Research Article
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The Effects of Muscle Energy Techniques in Over 50 Year Old Persons with Shoulder Pain

Year 2018, Volume: 1 Issue: 2, 61 - 68, 29.10.2018

Abstract

Objective: The
aim of the present study was to investigate effect of muscle energy technique
(MET) on functional level, pain, quality of life, kinesiophobia in patients
with shoulder pain who are older than 50 years of age.

Methods: A
total of 47 volunteers with shoulder pain patients participated in the study.
Patients were randomly separated into two groups 23 and 24 prior to treatment.
Standart physiotherapy program were applied to the Control Group (n=24) and
standart physiotherapy program with muscle energy technique were applied to the
MET Group (n=23). All the patients received 20 sessions of physiotherapy. The
demographic data of patients, pain severity, shoulder range of motion,
kinesiophobia, quality of life and upper extrenity functionality were evaluated
before and after physiotherapy program.

Results: Before
treatment, demographic and anthropometric characteristics were similar in
groups and there was no statistically difference between groups (p>0.05). It
was determined that pain severity decreased, range of motion, Short Form-12
(SF-12) physical and upper extremity functionality were improved after
physiotherapy in both groups (p<0.05). The between group analysis revealed
that both Control group and MET group are effective in reducing pain, improving
range of motion, SF-12 physical and upper extremity functionality.







Conclusion: It
was concluded that MET can be used safely in treatment of shoulder pain in
people who are 50 years of age. However, to adding MET in routine treatment
does not have the advantage of in terms of pain, range of motion, fear of
activity, quality of life and shoulder functional level.

References

  • 1. Dong W, Goost H, Lin X, Burger C ve ark. Treatments for shoulder syndrome. J Medicine 2015; 94: 1-17.
  • 2. Van der Heijden GJM. Shoulder disorders: a state-of-the-art review. Baillieres Best Pract Res Clin Rheumatol. 1999;13: 287–309.
  • 3. Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta analysis. J Shoulder Elbow Orthop Surg 2011;20(8): 1351-9.
  • 4. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ 2005;331: 1124-8.
  • 5. Soslowsky L, Carpenter J, Bucchieri J, Flatow E. Biomechanics of the rotator cuff. Orthop Clin North Am 1997;28: 17–30.
  • 6. Lin JC, Weintraub N, Aragaki DR. Nonsurgical treatment for rotator cuff injury in the elderly. J Am Med Dir Assoc 2008;9: 626-632.
  • 7. Walther M, Werner A, Stahlschmidt T, Woelfel R, Gohlke F. The subacromial impingement syndrome of the shoulder treated by conventional physiotherapy, self-training, and a shoulder brace: results of a prospective, randomized study. J Shoulder Elbow Surg 2004;13: 417-23.
  • 8. Chaitow L. Muscle Energy Techniques. Fourth Edition. Edinburgh, Churchill Livingstone, 2013; 1-26.
  • 9. Mitchell FL Jr, Moran PS, Pruzzo NA. An Evaluation and Treatment Manual of Osteopathic Muscle Energy Procedures. First Edition. Valley Park, Mo: Mitchell; Moran and Pruzzo Associates; 1979.
  • 10. DeStefano L. Greenman’s Principles of Manual Medicine. Fourth Edition. Philadelphia, Wolters Kluwer, 2011; 103-108.
  • 11. Nicholas AS, Nicholas EA. Atlas of Osteopathic Techniques. Second Edition. Philadelphia, Wolters Kluwer, 2012; 230-232.
  • 12. Roberts BL. Soft tissue manipulation: Neuromuscular and muscle energy techniques. J Neurosci Nurs 1997;29: 123-127.
  • 13. Roach, K. E., et al. Development of a shoulder pain and disability index. Arthritis Care Res 1991;4(4): 143-149.
  • 14. Bumin G, Tuzun EH, Tonga E. The Shoulder Pain and Disability Index (SPADI): cross-cultural adaptation, reliability, and validity of theTurkish version. J Back Musculoskelet Rehabil 2008;21: 57–62.
  • 15. Bicer A, Ankaralı H. Shoulder pain and disability index: a validation study in Turkish woman . Singapore Med J 2010;51(11): 865.
  • 16. Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain. 2000;85: 317-332.
  • 17. Yılmaz ÖT, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe vesiyonu ve test-tekrar test güvenirliği. Fizyoterapi ve Rehabilitasyon 2011;22(1): 44-49.
  • 18. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996;34: 220-33.
  • 19. Baskurt Z, Baskurt F, Gelecek N, Ozkan MH. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil 2011;24(3): 173-179
  • 20. Reddy BC, Metgud S. A randomized controlled trial to compare the effect of muscle energy technique with conventional therapy in stage 2 adhesive capsulitis. Int J Physiother Res 2014;2(3): 549-54.
  • 21. Contractor ES, Agnihotri DS, Patel RM. Effect of spencer muscle energy technique on pain and functional disability in cases of adhesive capsulitis of shoulder joint. IAIM 2016; 3(8): 126-131.
  • 22. Doner G, Guven Z. Evaluation of Mulligan’s Technique for Adhesive Capsulitis. 2012; 4: 45.

Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri

Year 2018, Volume: 1 Issue: 2, 61 - 68, 29.10.2018

Abstract

Amaç: Bu
çalışmanın amacı, omuz ağrısı olan 50 yaş üzeri bireylerde kas enerji
tekniğinin fonksiyonel düzey, ağrı, yaşam kalitesi ve akitivite korkusu üzerine
etkisini araştırmaktadır.

Gereç ve Yöntemler: Çalışmaya
toplam 47 gönüllü omuz ağrılı birey katıldı. Tedavi öncesi olgular randomize
olarak iki gruba ayrıldı. Kontrol Grubuna rutin fizyoterapi programı uygulandı.
Kas enerji tekniği (KET) Grubuna rutin fizyoterapiye ek olarak KET uygulandı.
Hastaların tümü 20 seanslık fizyoterapi programı aldı. Olguların tedavi öncesi
ve tedavi sonrası demografik bilgileri, ağrı şiddeti, omuz eklem hareket
açıklığı, aktivite korkusu, yaşam kalitesi ve omuz fonksiyonel düzeyleri
değerlendirildi.

Bulgular: Tedavi
öncesi, gruplar arasında demografik ve antropometrik özellikleri benzerdi ve
gruplar arasında fark yoktu (p>0.05). 20 seans fizyoterapi programı
sonrasında her iki grupta da tedavi öncesine göre ağrı, eklem hareket açıklığı,
Short Form (SF-12) fiziksel ve fonksiyonellik açısından anlamlı gelişme olduğu
belirlendi (p<0.05). Gruplar arası analizlerde, KET Grubu ve Kontrol Grubu
arasında değerlendirilen parametreler açısından istatistiksel olarak anlamlı
fark saptanmadı (p>0.05).







Sonuç: 50
yaş üstü omuz ağrılı bireylerde KET uygulaması güvenle kullanılabilir. Bununla
birlikte KET’in ağrı, eklem hareket açıklığı, aktivite korkusu, yaşam kalitesi
ve omuz fonksiyonel düzey açısından rutin tedaviye eklenmesinin üstünlüğü
yoktur.

References

  • 1. Dong W, Goost H, Lin X, Burger C ve ark. Treatments for shoulder syndrome. J Medicine 2015; 94: 1-17.
  • 2. Van der Heijden GJM. Shoulder disorders: a state-of-the-art review. Baillieres Best Pract Res Clin Rheumatol. 1999;13: 287–309.
  • 3. Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta analysis. J Shoulder Elbow Orthop Surg 2011;20(8): 1351-9.
  • 4. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ 2005;331: 1124-8.
  • 5. Soslowsky L, Carpenter J, Bucchieri J, Flatow E. Biomechanics of the rotator cuff. Orthop Clin North Am 1997;28: 17–30.
  • 6. Lin JC, Weintraub N, Aragaki DR. Nonsurgical treatment for rotator cuff injury in the elderly. J Am Med Dir Assoc 2008;9: 626-632.
  • 7. Walther M, Werner A, Stahlschmidt T, Woelfel R, Gohlke F. The subacromial impingement syndrome of the shoulder treated by conventional physiotherapy, self-training, and a shoulder brace: results of a prospective, randomized study. J Shoulder Elbow Surg 2004;13: 417-23.
  • 8. Chaitow L. Muscle Energy Techniques. Fourth Edition. Edinburgh, Churchill Livingstone, 2013; 1-26.
  • 9. Mitchell FL Jr, Moran PS, Pruzzo NA. An Evaluation and Treatment Manual of Osteopathic Muscle Energy Procedures. First Edition. Valley Park, Mo: Mitchell; Moran and Pruzzo Associates; 1979.
  • 10. DeStefano L. Greenman’s Principles of Manual Medicine. Fourth Edition. Philadelphia, Wolters Kluwer, 2011; 103-108.
  • 11. Nicholas AS, Nicholas EA. Atlas of Osteopathic Techniques. Second Edition. Philadelphia, Wolters Kluwer, 2012; 230-232.
  • 12. Roberts BL. Soft tissue manipulation: Neuromuscular and muscle energy techniques. J Neurosci Nurs 1997;29: 123-127.
  • 13. Roach, K. E., et al. Development of a shoulder pain and disability index. Arthritis Care Res 1991;4(4): 143-149.
  • 14. Bumin G, Tuzun EH, Tonga E. The Shoulder Pain and Disability Index (SPADI): cross-cultural adaptation, reliability, and validity of theTurkish version. J Back Musculoskelet Rehabil 2008;21: 57–62.
  • 15. Bicer A, Ankaralı H. Shoulder pain and disability index: a validation study in Turkish woman . Singapore Med J 2010;51(11): 865.
  • 16. Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain. 2000;85: 317-332.
  • 17. Yılmaz ÖT, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe vesiyonu ve test-tekrar test güvenirliği. Fizyoterapi ve Rehabilitasyon 2011;22(1): 44-49.
  • 18. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996;34: 220-33.
  • 19. Baskurt Z, Baskurt F, Gelecek N, Ozkan MH. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil 2011;24(3): 173-179
  • 20. Reddy BC, Metgud S. A randomized controlled trial to compare the effect of muscle energy technique with conventional therapy in stage 2 adhesive capsulitis. Int J Physiother Res 2014;2(3): 549-54.
  • 21. Contractor ES, Agnihotri DS, Patel RM. Effect of spencer muscle energy technique on pain and functional disability in cases of adhesive capsulitis of shoulder joint. IAIM 2016; 3(8): 126-131.
  • 22. Doner G, Guven Z. Evaluation of Mulligan’s Technique for Adhesive Capsulitis. 2012; 4: 45.
There are 22 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Articles
Authors

Nursen İlçin 0000-0003-0174-8224

Muhammed Fahri Akbaba This is me

Publication Date October 29, 2018
Submission Date August 30, 2018
Acceptance Date October 29, 2018
Published in Issue Year 2018 Volume: 1 Issue: 2

Cite

APA İlçin, N., & Akbaba, M. F. (2018). Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri. Geriatrik Bilimler Dergisi, 1(2), 61-68.
AMA İlçin N, Akbaba MF. Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri. JoGS. October 2018;1(2):61-68.
Chicago İlçin, Nursen, and Muhammed Fahri Akbaba. “Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri”. Geriatrik Bilimler Dergisi 1, no. 2 (October 2018): 61-68.
EndNote İlçin N, Akbaba MF (October 1, 2018) Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri. Geriatrik Bilimler Dergisi 1 2 61–68.
IEEE N. İlçin and M. F. Akbaba, “Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri”, JoGS, vol. 1, no. 2, pp. 61–68, 2018.
ISNAD İlçin, Nursen - Akbaba, Muhammed Fahri. “Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri”. Geriatrik Bilimler Dergisi 1/2 (October 2018), 61-68.
JAMA İlçin N, Akbaba MF. Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri. JoGS. 2018;1:61–68.
MLA İlçin, Nursen and Muhammed Fahri Akbaba. “Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri”. Geriatrik Bilimler Dergisi, vol. 1, no. 2, 2018, pp. 61-68.
Vancouver İlçin N, Akbaba MF. Omuz Ağrısı Olan 50 Yaş Üzeri Bireylerde Kas Enerji Tekniğinin Etkileri. JoGS. 2018;1(2):61-8.

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