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Investigation of the Effects of Video Games-Based Exercise Training on Subacromial Impingement Syndrome

Yıl 2021, Cilt: 18 Sayı: 2, 262 - 268, 27.08.2021
https://doi.org/10.35440/hutfd.860891

Öz

Background: The aim of our study was to investigate the effectiveness of video games-based exercise training in addition to conservative physiotherapy in terms of pain, functionality and joint position sense in patients with subacromial impingement syndrome.
Materials and Methods: We included patients with subacromial impingement syndrome between 40-65 years of age in Stage II and III classification according to Neer. Fifty patients included in our study were randomly divided into two groups. Conservative physiotherapy plus video games-based exercise training was applied to the first group (n=25), while only conservative physioterapy was applied to the second group (n=25). Both groups were treated for 20 sessions. Pre and post-treatment pain, range of motion, painful arc, muscle strength, joint position sense, and functionality were evaluated.
Results: In both groups, pain intensity and painful arc values were decreased, range of motion and muscle strength values were increased, joint position sense deviations decreased, functional level and quality of life were improved (p<0.05). There were no difference in terms of range of motion, muscle strength (flexion, extension, abduction, internal rotation, external rotation), painful arc, functionality scores (p>0.05). There were significant differences between groups in terms of pain, horizontal adduction muscle strength, joint position sense (p<0.05).
Conclusion: The results of our study showed that the video games-based exercise training plus conservative physiotherapy was more effective in terms of reducing pain, increasing joint position sense and increasing the level of functionality than only conservative physiotherapy. Therefore, we think that patients’ treatment should be supported by video games-based exercise training.

Key Words: Subacromial impingement syndrome, Exercise, Technologic rehabilitation, Pain, Joint position sense

Kaynakça

  • 1. Akman S, Küçükkaya M. Subacromial impingement syndrome: pathogenesis,clinical features and examination methods. Acta Orthop Traumatol Turc. 2003;37(1):27–34.
  • 2. Özsoy MH, Fakıoğlu O, Aydoğan NH. Subakromiyal sıkışma sendromu. TOTBİD Dergisi. 2013;340–52.
  • 3. Botanlıoğlu H, Kesmezacar H, Erginer R, Babacan M. Omuz sıkışma sendromunun konservatif tedavisi. Gulhane Med J. 2006;(48):208-14.
  • 4. Desmeules F, Côté CH, Frémont P. Therapeutic exercise and orthopedic manual therapy for impingement syndrome: A systematic Review. Clin J Sport Med. 2003;13(3):176-82.
  • 5. Faber E, Kuiper JI, Burdorf A, Miedema HS, Verhaar JA. Treatment of impingement syndrome: a systematic review of the effects on functional limitations and return to work. J Occup Rehabil. 2006;16(1):7-25.
  • 6. Çolak O, Yüksel H, Sunguray C, Gümüş R. Uzaktan Kontrollü İnsan Makine Arayüz Uygulamasıyla Yeni Bir Eğitim Platformu. Tek Bil Der. 2013;3(5):1-5.
  • 7. Düzgün İ, Şimşek İE, Yakut Y, Baltacı G, Uygur F. Sağlıklı bireylerde açı tekrarlama testi ile omuz pozisyon hissinin değerlendirilmesi: bir pilot çalışma. Turk J Physiother Rehabil . 2011;22(3):240-44.
  • 8. Balke M, Liem D, Dedy N. The laser-pointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Arch Orthop Trauma Surg. 2011;131:1077-84.
  • 9. Dong W, Goost H, Lin XB, Burger C, Paul C, Wang ZL, et al. Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis. Medicine (Baltimore). 2015;94(10):1-17.
  • 10. Baltacı G, Beşler A, Bayrakçı TV, Ergun N. Omuz sıkışma sendromunun konservatif tedavisinde manipulatif yöntemlerin etkisi. Jt Dis Relat Surg. 2002;(1):27-33.
  • 11. Vallés-Carrascosa E, Gallego-Izquierdo T, Jiménez-Rejano JJ, Plaza-Manzano G, Pecos-Martín D, Hita-Contreras F, et al. Pain, motion and function comparison of two exercise protocols for the rotator cuff and scapular stabilizers in patients with subacromial syndrome. J Hand Ther. 2018;31(2):227-37.
  • 12. Pekyavas N, Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect. Acta Orthop Traumatol Turc. 2017;51(3): 238–42.
  • 13. Lewis JS, Green A, Wright C. Subacromial impingement syndrome: The role of posture and muscle imbalance. J Shoulder Elbow Surg. 2005;(14): 385-92.
  • 14. Rosa DP, Borstad JD, Pogetti LS, Camargo PR. Effects of a stretching protocol for the pectoralis minor on muscle length, function, and scapular kinematics in individuals with and without shoulder pain. J Hand Ther. 2017;30(1):20-29.
  • 15. McClure P, Balaicuis J, Heiland D, Broersma ME, Thomdike CK, Wood A. A randomized controlled comparison of stretching procedures for posterior shoulder thightness. J Orthop Sports Phys Ther. 2007;7(3):108-14.
  • 16. Camargo PR, Haik MN, Ludewig PM, Filho RB, Mattiello-Rosa SM, Salvini TF. Effects of strengthening and stretching exercises applied during working hours on pain and physical impairment in workers with subacromial impingement syndrome. Physiother Theory Pract. 2009;25(7):463-75.
  • 17. Hanratty CE, McVeigh JG, Kerr DP, Basford JR, Finch MB, Pendleton A, et al. The effectiveness of physiotherapy exercises in subacromial ımpingement syndrome: a systematic review and meta-analysis. Seminars in Arthritis and Rheumatism. 2012;42(3):297-316.
  • 18. Şahin E, Dilek B, Baydar M, Gündoğdu M, Ergin B, Manisali M, et al. Shoulder proprioception in patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil. 2017;30(4):857–62.
  • 19. Jerosch J, Wüstner P. Effect of a sensorimotor training program on patients with subacromial pain syndrome. Unfallchirurg. 2002;36-43.
  • 20. Haik MN, Camargo PR, Zanca GG, Alburquerque-Sendín F, Salvini TF, Mattiello-Rosa SM. Joint position sense is not altered during shoulder medial and lateral rotations in female assembly line workers with shoulder impingement syndrome. Physiother Theory Pract. 2012;29(1):41-50.
  • 21. Rizzo JR, Thai P, Li EJ, Tung T, Hudson TE, Herrera J, Raghavan P. Structured Wii protocol for rehabilitation of shoulder impingement syndrome. A pilot study. Ann Phys Rehabil Med. 2017;60(6):363–70.
  • 22. Viglialoro RM, Condino S, Turini G, Carbone M, Ferrari V, Gesi M. Review of the augmented reality systems for shoulder rehabilitation. Information. 2019;10(5):154.

Subakromiyal Sıkışma Sendromunda Video Oyunları Tabanlı Egzersiz Eğitiminin Etkilerinin İncelenmesi

Yıl 2021, Cilt: 18 Sayı: 2, 262 - 268, 27.08.2021
https://doi.org/10.35440/hutfd.860891

Öz

Amaç: Bu çalışmanın amacı, subakromiyal sıkışma sendromu (SSS) tanılı hastalarda konservatif fizyoterapi (KF) ile birlikte uygulanan video oyunları tabanlı egzersiz eğitiminin (VOTEE) ağrı, fonksiyonellik ve eklem pozisyon hissi üzerine etkilerini araştırmaktır. Materyal ve Metod: Çalışmamıza SSS tanılı 40-65 yaş arasındaki Neer evrelemesine göre Evre II ve Evre III sınıflamasına dahil olan olgular alındı. Çalışmamıza dahil edilen 50 hasta randomize olarak iki gruba ayrıldı. İlk gruba (n=25) KF ve VOTEE, ikinci gruba (n=25) sadece KF uygulandı. Her iki grup da 20 seans tedaviye alındı. Olgular tedavi öncesi ve tedavi sonrası ağrı (Vizüel Analog Skala), eklem hareket açıklığı (EHA) ve ağrılı ark (gonyometre), kas kuvveti (dinamometre), eklem pozisyon hissi (lazer imleç yardımlı açı tekrarlama testi), fonksiyonellik (DASH ve SPADI) açısından değerlendirildi. Bulgular: Her iki grupta da ağrı şiddetinde ve ağrılı ark değerlerinde azalma, eklem hareket açıklığı ve kas kuvveti değerlerinde artış, eklem pozisyon hissi deviasyonlarında azalma ve fonksiyonellik düzeyinde artış görüldü (p<0.05). EHA değerleri, kas kuvveti (fleksiyon, ekstansiyon, abduksiyon, internal rotasyon, eksternal rotasyon), ağrılı ark değeri, DASH puanı, SPADI ağrı parametresi açısından gruplararası fark bulunmadı (p>0.05). Ağrı, horizontal adduksiyon kas kuvveti, eklem pozisyon hissi, SPADI disabilite ve SPADI toplam parametresinde fark bulundu (p<0.05). Sonuç: Çalışmamızın sonucunda KF ile birlikte uygulanan VOTEE’nin, sadece KF uygulamasına göre ağrının azalması, eklem pozisyon hissinde artış ve fonksiyonellik düzeyinde artış sağladığı belirlendi. Bu nedenle, SSS’li hastalarda uygulanan KF’nin VOTEE ile desteklenebileceği düşünmekteyiz.

Kaynakça

  • 1. Akman S, Küçükkaya M. Subacromial impingement syndrome: pathogenesis,clinical features and examination methods. Acta Orthop Traumatol Turc. 2003;37(1):27–34.
  • 2. Özsoy MH, Fakıoğlu O, Aydoğan NH. Subakromiyal sıkışma sendromu. TOTBİD Dergisi. 2013;340–52.
  • 3. Botanlıoğlu H, Kesmezacar H, Erginer R, Babacan M. Omuz sıkışma sendromunun konservatif tedavisi. Gulhane Med J. 2006;(48):208-14.
  • 4. Desmeules F, Côté CH, Frémont P. Therapeutic exercise and orthopedic manual therapy for impingement syndrome: A systematic Review. Clin J Sport Med. 2003;13(3):176-82.
  • 5. Faber E, Kuiper JI, Burdorf A, Miedema HS, Verhaar JA. Treatment of impingement syndrome: a systematic review of the effects on functional limitations and return to work. J Occup Rehabil. 2006;16(1):7-25.
  • 6. Çolak O, Yüksel H, Sunguray C, Gümüş R. Uzaktan Kontrollü İnsan Makine Arayüz Uygulamasıyla Yeni Bir Eğitim Platformu. Tek Bil Der. 2013;3(5):1-5.
  • 7. Düzgün İ, Şimşek İE, Yakut Y, Baltacı G, Uygur F. Sağlıklı bireylerde açı tekrarlama testi ile omuz pozisyon hissinin değerlendirilmesi: bir pilot çalışma. Turk J Physiother Rehabil . 2011;22(3):240-44.
  • 8. Balke M, Liem D, Dedy N. The laser-pointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Arch Orthop Trauma Surg. 2011;131:1077-84.
  • 9. Dong W, Goost H, Lin XB, Burger C, Paul C, Wang ZL, et al. Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis. Medicine (Baltimore). 2015;94(10):1-17.
  • 10. Baltacı G, Beşler A, Bayrakçı TV, Ergun N. Omuz sıkışma sendromunun konservatif tedavisinde manipulatif yöntemlerin etkisi. Jt Dis Relat Surg. 2002;(1):27-33.
  • 11. Vallés-Carrascosa E, Gallego-Izquierdo T, Jiménez-Rejano JJ, Plaza-Manzano G, Pecos-Martín D, Hita-Contreras F, et al. Pain, motion and function comparison of two exercise protocols for the rotator cuff and scapular stabilizers in patients with subacromial syndrome. J Hand Ther. 2018;31(2):227-37.
  • 12. Pekyavas N, Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect. Acta Orthop Traumatol Turc. 2017;51(3): 238–42.
  • 13. Lewis JS, Green A, Wright C. Subacromial impingement syndrome: The role of posture and muscle imbalance. J Shoulder Elbow Surg. 2005;(14): 385-92.
  • 14. Rosa DP, Borstad JD, Pogetti LS, Camargo PR. Effects of a stretching protocol for the pectoralis minor on muscle length, function, and scapular kinematics in individuals with and without shoulder pain. J Hand Ther. 2017;30(1):20-29.
  • 15. McClure P, Balaicuis J, Heiland D, Broersma ME, Thomdike CK, Wood A. A randomized controlled comparison of stretching procedures for posterior shoulder thightness. J Orthop Sports Phys Ther. 2007;7(3):108-14.
  • 16. Camargo PR, Haik MN, Ludewig PM, Filho RB, Mattiello-Rosa SM, Salvini TF. Effects of strengthening and stretching exercises applied during working hours on pain and physical impairment in workers with subacromial impingement syndrome. Physiother Theory Pract. 2009;25(7):463-75.
  • 17. Hanratty CE, McVeigh JG, Kerr DP, Basford JR, Finch MB, Pendleton A, et al. The effectiveness of physiotherapy exercises in subacromial ımpingement syndrome: a systematic review and meta-analysis. Seminars in Arthritis and Rheumatism. 2012;42(3):297-316.
  • 18. Şahin E, Dilek B, Baydar M, Gündoğdu M, Ergin B, Manisali M, et al. Shoulder proprioception in patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil. 2017;30(4):857–62.
  • 19. Jerosch J, Wüstner P. Effect of a sensorimotor training program on patients with subacromial pain syndrome. Unfallchirurg. 2002;36-43.
  • 20. Haik MN, Camargo PR, Zanca GG, Alburquerque-Sendín F, Salvini TF, Mattiello-Rosa SM. Joint position sense is not altered during shoulder medial and lateral rotations in female assembly line workers with shoulder impingement syndrome. Physiother Theory Pract. 2012;29(1):41-50.
  • 21. Rizzo JR, Thai P, Li EJ, Tung T, Hudson TE, Herrera J, Raghavan P. Structured Wii protocol for rehabilitation of shoulder impingement syndrome. A pilot study. Ann Phys Rehabil Med. 2017;60(6):363–70.
  • 22. Viglialoro RM, Condino S, Turini G, Carbone M, Ferrari V, Gesi M. Review of the augmented reality systems for shoulder rehabilitation. Information. 2019;10(5):154.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Begümhan Turhan 0000-0003-0842-2059

Hilal Aslan 0000-0003-3645-1439

Yayımlanma Tarihi 27 Ağustos 2021
Gönderilme Tarihi 14 Ocak 2021
Kabul Tarihi 21 Haziran 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 18 Sayı: 2

Kaynak Göster

Vancouver Turhan B, Aslan H. Subakromiyal Sıkışma Sendromunda Video Oyunları Tabanlı Egzersiz Eğitiminin Etkilerinin İncelenmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2021;18(2):262-8.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty