Effect of Physiotherapy to Correct Rounded Shoulder Posture in 30 Patients During the COVID-19 Pandemic in South Korea Using a Telerehabilitation Exercise Program to Improve Posture, Physical Function, and Reduced Pain, with Evaluation of Patient Satisfaction.
Med Sci Monit
; 28: e938926, 2022 Dec 27.
Article
in English
| MEDLINE | ID: covidwho-2203700
ABSTRACT
BACKGROUND This study aimed to evaluate the effect of physiotherapy to correct rounded shoulder posture (RSP) in 30 patients during the COVID-19 pandemic in South Korea using telerehabilitation exercise programs to improve posture and physical function and reduce pain, with evaluation of patient satisfaction. MATERIAL AND METHODS Thirty participants with RSP participated in this study for 4 weeks from May to June 2021. Participants were randomly divided into an experimental group (EG, n=15) or control group (CG, n=15). Both groups performed shrug exercise 3 days a week for 4 weeks, while the EG performed self-upper-extremity neural mobilization (SUENM) for 7 more minutes. The pectoralis minor length index for posture, neck range of motion (ROM) and scapular muscle activity for physical function, pressure pain threshold (PPT) for pain, and questionnaires for telerehabilitation satisfaction were assessed. All exercises were conducted at home using videoconferencing. RESULTS The EG significantly improved PPT and ROM of extension and right-side bending of the neck compared to the CG (P<0.05) and it significantly reduced the muscle activity of the upper trapezius at 60°, 90°, and 120° shoulder flexion compared to the CG (P<0.05). In the satisfaction survey, participants cited the freedom of time and space as an advantage of telerehabilitation (100%) and reported difficulty in performing correct action as a disadvantage (69.2%). CONCLUSIONS These findings support those from recent studies on real-time telerehabilitation physiotherapy exercise programs. However, long-term controlled studies are required to develop evidence-based protocols for implementing and evaluating clinical outcomes of remote physiotherapy programs.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Telerehabilitation
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
Med Sci Monit
Journal subject:
Medicine
Year:
2022
Document Type:
Article
Affiliation country:
MSM.938926
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