DOI QR코드

DOI QR Code

Analysis of Treatment Outcomes for Idiopathic and Secondary Frozen Shoulder with Traditional Korean Medicine : A Retrospective Study

특발성 및 속발성 동결견에 대한 한방복합치료 성과의 후향적 분석

  • Lee, Ju Hyeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Suk, Kyung Hwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryu, Soo Hyeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Su Yeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Hong Guk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryoo, Dek Woo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Goo, Bon Hyuk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Min Jeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Park, Yeon Cheol (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Seo, Byung Kwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Baek, Yong Hyeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 이주현 (경희대학교 한의과대학 침구의학교실) ;
  • 석경환 (경희대학교 한의과대학 침구의학교실) ;
  • 류수형 (경희대학교 한의과대학 침구의학교실) ;
  • 이수연 (경희대학교 한의과대학 침구의학교실) ;
  • 김홍국 (경희대학교 한의과대학 침구의학교실) ;
  • 유덕우 (경희대학교 한의과대학 침구의학교실) ;
  • 구본혁 (경희대학교 한의과대학 침구의학교실) ;
  • 김민정 (경희대학교 한의과대학 침구의학교실) ;
  • 박연철 (경희대학교 한의과대학 침구의학교실) ;
  • 서병관 (경희대학교 한의과대학 침구의학교실) ;
  • 백용현 (경희대학교 한의과대학 침구의학교실)
  • Received : 2015.11.13
  • Accepted : 2015.12.07
  • Published : 2015.12.18

Abstract

Objectives : This study was performed to analyze treatment outcomes of idiopathic and secondary frozen shoulder patients with clinical characteristics, as well as percentage of pain reduction, and to find out relevant factors for pain reduction in the frozen shoulders of each patient group. Methods : Data were collected from outpatients who visited the Acupuncture and Moxibustion department and treated with traditional Korean Medical treatments at a Korean Medicine Hospital from June 12, 2006 to June 30, 2015. Patients were divided into two groups; idiopathic and secondary frozen shoulder, based on imaging and medical records. Clinical characteristics (demographic characteristics, disease characteristics, treatment characteristics) and percentage pain reduction were collected. Percentage pain reduction was compared between two groups and relevant factors for pain reduction were analyzed. Results : 78 outpatients'medical records were reviewed. There was no significant difference of clinical characteristics between idiopathic and secondary frozen shoulder patients. In percentage pain reduction, there was no significant difference between the two groups. In the idiopathic frozen shoulder group, patients who had a short duration from the onset had a tendency for less pain (p<0.05). In the secondary frozen shoulder group, patients taking herbal medicine experienced significantly less pain (p<0.05). Conclusions : We could find no significant difference in percentage pain reduction with traditional Korean medicine between idiopathic and secondary frozen shoulder. Duration from the onset could be relevant in percentage pain reduction in idiopathic frozen shoulder, and taking herbal medicine could be relevant in the percentage pain reduction in secondary frozen shoulder.

Keywords

References

  1. K Tamai, M Akutsu, Y Yano. Primary frozen shoulder : brief review of pathology and imaging abnormalities. J Orthop Sci. 2014 ; 19(1) : 1-5. https://doi.org/10.1007/s00776-013-0495-x
  2. Robinson CM, Seah KT, Chee YH, Hindle P, Murray IR. Frozen shoulder. J Bone Joint Br. 2012 ; 94(1) : 1-9.
  3. Zuckerman JD, Rokito A. Frozen shoulder : a consensus definition. J should Elb Surg. 2011 ; 20(2) : 322-5. https://doi.org/10.1016/j.jse.2010.07.008
  4. Guyver PM, Bruce DJ, Rees JL. Frozen shoulder-A stiff problem that requires a flexible approach. Maturitas. 2014 ; 78(1) : 11-6. https://doi.org/10.1016/j.maturitas.2014.02.009
  5. Shah N, Lewis M.Shoulder adhesive capsulitis : systematic review of randomised trials using multiple cortivosteroid injections. Br J Gen Pract. 2007 ; 57(541) : 602-7.
  6. Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis : a systematic review. J Back Musculoskelet Rehabil 2014 ; 27(3) : 247-73. https://doi.org/10.3233/BMR-130443
  7. Nam DW, Lim S, Kim JI et al. Clinical observation of Acupuncture and Nerve Block Treatment for Adhesive Capsulitis Patients. The Acupuncture. 2007 ; 24(4) : 143-55.
  8. Cheing GL, So EM, Chao CY. Effectiveness of electroacupuncture and interferential electrotherapy in the management of frozen shoulder. J Rehabil Med. 2008 ; 40(3) : 166-70. https://doi.org/10.2340/16501977-0142
  9. Ma T, Kao MJ, LinIH et al. A study onthe clinical effects of physical therapy and acupuncture to treat spontaneous frozen shoulder. Am J Chin Med. 2006 ; 34(5) : 759-75. https://doi.org/10.1142/S0192415X06004272
  10. Koh PS, Seo BK, Cho NS et al. Clinical effectiveness of bee venom acupuncture and physiotherapy in the treatment of adhesive capsulitis : a randomized controlled trial. J Shoulder Elbow Surg. 2013 ; 22(8) : 1053-62. https://doi.org/10.1016/j.jse.2012.10.045
  11. Park YC, Koh PS, Seo BK et al. Long-term effectiveness of bee venom acupuncture and physiotherapy in the treatment of adhesive capsulitis :aone-year follow-up analysis of a previous randomized controlled trial. J Altern Complement Med. 2014 ; 20(12) : 919-24. https://doi.org/10.1089/acm.2014.0220
  12. Zeng XL, Lei LM, Lin Z, Wang ZT. Clinical observation on acupuncture at pain point combined with moxibustion at Zusanli (ST 36) for treatment of periarthritis of shoulder. Zhongguo Zhen Jiu. 2005 ; 25(5) : 326-8.
  13. Sun KO, Chan KC, Lo SL, Fong DY. Acupuncture for frozen shoulder. Hong Kong Med J. 2001 ; 7(4) : 381-91.
  14. Arai YC,Shimo K, Inoue M et al. Integration of a Kampo medicine, Nijutsuto, and Western medical treatment in the treatment of long- term frozen shoulder refractory to Western medical treatment : a case series. J Evid Based Complementary Altern Med. 2015 ; 20(2) : 157-61. https://doi.org/10.1177/2156587214568346
  15. Jerosch J, Nasef NM, Peters O, Mansour AM. Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis. Knee Surg Sports Traumatol Arthrosc. 2013 ; 21(5) : 1195-202. https://doi.org/10.1007/s00167-012-2124-1
  16. Wang K, Ho V, Hunter-Smith DJ, Beh PS, Smith KM, Weber AB. Risk factors in idiopathic adhesive capsulitis : a case control study. J Shoulder Elbow Surg. 2013 ; 22(7) : 24-9.
  17. Walmsley S, Osmotherly PG, Rivett DA. Clinical identifiers for early-stage primary/idiopathic adhesive capsulitis : are we seeing the real picture? Phys Ther. 2014 ; 94(7) : 968-76. https://doi.org/10.2522/ptj.20130398
  18. Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg. 2011 ; 19(9) : 536-42. https://doi.org/10.5435/00124635-201109000-00004
  19. Lundberg BJ. The frozen shoulder. Clinical and radiographical observations. The effect of manipulation under general anesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta Orthop Scand. 1969 ; 40 Suppl 119 : 1-59.
  20. Neviaser JS. Adhesive capsulitis of the shoulder. A study of the pathological findings in periarthritis of the shoulder. J Bone Joint Surg. 1945 ; 27(2) : 211-22.
  21. Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J shoulder Elbow Surg. 2011 ; 20(3) : 502-14. https://doi.org/10.1016/j.jse.2010.08.023

Cited by

  1. 동결견의 한약 치료에 대한 체계적 문헌고찰 및 메타분석 vol.29, pp.3, 2015, https://doi.org/10.18325/jkmr.2019.29.3.15