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Orta Büyüklükteki Rotator Manşet Kas Yırtığı Sonrası Artroskopik Omuz Cerrahisi Uygulanan Bireylerde Yenilikçi Bir Yaklaşım: Humeral Baş Depresör Kas Ko-Aktivasyon Eğitimi

Year 2021, Volume: 11 Issue: 1, 42 - 52, 22.03.2021
https://doi.org/10.31832/smj.792788

Abstract

Amaç: Orta büyüklükte rotator manşet kas yırtığı olan hastalarda konservatif tedaviyle kombine uygulanan humeral baş depresör kas ko-aktivasyon eğitiminin etkilerini değerlendirmektir.
Gereç ve Yöntemler: Toplam yirmi dört katılımcı rastgele iki gruba ayrıldı. Kontrol grubundaki bireylere toplam 6 hafta olmak üzere haftada 5 gün konservatif tedavi programı uygulandı. Konservatif tedaviye ek olarak tedavi grubundaki katılımcılar için haftada 5 gün 6 haftalıkhumeral baş depresör kas ko-aktivasyon eğitimi uygulandı. Katılımcılar hem tedavi öncesi hem de sonrası ağrı ve eklem hareket açıklığı açısından değerlendirildiler.
Bulgular:Tedavi grubunda ağrı (p=.049; p=.008; p=.009; p=.003) ve eklem hareket açıklığı skorlarındaki (p=.047; p=.007; p=.001) iyileşmenin kontrol grubuna göre daha yüksek olduğu bulundu. İç rotasyon hareket açıklığı açısından iki grup arasında anlamlı fark yoktu (p = .499).
Sonuç: Bu çalışma, orta büyüklükteki rotator manşet yırtıklarının tedavisinde konservatif tedavi ile birlikte humeral baş depresör kas ko-aktivasyon eğitiminin daha iyi bir seçim olabileceğini düşündürmektedir.

References

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  • 2. Steenbrink F, de Groot JH, Veeger HE, van der Helm FC, Rozin PM. Glenohumeralstability in simulatedrotatorcufftears. J Biomech 2009;42:1740-1745.
  • 3. de Witte PB, Overbeek CL, Navas A, Nagels J, Reijnierse M, Nelissen RG. Heterogeneous MR arthrographyfindings in patientswithsubacromialimpingementsyndrome – Diagnosticsubgroups? J ElectromyogrKinesiol 2016;29:64-73.
  • 4. Deutsch A, Altchek DW, Schwartz E, Otis JC, Warren RF. Radiologicmeasurement of superiordisplacement of thehumeralhead in theimpingementsyndrome. J ShoulderElbowSurg1996;5:186-193.
  • 5. Graichen H, Bonel H, Stammberger T, Haubner M, Rohrer H, Englmeier KH, Reiser M, Eckstein F. Three-dimensionalanalysis of thewidth of thesubacromialspace in healthysubjectsandpatientswithimpingementsyndrome. AJR Am J Roentgenol1999;172:1081-1086.
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  • 7. Hinterwimmer S, Eisenhart-Rothe R, Siebert M, Putz R, Eckstein F, Vogl, T. Influence of adductingandabductingmuscleforces on thesubacromialspacewidth. MedSciSportExer 2003;35:2055–2059.
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  • 9. de Witte PB, van der Zwaal P, Visch W, et al. Armadductorwitharmabduction in rotatorcufftearpatients vs. healthy -- design of a newmeasuringinstrument [corrected] [publishedcorrectionappears in Hum MovSci 2013 Aug;32(4):875-6].
  • 10. Boudreau N, Gaudreault N, Roy JS, Bédard S, Balg F. TheAddition of GlenohumeralAdductorCoactivationto a RotatorCuffExercise Program forRotatorCuffTendinopathy: A Single-BlindRandomizedControlled Trial. J Orthop Sports PhysTher 2019;49(3):126-135.
  • 11. Kanık EA, Taşdelen B, Erdoğan S. Klinik denemelerde randomizasyon 2011.
  • 12. Thigpen CA, Shaffer MA, Gaunt BW, Leggin BG, Williams GR, Wilcox RB 3rd. TheAmericanSociety of ShoulderandElbowTherapists' consensusstatement on rehabilitationfollowingarthroscopicrotatorcuffrepair. J ShoulderElbowSurg 2016;25(4):521-535.
  • 13. Price DD, McGrath PA, Rafii A, Buckingham B. Thevalidation of visualanaloguescales as ratioscalemeasuresforchronicandexperimentalpain. Pain 1983;17(1):45-56.
  • 14. Menek B, Tarakci D, Algun ZC. Theeffect of Mulliganmobilization on painand life quality of patientswithRotatorcuffsyndrome: A randomizedcontrolledtrial. J BackMusculoskeletRehabil 2019;32(1):171-178.
  • 15. Hall MC. TheVelpeaubandage. Can MedAssoc J1963;88(2):92-93.
  • 16. Juul-Kristensen B, Larsen CM, Eshoj H, et al. Positiveeffects of neuromuscularshoulderexerciseswithorwithout EMG-biofeedback, on painandfunction in participantswithsubacromialpainsyndrome - A randomisedcontrolledtrial. J ElectromyogrKinesiol 2019;48:161-168.
  • 17. Yakut E, Dalkılınç M, Kaya D. Kanıta dayalı elektroterapi. Ankara, Pelikan Yayıncılık 2008;43-203.
  • 18. Overbeek CL, Kolk A, Nagels J. Increasedco-contraction of armadductors is associatedwith a favorablecourse in subacromialpainsyndrome. J ShoulderElbowSurg 2018;27(11):1925-1931.
  • 19. de Witte PB, Henseler JF, vanZwet EW, Nagels J, Nelissen RG, de Groot JH. Cranialhumerustranslation, deltoidactivation, adductorco-activationandrotatorcuffdisease - differentpatterns in rotatorcufftears, subacromialimpingementandcontrols. ClinBiomech (Bristol, Avon) 2014;29(1):26-32.
  • 20. Busse ME, Wiles CM, Van Deursen RWM. Muscleco-activation in neurologicalconditions. Physicaltherapyreviews 2005;10(4):247-253.
  • 21. Andrade R, Araújo RC, Tucci HT, Martins J, Oliveira AS. Coactivation of theshoulderandarmmusclesduringclosedkineticchainexercises on an unstablesurface. SingaporeMed J 2011;52(1):35-41.
Year 2021, Volume: 11 Issue: 1, 42 - 52, 22.03.2021
https://doi.org/10.31832/smj.792788

Abstract

References

  • 1. Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronicpain in a geographicallydefined general population: studies of differences in age, gender, socialclass, andpainlocalization. Clin J Pain 1993;9:174-182.
  • 2. Steenbrink F, de Groot JH, Veeger HE, van der Helm FC, Rozin PM. Glenohumeralstability in simulatedrotatorcufftears. J Biomech 2009;42:1740-1745.
  • 3. de Witte PB, Overbeek CL, Navas A, Nagels J, Reijnierse M, Nelissen RG. Heterogeneous MR arthrographyfindings in patientswithsubacromialimpingementsyndrome – Diagnosticsubgroups? J ElectromyogrKinesiol 2016;29:64-73.
  • 4. Deutsch A, Altchek DW, Schwartz E, Otis JC, Warren RF. Radiologicmeasurement of superiordisplacement of thehumeralhead in theimpingementsyndrome. J ShoulderElbowSurg1996;5:186-193.
  • 5. Graichen H, Bonel H, Stammberger T, Haubner M, Rohrer H, Englmeier KH, Reiser M, Eckstein F. Three-dimensionalanalysis of thewidth of thesubacromialspace in healthysubjectsandpatientswithimpingementsyndrome. AJR Am J Roentgenol1999;172:1081-1086.
  • 6. Overbeek CL, Kolk A, de Groot JH, et al. AlteredCocontractionPatterns of HumeralHeadDepressors in PatientswithSubacromialPainSyndrome: A Cross-sectionalElectromyography Analysis. ClinOrthopRelatRes 2019;477(8):1862-1868.
  • 7. Hinterwimmer S, Eisenhart-Rothe R, Siebert M, Putz R, Eckstein F, Vogl, T. Influence of adductingandabductingmuscleforces on thesubacromialspacewidth. MedSciSportExer 2003;35:2055–2059.
  • 8. Steenbrink F, de Groot JH, Veeger HE, Meskers CG, van de Sande MA, Rozing PM. Pathologicalmuscleactivationpatterns in patientswithmassiverotatorcufftears, withandwithoutsubacromialanaesthetics. Man Ther 2006;11:231–237.
  • 9. de Witte PB, van der Zwaal P, Visch W, et al. Armadductorwitharmabduction in rotatorcufftearpatients vs. healthy -- design of a newmeasuringinstrument [corrected] [publishedcorrectionappears in Hum MovSci 2013 Aug;32(4):875-6].
  • 10. Boudreau N, Gaudreault N, Roy JS, Bédard S, Balg F. TheAddition of GlenohumeralAdductorCoactivationto a RotatorCuffExercise Program forRotatorCuffTendinopathy: A Single-BlindRandomizedControlled Trial. J Orthop Sports PhysTher 2019;49(3):126-135.
  • 11. Kanık EA, Taşdelen B, Erdoğan S. Klinik denemelerde randomizasyon 2011.
  • 12. Thigpen CA, Shaffer MA, Gaunt BW, Leggin BG, Williams GR, Wilcox RB 3rd. TheAmericanSociety of ShoulderandElbowTherapists' consensusstatement on rehabilitationfollowingarthroscopicrotatorcuffrepair. J ShoulderElbowSurg 2016;25(4):521-535.
  • 13. Price DD, McGrath PA, Rafii A, Buckingham B. Thevalidation of visualanaloguescales as ratioscalemeasuresforchronicandexperimentalpain. Pain 1983;17(1):45-56.
  • 14. Menek B, Tarakci D, Algun ZC. Theeffect of Mulliganmobilization on painand life quality of patientswithRotatorcuffsyndrome: A randomizedcontrolledtrial. J BackMusculoskeletRehabil 2019;32(1):171-178.
  • 15. Hall MC. TheVelpeaubandage. Can MedAssoc J1963;88(2):92-93.
  • 16. Juul-Kristensen B, Larsen CM, Eshoj H, et al. Positiveeffects of neuromuscularshoulderexerciseswithorwithout EMG-biofeedback, on painandfunction in participantswithsubacromialpainsyndrome - A randomisedcontrolledtrial. J ElectromyogrKinesiol 2019;48:161-168.
  • 17. Yakut E, Dalkılınç M, Kaya D. Kanıta dayalı elektroterapi. Ankara, Pelikan Yayıncılık 2008;43-203.
  • 18. Overbeek CL, Kolk A, Nagels J. Increasedco-contraction of armadductors is associatedwith a favorablecourse in subacromialpainsyndrome. J ShoulderElbowSurg 2018;27(11):1925-1931.
  • 19. de Witte PB, Henseler JF, vanZwet EW, Nagels J, Nelissen RG, de Groot JH. Cranialhumerustranslation, deltoidactivation, adductorco-activationandrotatorcuffdisease - differentpatterns in rotatorcufftears, subacromialimpingementandcontrols. ClinBiomech (Bristol, Avon) 2014;29(1):26-32.
  • 20. Busse ME, Wiles CM, Van Deursen RWM. Muscleco-activation in neurologicalconditions. Physicaltherapyreviews 2005;10(4):247-253.
  • 21. Andrade R, Araújo RC, Tucci HT, Martins J, Oliveira AS. Coactivation of theshoulderandarmmusclesduringclosedkineticchainexercises on an unstablesurface. SingaporeMed J 2011;52(1):35-41.
There are 21 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Caner Karartı 0000-0002-4655-0986

Anıl Özüdoğru 0000-0002-7507-9863

Hakkı Çağdaş Basat 0000-0003-3301-2529

İsmail Özsoy 0000-0001-9048-1116

Publication Date March 22, 2021
Submission Date September 9, 2020
Published in Issue Year 2021 Volume: 11 Issue: 1

Cite

AMA Karartı C, Özüdoğru A, Basat HÇ, Özsoy İ. Orta Büyüklükteki Rotator Manşet Kas Yırtığı Sonrası Artroskopik Omuz Cerrahisi Uygulanan Bireylerde Yenilikçi Bir Yaklaşım: Humeral Baş Depresör Kas Ko-Aktivasyon Eğitimi. Sakarya Tıp Dergisi. March 2021;11(1):42-52. doi:10.31832/smj.792788

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