Nursing Intervention Guide to Functional Abilities and Range of Motion for Clients with Work-Related Shoulder Impingement Syndrome

Document Type : Original Article

Authors

1 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University

2 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Menoufia University

3 Assistant Professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University.

Abstract

Work-Related shoulder impingement syndrome is categorized by shoulder pain that is exacerbated
with arm elevation or overhead activities. Management options for work-related shoulder
impingement syndrome include rehabilitation. Therapeutic exercise was the well-investigated form
of rehabilitation. The therapeutic exercise programs consisted of stretching and strengthening the
rotator cuff and scapular muscles. The aim of this study was to examine the effect of nursing
intervention guide to functional abilities and range of motion of clients with work-related shoulder
impingement syndrome. Design: A quasi experimental research design was used. The study was
conducted in the Physiotherapy Department, Menoufia University Hospital. Sample: A purposive
sample of 40 adult clients diagnosed with shoulder impingement syndrome was included and
randomly divided into two equal groups; 20 clients for each group. Instruments: Four instruments
were utilized for data collection. A structured interview questionnaire, University of California –
Los Angeles shoulder scale, Range of motion measurement scale and Oxford scale. Results: the
majority of both study and control groups (80.0% and 100.0% respectively) were unable to use there
arm pre nursing intervention, while after three months, 75.0% of the study group improved and
became able to function normally compared to the control group. There was a significant
improvement in the mean range of motions for shoulder among the study group after three months
of the exercise program compared to the control group. Conclusion: Implementation of the nursing
intervention guide for the study group was effective in improving functional activities and range of
motion compared to control group. Recommendation: Nursing intervention guide about the
effectiveness of physical activity and exercise should be part of occupational nurses’ role for clients
with Work-related shoulder impingement syndrome.

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