학술지
| 발행연도 | 2026/03/31 | ||
|---|---|---|---|
| 권 | 14 | 호 | 1 |
| 페이지 | 47-53(7) | ||
| 제목 | Comparative Effects of Manual Physical Therapy and Manual Physical Therapy Combined with Home Exercises for Thoracic Mobility on Range of Motion, Respiratory Function, and Health-Related Quality of Life Following Shoulder Surgery | ||
| 저자 | ■ Myung-Jin Ko1, Eui-Yong Chung1, Ki-Song Kim2, 3* | ||
| 교신저자 | 김기송 | ||
| 소속 | ■1Department of Physical Therapy, Graduate school, Hoseo University 2Department of Physical Therapy, Coolege of Biohealth Sciences, Hoseo University 3*Smart Healthcare Convergence Research Center, Hoseo University | ||
| Abstract | This study aimed to investigate the effects of manual physical therapy and manual physical therapy combined with home exercises for thoracic mobility on shoulder joint range of motion, respiratory function, and quality of life in patients following surgical repair of rotator cuff tears. Methods: Thirty-two participants who underwent rotator cuff repair were randomly allocated to either the manual physical therapy combined with home exercises for thoracic mobility group or the manual physical therapy group. Interventions were administered twice per week for eight weeks. Shoulder range of motion was assessed with a goniometer, respiratory function was evaluated using a spirometer (forced vital capacity, forced expiratory volume in one second, and peak expiratory flow), and quality of life was assessed using the short form-36. Data were collected at baseline, the 4th week, and the 8th week. Statistical analyses were performed using two-way repeated-measures ANOVA, and the significance level was set at α=0.05. Results: Both groups demonstrated significant improvements in shoulder range of motion, respiratory function, and quality of life over time(p<.001). Significant group × time interactions were observed for shoulder flexion(p=.007), FVC(p=.002), FEV₁ (p=.002), and PEF(p=.002), indicating greater improvements in the manual physical therapy combined with home exercises for thoracic mobility group compared with the manual physical therapy group. No significant interaction effects were found for abduction, external rotation, or short form-36 scores, suggesting similar improvements across both groups in these outcomes. Conclusion: Manual physical therapy, either with or without home exercises for thoracic mobility, effectively improved shoulder mobility, respiratory function, and quality of life in post-surgical patients. The addition of home exercises for thoracic mobility provided specific benefits for shoulder flexion and respiratory function, supporting their inclusion in comprehensive rehabilitation protocols. | ||
| 키워드 | Exercise therapy, Physical therapy modalities, Quality of life, Range of motion, Respiratory function | ||
| 첨부파일 #1 | 07_Myung-Jin_Ko,_Eui-Yong_Chung,_Ki-Song_Kim(47-53).pdf | ||