Does Adapted Self-Exercise Have Benefits for Stiff Shoulders?

Authors

  • Kriangkrai Benjawongsathien, MD Department of Orthopaedics, Nopparat Rajathanee Hospital, Bangkok, Thailand

DOI:

https://doi.org/10.56929/jseaortho-2024-0211

Keywords:

Stiff shoulder, Adhesive capsulitis, Frozen shoulder, Sleeper stretch

Abstract

Purpose: Stiff shoulders restrict shoulder motion and affect the quality of life. Several rehabilitation programs have been implemented to improve these conditions. Various exercises have been designed to achieve positive clinical outcomes. However, too many different sets of exercises can confuse patients and lead to infrequent exercises.

We aimed to compare the clinical outcomes of a small set of adapted self-exercises to a usual set in patients with stiff shoulders.

Methods: Seventy patients with stiff shoulders were randomly assigned to two groups, each performing self-exercises. Self-exercise in group I (the usual set) was composed of ‘wall climbing in front,’ ‘wall climbing at the side,’ and ‘shoulder stretching with a towel,’ and in group II (the adapted set), it was composed of ‘assisted forward flexion stretching in the standing position,’ ‘sleeper stretching in the standing position,’ and ‘doorway or corner stretching.’ The outcome measurements included pain score, functional score, and range of motion.

Results: There were no significant differences in the baseline patient characteristics between the groups in terms of sex (p=0.759), age (p=0.521), underlying disease (p=0.322), or body mass index (BMI) (p=0.687). Group II demonstrated significantly higher improvement in mean pain score decrement (-4.5±1.7 vs. -3.5±2.4, p=0.049), mean ASES score improvement (23.1±9.9 vs. 18.3±13.1, p=0.038) and mean degree improvement of shoulder motion in all directions than in group I.

Conclusions: The adapted self-exercise set may offer favorable results in treating patients with stiff shoulders and may also be a treatment option for overweight patients.

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References

Barbosa F, Swamy G, Salem H, et al. Chronic adhesive capsulitis (Frozen shoulder): Comparative outcomes of treatment in patients with diabetes and obesity. J Clin Orthop Trauma 2019;10:265-8. DOI: https://doi.org/10.1016/j.jcot.2018.02.015

Brue S, Valentin A, Forssblad M, et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg Sports Traumatol Arthrosc 2007;15:1048-54. DOI: https://doi.org/10.1007/s00167-007-0291-2

Çelik D, Kaya Mutlu E. Does adding mobilization to stretching improve outcomes for people with frozen shoulder? A randomized controlled clinical trial. Clin Rehabil 2016;30:786-94. DOI: https://doi.org/10.1177/0269215515597294

Chidambaram R., Muruganandam P., Bhandure K.S. The efficacy of sleeper’s stretch and movement with mobilization on pain, range of motion & functional capacity in patients with adhesive capsulitis. Indian J Physiother Occup Ther 2020;14:149-55.

Diercks RL, Stevens M. Gentle thawing of the frozen shoulder: A prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. J Shoulder Elbow Surg 2004;13:499-502. DOI: https://doi.org/10.1016/j.jse.2004.03.002

Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther 1987;67:1867-72. DOI: https://doi.org/10.1093/ptj/67.12.1867

Kelley MJ, McClure PW, Leggin BG. Frozen shoulder: evidence and a proposed model guiding rehabilitation. J Orthop Sports Phys Ther 2009;39:135-48. DOI: https://doi.org/10.2519/jospt.2009.2916

Laudner KG, Sipes RC, Wilson JT. The Acute effect of sleeper stretch on shoulder range of motion. J Athl Train 2008;43;359-63. DOI: https://doi.org/10.4085/1062-6050-43.4.359

Lee SH, Yoon C, Chung SG, et al. Measurement of shoulder range of motion in patients with adhesive capsulitis using a Kinect. PLoS One 2015;10:e0129398. DOI: https://doi.org/10.1371/journal.pone.0129398

Lim JU, Lee JH, Kim JS, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. Int J Chron Obstruct Pulmon Dis 2017;12:2465-75. DOI: https://doi.org/10.2147/COPD.S141295

Matsen FA, Harryman DT, Lippitt SB, et al. Practical evaluation and management of the shoulder. 1st ed. London, England: W B Saunders; 1994. p.45-50.

Page MJ, Green S, Kramer S, et al. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev 2014;(8):CD011275. DOI: https://doi.org/10.1002/14651858.CD011275

Page P, Labbe A. Adhesive capsulitis: use the evidence to integrate your interventions. N Am J Sports Phys Ther 2010;5:266-73.

Porramatikul M. Reliability of the American shoulder and elbow surgeons standardized shoulder assessment form (Thai version) for the evaluation of shoulder pain. Vajira Med J 2015;56:141-7.

Saheb SR, Apparao P. A comparison between crossbody stretch versus sleeper stretch in periarthritis of shoulder. Int J Physiother 2015;2:1019-26. DOI: https://doi.org/10.15621/ijphy/2015/v2i6/80763

Sule K, Rathi M, Palekar TJ, et al. Comparison of conventional therapy versus Sleeper stretch with conventional therapy in adhesive capsulitis. Int J Health Sci Res 2015;5:186-92.

Tanaka K, Saura R, Takahashi N, et al. Joint mobilization versus self-exercises for limited glenohumeral joint mobility: randomized controlled study of management of rehabilitation. Clin Rheumatol 2010;29:1439-44. DOI: https://doi.org/10.1007/s10067-010-1525-0

Verma M, Rajput M, Kishore K, et al. Asian BMI criteria are better than WHO criteria in predicting Hypertension: A cross-sectional study from rural India. J Family Med Prim Care 2019;8:2095-100. DOI: https://doi.org/10.4103/jfmpc.jfmpc_257_19

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Published

2024-03-22

How to Cite

1.
Benjawongsathien K. Does Adapted Self-Exercise Have Benefits for Stiff Shoulders?. JseaOrtho [Internet]. 2024 Mar. 22 [cited 2024 Jul. 15];48(2):3-10. Available from: https://www.jseaortho.org/index.php/jsao/article/view/211

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