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Journal of Ilam University of Medical Sciences 2021, 29(6): 1-10 Back to browse issues page
Comparison of the Effect of Codman Exercises and Scapular Rhythm on Pain and External Rotation of Shoulder in Women with Frozen Shoulder Syndrome
Zahra Sokhtezari1 , Narmin Ghanizade * 2, Mehri Mohammadi Dangheralo1, Sajad Roshani1
1- Dept of Exercise Physiology, Faculty of Sports Sciences, Urmia University, Urmia, Iran
2- Dept of Exercise Physiology, Faculty of Sports Sciences, Urmia University, Urmia, Iran , n_hesar@yahoo.com
Abstract:   (1752 Views)
Introduction: Frozen shoulder syndrome (FSS) is a common shoulder disease that causes pain and has progressive loss of shoulder motion. Codman's pendulum exercises are commonly prescribed after a shoulder injury to provide early joint mobilization, increase the flow of nutrients into the joint space, and decrease pain. This study aimed to compare the effect of Cadman's exercises and scapular rhythm on pain and external rotation of the shoulder in women with FSS.
Material & Methods: This quasi-experimental study purposefully selected 30 women with FSS with an age range of 40 to 60 years. They were then randomly divided into two equal groups to perform Cadman's and scapular rhythm exercises. Both groups performed their exercises for eight weeks, three sessions per week (30-40 min per session). The nature of Cadman's exercises was pendulum and aimed at creating initial mobility in the glenohumeral joint. The scapular rhythm exercises aimed at affecting the balance of the scapular muscles and scapulohumeral rhythm. Before and after the training intervention, the amount of shoulder pain and the range of external rotation of the shoulder were assessed using the visual analog scale and a goniometer.
(Ethic code: IR.SSRC.REC.1400.029)
Findings: The results related to the pain variable showed a significant difference between the two training programs; accordingly, the scapular rhythm program was better in reducing pain than the Cadman's exercises (P=0.001). Furthermore, the motion range of the external rotation of the glenohumeral joint in the scapular rhythm program was shown to be better than that in Cadman's exercises (P=0.006).
Discussion & Conclusion: Considering the effectiveness of both training programs, it can be said that the scapular rhythm training program has been better in improving the pain and motion range of the external shoulder rotation of women with FSS, and it is suggested that these exercises be included in the treatment process of these patients.
 
Keywords: Adhesive capsulitis, Cadman exercises, Frozen shoulder, Scapular rhythm
Full-Text [PDF 480 kb]   (378 Downloads)    
Type of Study: Research | Subject: Physical Education
Received: 2021/05/25 | Accepted: 2021/08/15 | Published: 2022/02/4
References
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17. Smith, J, Kotajarvi BR., Padgett DJ, Eischen JJ. Effect of scapular protraction and retraction on isometric shoulder elevation strength. Arch Phys Med Rehabil2002; 83: 367-70. doi.10.1053/apmr.2002.29666
18. Roshani S, Yousefi M, Sokhtezari Z, Khalilkhodaparast M. The effect of a corrective exercise program on upper crossed syndrome in a blind person. J Rehabil Sci Res2019;6148-52. doi.10.30476/JRSR.2019.83417.1044.
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21. Kanai Shigeyuki, Taniguchi N, Kawamoto M. Effect of static magnetic field on pain associated with frozen shoulder. Pain Clin2004;16:173-9. doi.10.1163/156856904774134389
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23. Yang JL, Chang CW, Chen SY, Lin JJ. Shoulder kinematic features in the predictin of response to physical therapy in patients with frozen shoulder syndrome. J Biomecham2007;2: 40. doi.10.1016/j.math.2007.07.006
24. Boruah L, Dutta A, Deka P, Roy J. To study the effect of scapular mobilization versus mobilization with movement to reduce pain and improve glenohumeral range of motion in adhesive capsulitis of shoulder a comparative study. Int J Physiother2015; 1;2:811-8.doi:10.15621/ijphy/2015/v2i5/78239
25. Melzer C, Hoffmann S, Wallny T, Wirth CJ. Frozen shoulder treatment and results. Arch Orthop trauma Surg1995 ;114:87-91. doi.10.1007/BF00422832
26. Challoumas D, Biddle M, Mclean M, Millar NL. Comparison of treatments for frozen shoulder a systematic review and meta analysis. JAMA Net Open2020;3:2029581. doi: 10.1001/jamanetwork open.2020.29581
27. Davies C. Frozen shoulder workbook trigger point therapy for overcoming pain regaining range of motion.1th ed. New Harbinger Publications. 2006; P.121-9.
28. Ng CY, Amin AK, Narborough S, Mcmullan L, Cook R, Brenkel IJ. Manupulation under anesthesia and early physiotherapy facilitate recovery of patient with frozen shoulder syndrome. Scot Med J 2009; 54; 29-31. doi.10.1258/rsmsmj.54.1.29
29. Flannery O, Mullett H, Colville J. Adhesive shoulder capsulitis does the timing of manipulation influence outcome? Acta Orthop Belg 2007; 73: 21-5.
30. Kelley MJ, Mcclure PW, Leggin BG. Frozen shoulder evidence and a proposed model guiding rehabilitation. J Orthop Sport Phys Ther 2009; 39: 135-48. doi.10.2519/jospt.2009.2916
31. Cohen C, Ejnisman B. Epidemiology of frozen shoulder. 2th ed. Springer Berlin Heidelberg Publication.2015; P.21-30
32. Zreik NH, Malik RA, Charalambous CP. Adhesive capsulitis of the shoulder and diabetes a meta analysis of prevalence. Mus Lig Ten J 2016; 6:26-7. doi.10.11138/mltj/2016.6.1.026
33. Codman EA. Normal motions of the shoulder joint. Boston Thomas Tod Publication.1934; P.32-64.
34. Simpson J K, Budge R. Treatment of frozen shoulder using distension arthrography hydrodi-latation a case series. Australas Chiropr Osteopath 2004; 12: 25-7
35. Suarezsanabria N, Osoriopatino AM. Biomecanica del hombro y bases fisiologicas de los ejercicios de Codman. Ces Med 2013; 27:205-17. doi.org/10.21615/cesmedicina
36. Rowshani S, Moghaddasi A, Abbasi M, Abdolmohammadi A, Ahanjan S. [The effect of 4weeks rehabilitation program on range of motion]. Iran J Age 2010; 5: 15-25. (Persian)
37. Struyf F, Meeus M. Current evidence on physical therapy in patients with adhesive capsulitis: what are we missing? Clin Rheumatol 2014;33:593-600. doi.10.1007/s10067-013-2464-3
38. Clewley D, Flynn TW, Koppenhaver S. Trigger point dry needling as an adjunct treatment for a patient with adhesive capsulitis of the shoulder. J Orthop Sport Phys Ther 2014;44:92-101. doi.10.2519/jospt.2014.4915
39. Schneebeli A, Egloff M, Giampietro A, Clijsen R, Barbero M. Rehabilitative ultrasound imaging of the supraspinatus muscle intra and interrater reliability of thickness and cross sectional area. J Bod Move Ther 2014;18:266-72. doi.10.1016/j.jbmt.2013.09.009
40. Pandey V, Madi S. Clinical guidelines in the management of frozen shoulder an update. Indian J Orthop2021; 3:1.doi:10.1007/s43465-021-00351-3
41. Allander E. Prevalence incidence and remission rates of some common rheumatic diseases or syndromes. Scand J Rheumatol1974; 3:145-53. doi.10.3109/03009747409097141
42. Ludewig PM, Reynolds J E. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sport Phys Ther2009; 39: 90-104. doi:10.2519/jospt.2009.28.8
43. Kotteeswaran, K, Rekha K, Anandh V. Effect of stretching and strengthening shoulder muscles in protracted shoulder in healthy individuals. Int J Comput Appl2012; 2:111-8.
44. Smith, J, Kotajarvi BR., Padgett DJ, Eischen JJ. Effect of scapular protraction and retraction on isometric shoulder elevation strength. Arch Phys Med Rehabil2002; 83: 367-70. doi.10.1053/apmr.2002.29666
45. Roshani S, Yousefi M, Sokhtezari Z, Khalilkhodaparast M. The effect of a corrective exercise program on upper crossed syndrome in a blind person. J Rehabil Sci Res2019;6148-52. doi.10.30476/JRSR.2019.83417.1044.
46. Sahrmann S. Movement system impairment syndromes of the extremities cervical and thoracic spines. Els Health Sci 2010; 4:26-37.
47. Celik D. Comparison of the outcomes of two different exercise programs on frozen shoulder. Acta Orthop Traum Tur2010;44:285-92. doi.10.3944/aott.2010.2367
48. Kanai Shigeyuki, Taniguchi N, Kawamoto M. Effect of static magnetic field on pain associated with frozen shoulder. Pain Clin2004;16:173-9. doi.10.1163/156856904774134389
49. Clark M, Lucett S, editors. NASM essentials of corrective exercise training. Lip Williams Wilkins Publication. 2010;P.121-6.
50. Yang JL, Chang CW, Chen SY, Lin JJ. Shoulder kinematic features in the predictin of response to physical therapy in patients with frozen shoulder syndrome. J Biomecham2007;2: 40. doi.10.1016/j.math.2007.07.006
51. Boruah L, Dutta A, Deka P, Roy J. To study the effect of scapular mobilization versus mobilization with movement to reduce pain and improve glenohumeral range of motion in adhesive capsulitis of shoulder a comparative study. Int J Physiother2015; 1;2:811-8.doi:10.15621/ijphy/2015/v2i5/78239
52. Melzer C, Hoffmann S, Wallny T, Wirth CJ. Frozen shoulder treatment and results. Arch Orthop trauma Surg1995 ;114:87-91. doi.10.1007/BF00422832
53. Challoumas D, Biddle M, Mclean M, Millar NL. Comparison of treatments for frozen shoulder a systematic review and meta analysis. JAMA Net Open2020;3:2029581. doi: 10.1001/jamanetwork open.2020.29581
54. Davies C. Frozen shoulder workbook trigger point therapy for overcoming pain regaining range of motion.1th ed. New Harbinger Publications. 2006; P.121-9.
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Sokhtezari Z, Ghanizade N, Mohammadi Dangheralo M, Roshani S. Comparison of the Effect of Codman Exercises and Scapular Rhythm on Pain and External Rotation of Shoulder in Women with Frozen Shoulder Syndrome. sjimu 2021; 29 (6) :1-10
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Volume 29, Issue 6 (12-2021) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
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