.

Methods: Patients who have shoulder pain and scheduled to physiotherapy clinic for home-based exercises randomly assigned to Supervised Group (N=21) and Control Group (N=20). All volunteers were instructed “home-based exercises” program for shoulder including pendulum, wand and isometric exercises. Shoulder Pain and Disability Index (SPADI) was used for measuring disability and The Disabilities of the Arm, Shoulder and Hand (DASH) was used for assessing functions. All patients were evaluated at baseline and after six weeks exercise program. The Supervised Group was controlled biweekly whether they performed their exercises properly; mistaken or forgotten exercises were reminded again.

Results: After 6 weeks, there were significant improvements regarding shoulder disability and function in both of the groups (p<0.05). There was no significant difference between the groups in terms of the DASH and SPADI score changes in six weeks (p>0.05).

Conclusion: Although home-based exercises are useful tools in managing shoulder pain and functions, according to our results, auditing home-based exercises for shoulder pain could not contribute additional benefit in terms of disability and function.

References

  • 1. Chester R, Jerosch-Herold C, Lewis J, et al. Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. Br J Sports Med. 2018;52:269-275.
  • 2. Ginn K, Cohen M. Exercise therapy for shoulder pain aimed at restoring neuromuscular control: a randomized comparative clinical trial. J Rehabil Med. 2005;37:115-122.
  • 3. Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. In: The Cochrane Library, Issue 3, 2009. Chichester, UK: John Wiley & Sons, Ltd.
  • 4. Greenberg DL. Evaluation and treatment of shoulder pain. Med Clin North Am. 2014;98:487-504.
  • 5. Klintberg IH, Cools AM, Holmgren TM, et al. Consensus for physiotherapy for shoulder pain. Int Orthop. 2015;39:715-720.
  • 6. George SZ, Parr JJ, Wallace MR, et al. Biopsychosocial influence on exercise-induced injury: genetic and psychological combinations are predictive of shoulder pain phenotypes. J Pain. 2014;15:68-80.
  • 7. Myrtveit SM, Sivertsen B, Skogen JC, et al. Adolescent neck and shoulder pain—the association with depression, physical activity, screen-based activities, and use of health care services. J Adolesc Health. 2014;55:366-372.
  • 8. Salt E, Windt D, Chesterton L, et al. Physiotherapist‐led suprascapular nerve blocks for persistent shoulder pain: Evaluation of a new service in the UK. Musculoskeletal Care. 2017;16:214-221.
  • 9. Mitchell C, Adebajo A, Hay E, et al. Shoulder pain: diagnosis and management in primary care. BMJ: British Medical Journal. 2005;331:1124-1128.
  • 10. Brox JI. Shoulder pain. Best Pract Res Clin Rheumatol. 2003;17:33-56.
  • 11. Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther. 2008;38:389-395.
  • 12. Engebretsen K, Grotle M, Bautz-Holter E, et al. Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. BMJ. 2009;339:b3360.
  • 13. Akbas E, Erdem EU. Does Pilates-based approach provide additional benefit over traditional physiotherapy in the management of rotator cuff tendinopathy? a randomised controlled trial. Ann Sports Med Res. 2016;3:1083.
  • 14. Elchami Z, Issa M, Massoud R, et al. Combination of trigger point injection applied to the mid and upper trapezius and shoulder injection in the management of exacerbation of shoulder pain. J Pain. 2016;17(4 Suppl):S72.
  • 15. Karlsson L, Gerdle B, Takala E-P, et al. Associations between psychological factors and the effect of home-based physical exercise in women with chronic neck and shoulder pain. SAGE Open Med. 2016;4:2050312116668933.
  • 16. Ludewig P, Borstad J. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med. 2003;60:841-849.
  • 17. Van Straaten MG, Cloud BA, Morrow MM, et al. Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury: a high-dose shoulder program with telerehabilitation. Arch Phys Med Rehabil. 2014;95:1810-1817.
  • 18. Smith J, Lewis J, Prichard D. Physiotherapy exercise programmes: Are instructional exercise sheets effective? Physiother Theory Pract. 2005;21:93-102.
  • 19. Friedrich M, Cermak T, Maderbacher P. The effect of brochure use versus therapist teaching on patients performing therapeutic exercise and on changes in impairment status. Phys Ther. 1996;76:1082-1088.
  • 20. Chan D, Can F. Patients’ adherence/compliance to physical therapy home exercises. Fizyoter Rehabil. 2010;21:132-139.
  • 21. Gecht MR, Connell KJ, Sinacore JM, et al. A survey of exercise beliefs and exercise habits among people with arthritis. Arthritis Rheumatol. 1996;9:82-88.
  • 22. Essery R, Geraghty A, Kirby S, et al. Predictors of adherence to home-based physical rehabilitation therapies: a systematic review. Disabil Rehabil. 2017;39:519-534.
  • 23. Edwards P, Ebert J, Joss B, et al. Exercise rehabilitation in the non-operative management of rotator cuff tears: a review of the literature. Int J Sports Phys Ther. 2016;11:279-301.
  • 24. Long JL, Ruberte Thiele RA, Skendzel JG, et al. Activation of the shoulder musculature during pendulum exercises and light activities. J Orthop Sports Phys Ther. 2010;40:230-237.
  • 25. Bumin G, Tüzün EH, Tonga E. The Shoulder Pain and Disability Index (SPADI): Crosscultural adaptation, reliability, and validity of the Turkish version. J Back Musculoskelet Rehabil. 2008;21:57-62.
  • 26. Williams Jr JW, Holleman Jr DR, Simel D. Measuring shoulder function with the Shoulder Pain and Disability Index. J Rheumatol. 1995;22:727-732.
  • 27. Hudak PL, Amadio PC, Bombardier C, et al. Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Hand). Am J Ind Med. 1996;29:602-608.
  • 28. Duger T, Yakut E, Oksuz C, et al. Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Fizyoter Rehabil. 2006;17:99-107.
  • 29. Campbell R, Evans M, Tucker M, et al. Why don't patients do their exercises? Understanding noncompliance with physiotherapy in patients with osteoarthritis of the knee. J Epidemiol Community Health. 2001;55:132-138.
  • 30. Henry KD, Rosemond C, Eckert LB. Effect of number of home exercises on compliance and performance in adults over 65 years of age. Phys Ther. 1999;79:270-277.
  • 31. Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med. 2003;60:841-849.
  • 32. Kromer TO, Tautenhahn UG, de Bie RA, Staal JB, Bastiaenen CH. Effects of physiotherapy in patients with shoulder impingement syndrome: a systematic review of the literature. J Rehabil Med.2009;41:870-880.
  • 33. Bachmann C, Oesch P, Bachmann S. Recommendations for improving adherence to home-based exercise: a systematic review. Phys Med Rehab Kuror. 2018;28,:20-31.
There are 33 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Emin Ulaş Erdem

Banu Ünver This is me

Publication Date December 25, 2018
Submission Date March 1, 2018
Published in Issue Year 2018 Volume: 5 Issue: 3

Cite

Vancouver Erdem EU, Ünver B. Effects of supervised home-based exercise therapy on disability and function in patients with shoulder pain. JETR. 2018;5(3):143-9.