International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
+44 1300 500008
ISSN: 2329-9096
+44 1300 500008
Background: This study aimed to assess shoulder problems among elderly people in rural areas and improve their function through customized shoulder physical therapy interventions. The goal was to enhance daily living activities and balance abilities, thereby reducing fall risk factors.
Methods: This study was conducted on 44 elderly people aged 65 years or older in five rural areas in Gyeongsangnam-do, South Korea. Subjects were evaluated before and after the program, conducted twice at two-week intervals. Shoulder functionality was evaluated using the Apley’s scratch test and shoulder abduction and flexion muscle strength using TheraBand. Mobility was evaluated using the Sit to Stand (STS) and Timed Up and Go (TUG) tests. Balance was assessed using the BT-4 (Balance Trainer) for static and dynamic balance. The physical therapy intervention was performed by a therapist with over five years of experience, with more than 20 min of individual therapy and 20 min of customized shoulder exercises by a student researcher.
Results: There was no significant change in the STS and TUG tests before and after the intervention. However, the range of motion of the shoulder increased, and the strength of shoulder abduction and flexion significantly improved (p<0.05). The static index showed a significant increase in the C90 area (p<0.05). Dynamic balance ability also improved significantly in forward and lateral movements (p<0.05).
Conclusion: The results showed that a shoulder intervention program for the elderly in rural areas can effectively improve balance by enhancing the range of motion and muscle strength of the arms, thereby reducing the risk of falls. This program can be recommended to alleviate fall risk by improving upper limb function.
Published Date: 2024-12-20; Received Date: 2024-11-14