어깨 수술 후 골프 활동 관련 어깨 통증과 기능에 맞춤형 원격물리치료가 미치는 영향 : 단일 사례 설계
Effects of Tailored Tele-Physical Therapy on Golf-Related Shoulder Pain and Function After Shoulder Surgery : Single-subject Design
This study investigates the effectiveness and experiential usefulness of a tailored tele-physical therapy program for a patient with golf-related shoulder pain following arthroscopic shoulder surgery. A single-subject ABAB follow-up design was implemented over a total of seven weeks, combined with in-depth interviews, in a mixed-methods approach. The research design consisted of a baseline phase (A), intervention phase (B), baseline reassessment phase (A2), intervention reapplication phase (B2), and a maintenance phase (M) was added to evaluate the durability of the intervention effects. Quantitative analysis showed a significant increase in external rotation strength, with improvements of up to 14.6% during the intervention phases (Tau-U=.65, p=.012) In addition, the SPADI scores demonstrated clinically meaningful improvements, with pain scores decreasing by up to 42% (Tau-U=.88, p<.001) and disability scores by up to 54% (Tau-U=.94, p<.001). These improved effects were consistently maintained through the maintenance phase. Qualitative findings revealed that the participant highly valued the time and cost efficiency of tele-rehabilitation. Continuous video- based feedback from the therapist played a key role in enhancing movement accuracy, maintaining exercise adherence, and improving self-efficacy throughout the program. In conclusion, the tailored tele-physical therapy program demonstrated positive effects on pain reduction, functional recovery, exercise persistence, and psychological adaptation in a postoperative shoulder patient. Therefore, the recommended method of rehabilitation delivery for reducing pain and restoring function after shoulder surgery is tailored tele-physical therapy.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상 2. 연구 설계 3. 분석 방법 Ⅲ. 결과 1. 바깥돌림근력 2. 어깨통증장애지수(shoulder pain and disability index) 3. 정성적 분석 결과 Ⅳ. 고찰 Ⅴ. 결론 인용문헌