Comparing the Efficacy of Open Chain Exercise Versus Closed Chain Exercise in Reducing Pain and Improving the Functional Status in Patients with Rotator Cuff Tendinopathy

Ajitha, C T (2018) Comparing the Efficacy of Open Chain Exercise Versus Closed Chain Exercise in Reducing Pain and Improving the Functional Status in Patients with Rotator Cuff Tendinopathy. Masters thesis, PSG College of Physiotherapy, Coimbatore.

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Abstract

BACKGROUND: Shoulder pain is the third most common musculoskeletal complaint encountered in clinical practice. Prevalence studies indicate that 16 to 34 percent of the general population suffers from shoulder pain. The most common causes of shoulder pain are rotator cuff (RC) tendinopathy /shoulder impingement syndrome (SIS). Research has demonstrated moderate evidence for exercise in the treatment of rotator cuff (RC) tendinopathy. Eccentric training has been proposed as an effective conservative treatment for the Achilles and patellar tendinopathies, but less evidence exists about its effectiveness for the rotator cuff tendinopathy. Open chain and closed chain exercises seem to be effective in bringing about short term changes in pain and disability in patients with rotator cuff tendinopathy. OBJECTIVES: To compare the efficacy of open chain exercise versus closed chain exercise in reducing pain and improving the functional status in patients with rotator cuff tendinopathy. Design: Randomized clinical trial. Setting: Department of Physical Therapy and rehabilitation and Department of Orthopedic Medicine, P.S.G Hospital, Coimbatore Participants: 30 patients with shoulder pain for at least three months duration. Pain was reproduced on stressing the rotator cuff and participants had full passive range of movement at the shoulder. Interventions: Group A received Open chain exercises (OC) with eccentric training and Group B received Closed chain exercises (CC) with eccentric training. Outcomes were measured using Visual analogue scale [VAS] and Western Ontario rotator cuff index [WORC]. RESULT: The calculated value of paired “t” test for VAS of group A is 6.50 and for group B is 8.34 which is greater than the table value indicating there is a significant difference within both the group. The value of independent t test for both groups are 1.51 which is less than the table value indicating there is no significant difference between the groups. The calculated value of paired “t” test for WORC of group A is -8.53 and for group B is -11.72 which is greater than the table value indicating there is a significant difference within both the group. The value of independent t test for both groups are -3.84 which is greater than the table value indicating there is significant difference between the groups. CONCLUSION: Thus the statistical analysis of data concluded that “Closed chain exercise group shows statistically significant improvement on functional status compared to Open chain exercise group, whereas there was statistically no significant difference in both Closed chain exercise and Open chain exercise group on pain”.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271610241
Uncontrolled Keywords: closed chain exercise, open chain exercise, eccentric training, rotator cuff tendinopathy.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Ravindran C
Date Deposited: 16 Sep 2019 15:26
Last Modified: 20 Sep 2019 07:28
URI: http://repository-tnmgrmu.ac.in/id/eprint/11507

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