Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect

Nihan Ozunlu Pekyavas, Nevin Ergun, Nihan Ozunlu Pekyavas, Nevin Ergun

Abstract

Objective: The aim of this study was to compare the short term effects of home exercise program and virtual reality exergaming in patients with subacromial impingement syndrome (SAIS).

Methods: A total of 30 patients with SAIS were randomized into two groups which are Home Exercise Program (EX Group) (mean age: 40.6 ± 11.7 years) and Virtual Reality Exergaming Program (WII Group) (mean age: 40.33 ± 13.2 years). Subjects were assessed at the first session, at the end of the treatment (6 weeks) and at 1 month follow-up. The groups were assessed and compared with Visual Analogue Scale (based on rest, activity and night pain), Neer and Hawkins Tests, Scapular Retraction Test (SRT), Scapular Assistance Test (SAT), Lateral Scapular Slide Test (LSST) and shoulder disability (Shoulder Pain and Disability Index (SPADI)).

Results: Intensity of pain was significantly decreased in both groups with the treatment (p < 0.05). The WII Group had significantly better results for all Neer test, SRT and SAT than the EX Group (p < 0.05).

Conclusion: Virtual reality exergaming programs with these programs were found more effective than home exercise programs at short term in subjects with SAIS.

Level of evidence: Level I, Therapeutic study.

Keywords: Exercise; Exergaming; Rehabilitation; Shoulder; Virtual reality.

Copyright © 2017 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.

Figures

Fig. 1
Fig. 1
Flow Chart of the study.
Fig. 2
Fig. 2
Virtual reality exergaming equipment.

References

    1. Tate A.R., McClure P., Kareha S., Irwin D., Barbe M.F. A clinical method for identifying scapular dyskinesis, part 2: validity. J Athl Train. 2009;44(2):165–173.
    1. Hawkins R.H. Clinical assessment of the shoulder. Can J CME. 2001:87–99.
    1. Shadmehr A., Bagheri H., Ansari N.N., Sarafraz H. The reliability measurements of lateral scapular slide test at three different degrees of shoulder joint abduction. Br J Sports Med. 2010;44(4):289–293.
    1. Phadke V., Camargo P.R., Ludewig P.M. Scapular and rotator cuff muscle activity during arm elevation: a review of normal function and alterations with shoulder impingement. Braz J Phys Ther. 2009;13(1):1–9.
    1. Roach K.E., Budiman-Mak E., Songsiridej N., Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res. 1991;4(4):143–149.
    1. Saposnik G., Teasell R., Mamdani M. Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle. Stroke. 2010;41(7):1477–1484.
    1. O'Huiginn B., Smyth B., Coughlan G., editors. Therapeutic Exergaming, Sixth International Workshop on Wearable and Implantable Body Sensor Networks. BSN, Proceedings. 2009.
    1. Ludewig P.M., Borstad J.D. Effects of a home exercise programme on shoulder pain and functional status in construction workers. J Occup Env Med. 2003;60(11):841–849.
    1. Deutsch J.E., Borbely M., Filler J. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008;88(10):1196–1207.
    1. Özünlü N., Tekeli H., Baltacı G. Lateral scapular slide test and scapular mobility in volleyball players. J Athl Train. 2011;46(4):462–468.
    1. Neer C.S. Impingement lesions. Clin Orthop Relat Res. 1983;173:70–77.
    1. MacDonald P.B., Clark P., Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg. 2000;9(9):299–301.
    1. Kibler W.B., Ludewig P.M., McClure P.W., Michener L.A., Bak K., Sciascia A.D. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘scapular summit’. Br J Sports Med. 2013;47(14):877–885.
    1. Kibler W.B., Sciascia A. Current concepts: scapular dyskinesis. Br J Sports Med. 2010;44:300–305.
    1. Kibler W.B., Ludewig P.M., McClure P., Uhl T.L., Sciascia A. Scapular summit 2009: introduction. J Orthop Sports Phys Ther. 2009;39(11):1–13.
    1. McClure P., Michener L. Measures of adult shoulder function: the American Shoulder and Elbow Surgeons standardized shoulder form subject self-report section (ASES), Disabilities of the Arm, Shoulder, and Hand (DASH), Shoulder Disability Questionnaire, Shoulder Pain and Disability Index (SPADI), and simple shoulder test. Arthritis Care Res. 2003;49(5):50–58.
    1. Baltacı G. Sporcularda subakromiyal sıkışma sendromuna yaklaşım: korunma ve egzersiz programları. Acta Orthop Traumatol Turc. 2003;37(1):128–138.
    1. Baltaci G., Harput G., Haksever B., Ulusoy B., Ozer H. Comparison between Nintendo Wii Fit and conventional rehabilitation on functional performance outcomes after hamstring anterior cruciate ligament reconstruction: prospective, randomized, controlled, double-blind clinical trial. Knee Surg Sport Tr A. 2013;21(4):880–887.
    1. Andersen C.H., Andersen L.L., Pedersen M.T. Dose-response of strengthening exercise for treatment of severe neck pain in women. J Strength Cond Res. 2013;27(12):3322–3328.
    1. Ludewig P.M., Cook T.M. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80:276–291.
    1. Çalış M., Akgün K., Birtane M., Karacan I., Caliş H., Tüzün F. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis. 2000;59(1):44–47.
    1. Valadie A.L., Jobe C.M., Pink M.M., Ekman E.F., Jobe F.W. Anatomy of provocative tests for impingement syndrome of the shoulder. J Shoulder Elbow Surg. 2000;9(1):36–46.

Source: PubMed

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