Effect of follow up of shoulder exercise program for rehabilitative post pacemaker patients for a period of 3 months

Abstract

Patients who received cardiac permanent pacemaker implant leads to the risk of frozen shoulder syndrome due to immobilization of the shoulder joint. Therefore, the aim of this study is to investigate the effect of follow up of shoulder exercise program for shoulder movement ability after cardiac permanent pacemaker implant. This study is experimental study. Twenty-four subjects participated in the study. All subjects were advised shoulder exercise program 1 session before discharged from the hospital. Shoulder exercise program consisted 4 phase include limitation of shoulder movement in all directions, ability of shoulder flexion and abduction 90 degree and shoulder internal and external rotation movement, ability of shoulder flexion and abduction 180 degree and shoulder internal and external rotation movement, ability of shoulder extension and shoulder movement in all directions. Then, the subjects were divided into two groups each of 12 subjects.  The control group did not receive follow-up in outpatients. The experimental group received follow-up in outpatients 2 times. Pain score and shoulder range of motion were assessed by VAS and Goniometer respectively. Outcome parameters were assessed as main outcome 3 month often cardiac pacemaker implantation. The experimental group showed degree range of motion all direction more than control group. Especially, the experimental group showed degree range of motion of shoulder flexion, extension and abduction were significantly better than control group. This study found that shoulder exercise program did not affect the generator and lead position of cardiac permanent pacemaker. Shoulder exercise program did not affect the generator and lead position of cardiac permanent pacemaker and maintain of shoulder movement ability. The results of follow up on shoulder exercise program reduce the risk of frozen shoulder syndrome.