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Effects of Different Types of Contraction Exercises on Shoulder Function and Muscle Strength in Patients with Adhesive Capsulitis

Won-Moon Kim, Yong-Gon Seo, Yun-Jin Park, Han-Su Cho, Su-Ah Lee, Sang-Jun Jeon and Sang-Min Ji
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Won-Moon Kim: Department of Sports Science, Dongguk University, Gyeongju-si 38066, Korea
Yong-Gon Seo: Samsung Medical Center, Department of Orthopedic Surgery, Division of Sports Medicine, Seoul 06351, Korea
Yun-Jin Park: Department of Health Rehabilitation, Osan University, Osan-si 18119, Korea
Han-Su Cho: Sports Medicine Center, Sunsoochon Hospital, Seoul 05556, Korea
Su-Ah Lee: Department of Sports Science, Hanyang University, Ansan-si 15588, Korea
Sang-Jun Jeon: Parc Athletic Training Center, Gwangju-si 12767, Korea
Sang-Min Ji: Parc Athletic Training Center, Gwangju-si 12767, Korea

IJERPH, 2021, vol. 18, issue 24, 1-11

Abstract: Although several studies have reported the effect of exercise therapy for adhesive capsulitis (AC), studies on the comparison of different exercise types on shoulder muscle strength and function in patients with AC are lacking. This study aimed to investigate the effect of different exercise types on shoulder muscle strength and function in patients with AC. Thirty female patients with AC were categorized into an eccentric contraction exercise group (ECG, n = 15; age, 51.53 ± 4.73 years) and a concentric contraction exercise group (CCG, n = 15; age, 52.40 ± 4.03 years). The participants in each group performed a different exercise program three times per week for 60 min per session for 12 weeks. The range of motion (ROM) of the shoulder joint, visual analog scale, shoulder muscle strength, and Constant–Murley score (CMS) were measured before the intervention and after 12 weeks of the exercise intervention. Shoulder ROM in flexion (increase of 31%) and external rotation (ER) (increase of 54%) showed a significant improvement in the ECG ( p < 0.05). Muscle strength in ER was significantly different between the two groups ( p < 0.05). Pain severity showed improvement in the ECG (decrease of 61%) after the intervention ( p < 0.01). The CMS in the ECG (increase of 48%) showed a greater improvement than that in the CCG after the intervention ( p < 0.01). This study showed that eccentric contraction exercise had a more beneficial effect than concentric contraction exercise for improving shoulder muscle strength and function in females with AC.

Keywords: shoulder adhesive capsulitis; muscle contraction; exercise therapy; muscle strength; recovery of function (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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