돌림근띠 손상 수술 후 도수물리치료와 흉곽가동성 자가운동 병행이 어깨 관절가동범위 및 근력에 미치는 영향

• Published in: 대한정형도수물리치료학회지 Vol. 31; no. 2; pp. 47 - 54
• Main Authors: 이의상, 김기송
• Format: Journal Article
• Language: Korean
• Published: 대한정형도수물리치료학회 31.08.2025
• Subjects: 물리치료학; Rotator Cuff Surgery; Rounded Shoulder; Thoracic Mobility Self-Exercise; Muscle Strength; Range of Motion
• ISSN: 1226-3680; 2508-7282
• DOI: 10.23101/kaompt.2025.31.2.47

BACKGROUND: This study examined the effects of thoracic mobility self-exercise on the shoulder joint range of motion (ROM) and muscle strength recovery in patients undergoing rehabilitation after rotator cuff surgery. Postoperative use of slings often leads to rounded shoulder syndrome, potentially hindering the shoulder function during recovery. METHODS: Thirty-two patients with rotator cuff injuries (mean age: 52.06±16.74 years; BMI: 25.06±3.21 ㎏/㎡), all receiving manual therapy and presenting with rounded shoulder posture, were assigned randomly to an intervention group (n=16) or a control group (n=16). Both groups received manual therapy twice weekly for 30 minutes. The intervention group performed thoracic mobility self-exercises twice daily for 10 minutes. The shoulder ROM and muscle strength were measured before and after the intervention. Independent t-tests were used to compare baseline characteristics and between-group differences in outcome changes, while paired t-tests were used to analyze within-group pre-post differences. The statistical significance was set at α=.05. RESULTS: Both groups showed significant improvements in shoulder ROM and muscle strength after the intervention (p<.05). In terms of ROM, external rotation showed a significantly greater increase in the intervention group compared to the control group (p<.05), whereas flexion and abduction revealed no significant between-group differences. Regarding muscle strength, the intervention group demonstrated significantly greater improvements in all movement directions compared to the control group (p<.05). CONCLUSION: Thoracic mobility self-exercise, when combined with manual therapy, may function as an effective adjunct intervention during early rehabilitation following rotator cuff repair, particularly in improving shoulder strength and external rotation range of motion.