The effect of an eight-week shoulder rehabilitation intervention programme on pain and function, range of motion and muscle strength among teachers: A pilot study

2020 ◽  
pp. 1-10
Author(s):  
Zingisa Z. Nyawose ◽  
Rowena Naidoo
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Internal Rotation ◽  
Musculoskeletal Disorders ◽  
Intervention Group ◽  
Rehabilitation Programme ◽  
Post Intervention ◽  
Rehabilitation Intervention ◽  
Function Range ◽  
And Function

BACKGROUND: Teachers present with shoulder musculoskeletal disorders, which result in pain and poor shoulder function. OBJECTIVE: To determine the effect of an eight-week shoulder rehabilitation intervention on pain and function, range of motion and muscle strength among teachers. METHODS: Thirty teachers presenting with shoulder pain were recruited and divided into equal control and experimental groups. The intervention group participated in an eight-week rehabilitation programme. Pre- and post-intervention measurements included the scapular position test, range of motion, muscle strength measurements as well as a shoulder rating questionnaire. RESULTS: There was a significant improvement in the experimental group’s internal range of motion for the dominant (p= 0.006) and non-dominant arms (p= 0.003) post-intervention. Additionally, significant improvements were found in muscle strength in the experimental group in dominant and non-dominant flexion; abduction; external rotation (p< 0.001); dominant internal rotation (p< 0.001) and non-dominant internal rotation strength (p= 0.007). Post-intervention questionnaire data found a decrease in pain (p= 0.003); improved ability to perform daily activities (p= 0.006); improved overall score (p< 0.001) and satisfaction (p= 0.023) in the intervention group compared to the control group. CONCLUSION: The implementation of a rehabilitation programme in schools should be considered to manage the prevalence of shoulder musculoskeletal disorders among teachers.

scholarly journals A Comparison of the Immediate Effect of Swedish Massage vs Passive Stretching on Range of Motion in Overhead Athletes

2020 ◽  
Vol 22 (3) ◽  
pp. 1-7
Author(s):  
Jim Schilling ◽  
Sujeiry Guzman ◽  
Chad Lewis ◽  
Jupil Ko
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Intervention Group ◽  
Post Treatment ◽  
Static Stretching ◽  
Post Intervention ◽  
Overhead Athletes ◽  
Passive Stretching ◽  
Shoulder Range Of Motion

OBJECTIVES To compare the clinical outcome and effectiveness of Swedish massage and a traditional passive stretching program, on the shoulder of ROM in overhead athletes.PARTICIPANTS A total of 10 overhead throwing overhead male athletes (age= 23.5 ± 1.5yrs; height= 186.69 ± 6.35 cm; mass= 91.86 ± 12.48 kg).METHODS Participants were randomly assigned to either Swedish massage or a traditional passive static stretching program for 1 session of 5 minutes. Baseline and post-intervention shoulder ROM to end range in the flexed, external rotation, internal rotation, horizontal adduction and abduction positions. The Pearson chi-square test was applied to compare the differences of shoulder ROM of both therapeutic variables. Recorded outcome measures on the participants’ shoulder ROM (flexion with scapula fixed, horizontal adduction, horizontal abduction, internal rotational & external rotation) pre- & post-interventions.RESULTS Results indicate that participants in the Swedish massage therapeutic intervention group had significant improvements in their internal rotation post-treatment (M=5.20, SD= 1.304, p=.038) and the traditional passive stretching protocol group had significant improvements in shoulder external rotation post-treatment (M=11.20, SD=2.68, p=.016).CONCLUSION Swedish massage had better effects in four out of the five shoulder motions measured compared to passive static stretching. Educating overhead athletes on the potential beneficial effects of massage therapy and its role in maintaining shoulder range of motion.

The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients

2018 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Mohamat Iskandar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Rating Scale ◽  
Discharge Planning ◽  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
Planning Program ◽  
Stroke Patients ◽  
Central Java

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital. Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength. Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients. Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412. Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. 

scholarly journals The immediate effect of ipsilateral and contralateral sacroiliac joint manipulation on the hip range of motion and kicking velocity in soccer players

2015 ◽  
Author(s):  
◽  
Zia ul Mustafa Rehman
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Sacroiliac Joint ◽  
Ordinal Data ◽  
External Rotation ◽  
Intervention Group ◽  
Soccer Players ◽  
Hip Range Of Motion ◽  
Flexion Extension ◽  
The Right

Background There is a close biomechanical relationship that exists between the sacroiliac and hip joints. It is essential to have optimum hip range of motion originating from the pelvis in both the kicking and support limbs as both limbs play a role in achieving a high speed kicking velocity. Due to the strenuous activity of soccer players, both hip ranges of motion may be decreased, thus predisposing the player to injuries. This may also affect the kicking velocity. The effects of sacroiliac joint manipulation on hip range of motion and kicking velocity were investigated. Objectives The objective of this study was to determine the effect of ipsilateral sacroiliac joint manipulation versus contralateral sacroiliac joint manipulation on bilateral hip range of motion and kicking velocity. Methods There were three groups of twenty soccer players. The ipsilateral sacroiliac joint manipulation group, the contralateral sacroiliac joint manipulation group, and the sham laser intervention group. The case history, physical, regional, lumbar and hip exams were done in the Chiropractic Day Clinic. The hip ranges of motion were measured pre- and post- Chiropractic manipulation in all three groups on both limbs in the Fred Crookes Sports Centre (Durban University of Technology). Hip ranges of motion were measured by the Saunders (The Saunders Group, Chaska, MN) digital inclinometer. The kicking velocity of all players were measured pre- and post- manipulation by a speed sport radar gun (Bushnell Speedster Speed Gun; Bushnell Inc, Lenexa, KS). This was a purposive, investigational study trial where the data was reduced and analysed with the help of a statistician, using the statistical software SPSS version 20.0.The statistical aspect of the research encompassed the following: descriptive statistics used Fischer values, Eta tests, frequency, cross-tabulation tables and various types of graphs (bar charts, scatter graphs etc.); Inferential statistics used Pearson’s and/or Spearman’s correlations at a significance level of 0.05; testing of hypotheses used chi-square tests for nominal data and ordinal data at a level of significance of 0.05. Results The ipsilateral group showed statistically significant results for the right hip in flexion, extension, internal rotation and external rotation, as well as for extension, internal rotation and external rotation in the left hip. The contralateral group showed statistically significant results for the right hip in extension, internal rotation and external rotation, as well as for extension and internal rotation in the left hip. There was a statistically significant improvement in the kicking velocity of the ipsilateral and contralateral group after treatment. There was a strong association between the perception changes to the actual kicking velocity in the soccer players. There was a correlation between the change in hip range of motion and change in kicking velocity, however statistically it was not significant. Conclusion The manipulation of ipsilateral or contralateral sacroiliac joint has an effect on the right and left hip range of motion

scholarly journals Effect of a novel stretching technique on shoulder range of motion in overhead athletes with glenohumeral internal rotation deficits: a randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Omar Gharisia ◽  
Everett Lohman ◽  
Noha Daher ◽  
Alan Eldridge ◽  
Amjad Shallan ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Range Of Motion ◽  
Internal Rotation ◽  
The Novel ◽  
Post Intervention ◽  
Significant Group ◽  
Overhead Athletes ◽  
Time Interaction ◽  
The Cross ◽  
Over Time

Abstract Background The cross-body and the modified sleeper stretch have been used to improve posterior shoulder soft tissue flexibility and to increase glenohumeral joint internal rotation (GHJ IR) in overhead athletes. However, due to the inability to stabilize patient’s scapula and control GHJ rotation with the cross-body stretch and the potential for subacromial impingement or symptoms’ aggravation with the modified sleeper stretch, a new stretching technique (Passive Glenohumeral Internal Rotation with Clam Shell Bridging) was developed as an alternative to these commonly used stretches that may allow for greater stability of the scapula without reproducing symptoms. Thus, the current study aimed to examine and compare a novel stretching technique to the traditional modified sleeper stretch to determine the effect on glenohumeral IR range of motion (ROM) and self-reported pain in overhead athletes with glenohumeral internal rotation deficits (GIRD). Methods Forty-two overhead athletes with GIRD [mean age 25.9 ± 2.6 years, 20 males and 22 females] participated in this study. Participants were randomly assigned into either novel stretching group or modified sleeper stretching group. IR ROM was measured with a digital inclinometer before, immediately, and at week 4 post intervention, while pain was measured with Numeric Pain Rating Scale before and at week 4 post intervention. Results There was no significant group by time interaction effect for IR ROM (p = 0.27); however, there was a significant change over time (p < 0.001, η2 = 0.77). Both groups demonstrated a significant increase in IR from baseline to immediate and week 4, and from immediate to week 4 (p < 0.001). There was a significant group by time interaction for pain intensity (p < 0.001, η2 = 0.72). Results showed a significant reduction in pain intensity over time in the novel group (p = 0.001, d = 2.18), but not in the traditional group (p = 0.231, d = 0.46). Conclusion Both stretches appear to be effective at improving IR ROM in overhead athletes with GIRD. However, the novel stretching might be more effective at reducing shoulder pain and thus may be more appropriate for symptomatic patients. Trial registration Prospectively registered in February 6, 2017 under Clinical Trial Registry # NCT03044236.

scholarly journals The Effect Of Biofeedback On The Motor– Muscular Situation In Rehabilitation Of Stroke Patients

2017 ◽  
pp. 35 ◽  
Author(s):  
Zohre Najafi ◽  
Zahra sadat Manzari ◽  
Fariborz Rezaeitalab ◽  
Amin Azhari
Keyword(s):  
Muscle Strength ◽  
Intervention Group ◽  
Group Versus ◽  
Muscle Stiffness ◽  
The Body ◽  
Control Group ◽  
Check List ◽  
Post Intervention ◽  
Significant Difference ◽  
And Control

Background:Stroke is the most common debilitating neurological disease in adults. Therefore, rehabilitation is a major consideration to reduce costs and relief disabilities. Biofeedback, a newly recommended method is claimed to be able to improve the consequences following stroke by enhancement the understanding of the psychological functions of the body.  Objectives: The purpose of this study was to investigate the effect of biofeedback on the motor– muscular situation in rehabilitation of stroke patientsMethods:The present study was a randomized clinical trial that was started in May 2016 and completed in September 2016. The sample of this study included all the patients with stroke attending the physiotherapy center of Imam Raza hospital in Mashhad, Iran. The participants were randomly divided into 2 groups (case and control group) after considering the inclusion and exclusion criteria. In the intervention group, biofeedback (2 times a week for 15 sessions, each session lasting 20 minutes) was performed.Before the intervention demographic information questionnaire was complete by all participants. Then a check list of main variables such as hands muscle strength, muscle stiffness (spasticity), balance and ability to walk was complete by a physician. In the 7th session of the exercise and in the end of intervention (14th session), again, the main variables of the check list were reassessed by the researcher. The statistical analysis was done by Statistical Package for the Social Sciences (SPSS) software version 16.Results:the mean score of balance evaluation in pre-intervention had not any significant differences (p=0.503), but in post intervention evaluation, this score in intervention group versus control group showed significant differences (p=0.014).the mean score of muscle strength,Results showed that by eliminating the effects of muscular strength before the intervention, this variable in both intervention and control groups after the intervention, had improvement and significant difference (p=0.005).Comparison the average spasticity, showed that spasticity evaluation score before and after intervention had no significant difference between the two groups (p=1.00)Conclusion: Considering the findings of this study, the biofeedback therapy is a promising treatment modality in improvement the motor– muscular condition following stroke.  

scholarly journals Different Myofascial Release Techniques Effects on Pain and Function with Chronic Shoulder Pain in the Late Rehabilitation Period

2019 ◽  
Vol 2 (17) ◽  
Author(s):  
Darius Lipskis ◽  
Edgaras Lapinskas
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
External Rotation ◽  
Functional Mobility ◽  
Myofascial Release ◽  
Aged People ◽  
Arm Function ◽  
And Function ◽  
Chronic Shoulder Pain

Background. Joints or muscles dysfunctions more often occur not only in elderly but also middle aged people. The problem becomes chronic and causes longtermed pain, lack of functional mobility. One of the most affected areas of human musculoskeletal zones is shoulder area (Pan, 2016). Purpose. Evaluate myofascial release techniques for pain and function in patients with chronic shoulder pain. Methods. There were 12 patients chosen who were randomly divided into ischemic compression and friction groups. We evaluated pain, arm function, muscle strength and range of motion. Results. In ischemia group, pain after the treatment decreased (before 5.33 ± 0.81; after 3 ± 1.41, p = 0.01). Function of arm improved (before 42.83 ± 8.23; after 62.5 ± 6.89, p = 0.01). All humerus range of motions and strength of muscles improved (p < 0.05), comparing results before and after the treatment. In friction group pain after the treatment did not change (before 5.83 ± 0.98; after 4.16 ± 2.63, p = 0.252). Arm function improved (before 42.5 ± 4.84; after 56 ± 5.47, p = 0.006). Friction improved (p < 0.05) humerus flexion, abduction, external rotation range of motions and muscles strength of humerus abductors. Conclusions. Ischemic compression had signifcant effect on reducing shoulder pain, improving range of motion and muscle strength of humerus movers. Friction technique did not have effects on reducing pain, but had significant effects on humerus flexion, abduction, external rotation range of motions and increased muscle strength of humerus abductors. When comparing results after ischemia and friction between groups, no signifcant difference was found in treating shoulder pain, range of motion of humerus movements and muscle strength of humerus movers.Keywords: myofascial realease, friction, ischemia.

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