Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study

<i>Background and Objectives</i>: Joint immobilization after shoulder surgery can cause an imbalance in the periscapular muscles and affect the kinetic chain throughout the body. There is a difference in core muscle stability because of the asymmetry of the lower extremity muscles. Howev...

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Main Authors: Hyunjoong Kim, Seungwon Lee
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/2/302
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author Hyunjoong Kim
Seungwon Lee
author_facet Hyunjoong Kim
Seungwon Lee
author_sort Hyunjoong Kim
collection DOAJ
description <i>Background and Objectives</i>: Joint immobilization after shoulder surgery can cause an imbalance in the periscapular muscles and affect the kinetic chain throughout the body. There is a difference in core muscle stability because of the asymmetry of the lower extremity muscles. However, the difference due to the asymmetry of the upper-extremity muscles has not been studied extensively. The purpose of this study is to investigate the effect of joint immobilization on the symmetry of the core muscles involved in proximal stability for distal mobility. <i>Materials and Methods</i>: Fifty-five patients who underwent arthroscopic shoulder surgery participated in this study. Core muscle asymmetry (CMA) was measured using a body tilt device. The evaluation variables were analyzed according to the surgical site based on the direction of the core muscle ratio and core muscle state ratio. <i>Results</i>: No differences in CMA were found based on the surgical site (<i>p</i> > 0.05). As a result of the additional subanalysis, significant differences in sex and postoperative day were established (<i>p</i> < 0.05). CMA was low during the intensive postoperative rehabilitation period. However, sex-related differences were greater in males than in females. <i>Conclusions</i>: The clinical results suggest that core muscle training is necessary to reduce CMA during rehabilitation after the immobilization period has elapsed.
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spelling doaj.art-9f9b305e43ae4757888c8ea7ce9616b52023-11-23T21:01:14ZengMDPI AGMedicina1010-660X1648-91442022-02-0158230210.3390/medicina58020302Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional StudyHyunjoong Kim0Seungwon Lee1Department of Physical Therapy, Sahmyook University, 815, Hwarang-ro, Seoul 01795, KoreaDepartment of Physical Therapy, Sahmyook University, 815, Hwarang-ro, Seoul 01795, Korea<i>Background and Objectives</i>: Joint immobilization after shoulder surgery can cause an imbalance in the periscapular muscles and affect the kinetic chain throughout the body. There is a difference in core muscle stability because of the asymmetry of the lower extremity muscles. However, the difference due to the asymmetry of the upper-extremity muscles has not been studied extensively. The purpose of this study is to investigate the effect of joint immobilization on the symmetry of the core muscles involved in proximal stability for distal mobility. <i>Materials and Methods</i>: Fifty-five patients who underwent arthroscopic shoulder surgery participated in this study. Core muscle asymmetry (CMA) was measured using a body tilt device. The evaluation variables were analyzed according to the surgical site based on the direction of the core muscle ratio and core muscle state ratio. <i>Results</i>: No differences in CMA were found based on the surgical site (<i>p</i> > 0.05). As a result of the additional subanalysis, significant differences in sex and postoperative day were established (<i>p</i> < 0.05). CMA was low during the intensive postoperative rehabilitation period. However, sex-related differences were greater in males than in females. <i>Conclusions</i>: The clinical results suggest that core muscle training is necessary to reduce CMA during rehabilitation after the immobilization period has elapsed.https://www.mdpi.com/1648-9144/58/2/302muscle disorderpostoperative painshoulder injuriesimmobilizationasymmetric limb muscle stiffness
spellingShingle Hyunjoong Kim
Seungwon Lee
Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study
Medicina
muscle disorder
postoperative pain
shoulder injuries
immobilization
asymmetric limb muscle stiffness
title Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study
title_full Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study
title_fullStr Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study
title_full_unstemmed Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study
title_short Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study
title_sort comparison of core muscle asymmetry using spine balance 3d in patients with arthroscopic shoulder surgery a strobe compliant cross sectional study
topic muscle disorder
postoperative pain
shoulder injuries
immobilization
asymmetric limb muscle stiffness
url https://www.mdpi.com/1648-9144/58/2/302
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AT seungwonlee comparisonofcoremuscleasymmetryusingspinebalance3dinpatientswitharthroscopicshouldersurgeryastrobecompliantcrosssectionalstudy