• 제목/요약/키워드: Frozen Shoulder

검색결과 126건 처리시간 0.03초

동결견 환자를 위한 PNF의 견갑골패턴과 유지 - 이완기법 적용이 관절가동범위와 통증에 미치는 영향 (The Effects of Scapular Pattern and Hold-Relax Technique of PNF on the ROM and VAS in Frozen Shoulder Patients)

  • 임원식;신형수;김인섭;허성귀;배성수
    • The Journal of Korean Physical Therapy
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    • 제14권1호
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    • pp.15-26
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    • 2002
  • The purpose of this study was to find the effects of scapular pattern and hold-relax technique of propriocetive neuromuscular facilitation(PNF) on the range of motion(ROM) and to find the effects of pain relieve through visual analogue scale(VAS) in frozen shoulder patients. The subjects were consisted of thirty frozen shoulder patients(men ; 9, women ; 21). The measurement of the shoulder range of motion was taken by measuring the degrees of flexion, abduction, and external rotation with a goniometer and the measurement of pain was performed by VAS from pre treatment to one to four weeks The results were as follows : 1. There was the statistical significance not only in the range of motion such as shoulder flexion, abduction, and external rotation, but also in VAS during four weeks(p<.05). 2. By the result of Scheffe's multiple comparison test. there was statistical significance between the values of pre treatment and treatment after one week in the range of motion of shoulder flexion. In that of shoulder external rotation, there was statistical significance between the values of pre treatment and treatment after one week, and between those of treatment after one and two weeks. As the result of this statistical significance of shoulder external rotation, the early treatment was thought to be more effective. However, there was statistical significance in the treatment after two and three weeks in shoulder abduction and was statistical significance between the values of pre treatment and the treatment after one weeks, and between those of treatment after two and three weeks in VAS (p<.05). 3. There was not statistical significance between men and women in the range of motion of the shoulder and in VAS(p>.05). 4. There not statistical significance between th right and left frozen shoulder patients in the range of motion of shoulder and in VAS(p>.05).

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당뇨병성 동 견관절의 관절경 하 박리술 (The Diabetic Frozen Shoulder: Arthroscopic Release)

  • 한창환;김진영;김원유;성진형;유재덕;노상현
    • Clinics in Shoulder and Elbow
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    • 제2권1호
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    • pp.74-83
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    • 1999
  • 당뇨병 환자에서 동 견관절은 치료가 어려우며 도수 조작에 잘 반응하지 않는 경향이 있다. 이에 본 저자들은 보존적인 요법에 치유되지 않은 당뇨병 환자의 동 견관절에 대해 관절경 하 선택적 관절낭박리술을 시행하고 결과를 보고하고자 한다. 동 견관절이 발생한 당뇨병 환자 중 6개월 이상의 보존적인 치료에 반응하지 않고 지속적인 통증과 견관절의 운동 장애 및 기능 장애가 남아있는 9명을 대상으로 하였다. 관절경 하 박리술이 관절낭 전방 구조물의 상부에서 하부로 점진적으로 이루어 졌으며, 수술 후 관절 운동 범위 유지를 위해 물리 치료를 시행하였다. 추시 기간은 12개월로부터 37개월로 평균18개월이었으며 결과는 동통, 운동 범위, 근육 강도, 안정성, 일상 생활의 5가지 요소로 견관절의 기능을 평가하는 American Shoulder Society Score를 이용하였다. 추가적으로 동통, 외 회전, 외전,그리고 견관절 기능의 4가지 요소가 수술 전, 후로 평가되었다. 수술 후 평가 기준상 호전을 보였으며3명의 환자는 수술 후 통증이 없었으며 건측과 비교한 운동 범위 및 기능면에서 정상을 보였으며 5명의 환자는 약간의 장애는 남았으나 수술전과 비교시 호전되었으나 나머지 1명은 지속적인 동통 및 운동 범위의 감소가 있었다. 보존적 치료에 반응하지 않는 당뇨병성 동 견관절에 있어 관절경 하 박리술이 효과적인 치료 방법 중 한 방법일 것으로 사료된다.

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동결견 환자에 대한 키네시오 테이프 적용이 관절가동범위 및 통증에 미치는 영향 (Effects of Kinesiotape on Range of Motion and Pain in Frozen Shoulder Patients)

  • 유병규;오경환;이재갑
    • 대한물리치료과학회지
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    • 제8권1호
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    • pp.869-877
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    • 2001
  • This study was performed to assess the efficacy of Kinesiotape for the frozen shoulder patients. The subjects of this study were 17 patients with frozen shoulder who visited the out-patient department of the physical therapy, Pyongchon Sacret Heart Hospital, Hallim University, from July. 3, 2000 through August 12, 2000. To find out the effect of kinesiotape therapy, we sampled 8 patients treated with electrotherapy and therapeutic exercise (control group), and 9 patients treated with electrotherapy and therapeutic exercise with kinesiotape(experimental group). All patients were treated 3 days a week for 5 weeks. The results after 5-week treatment, compared with before treatment, were as follows: 1. The increase in range of motion in the electrotherapy and therapeutic exercise with kinesiotape after 5-week treatment was very significant(p<0.01). 2 The increase in range of motion in the electrotherapy and therapeutic exercise after 5-week treatment was significant (p<0.05). 3. The pain of decrease in the electrotherapy and therapeutic exercise with kinesiotape after 5-week treatment was very significant (p<0.01). 4. The pain of decrease in the electrotherapy and therapeutic exercise with kinesiotape 5-week treatment was significant(p<0.05). 5. The electrotherapy and therapeutic exercise with kinesiotape was more effective in increasing the range of motion on shoulder than the electrotherapy and therapeutic exercise after 5-week treatment(p<0.01). 6. The pain of decrease in between electrotherapy. therapeutic exercise with kinesiotape electrotherapy and therapeutic exercise after 5-week treatment was no significant.

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동결견에 대한 치료경험 (The Pain Management of Frozen Shoulder)

  • 천임순;김종일;반종석;민병우
    • The Korean Journal of Pain
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    • 제6권1호
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    • pp.40-48
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    • 1993
  • 동결견은 여성에게 많이 발병하며 50대에 가장 많았으며, 원인은 견과절 주위의 근근막증후군, 회전근개건염, 이두박근건초염등이 많았다. 동결견은 치료를 빨리 시작할수록 완치율이 높았으며(3개월 이내에서는 80%이상의 완치율) 또한 치료전상태가 좋을수록 완치율이 높았다(1급이면 94.4%). 따라서 동결견은 조기에 치료를 해주는 것이 바람직하며, 치료시에 환자의 상태가 좋을수록 예후가 좋다는 사실을 경험하였다.

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동결견 환자에 대한 한의복합치료 효과: 후향적 차트 리뷰 (Effect of Complex Korean Medical Treatment in Patients with Frozen Shoulder: A Retrospective Chart Review)

  • 고성환;이은정
    • 한방재활의학과학회지
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    • 제33권3호
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    • pp.115-127
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    • 2023
  • Objectives Through this study, we investigated the effects of Korean medicine treatments on range of motion recovery and pain reduction in patients with Frozen shoulder. Methods In this study, the medical records of 26 patients diagnosed with frozen shoulder were retrospectively observed and analyzed through the IBM SPSS Statistics 25 program. We used range of motion to observe the patient's motion recovery and numeric rating scale to evaluate pain reduction. Results The shoulder range of motion increased statistically significantly from 160.0 (123.5~170.0) to 170.0 (160.0~180.0) (flexion), 115.0 (90.0~135.0) to 167.5 (130.0~178.8) (abduction), 40.8±22.1 to 58.3±16.0 (external rotation) (p<0.001). The average of numeric rating scale reduced statistically significantly from 6.7±2.0 to 3.2±1.4 (p<0.001). Depending on the period, the range of motion increased statistically significantly when visited within 3 months, also the pain score decreased 7.0 (5.4~8.0) to 3.0 (1.8~3.6) statistically significantly when visited within 3 months. In the treatment intervention, the increase in the range of motion and the decrease in pain were statistically significant, especially when the bee venom acupuncture and chuna manaul therapy were used together. Conclusions Korean medicine treatments was effective in improving the range of motion and reducing pain in frozen shoulders. In particular, when treated within 3 months of onset and when bee venom acupuncture and chuna manual therapy were used together, it was effective in recovering the range of motion and reducing pain.

동결견 환자의 관절범위 회복과 통증감소에 있어서 Mulligan 치료와 전기치료의 효과 비교 (Comparison of the Mulligan Method and Electrotherapy in Pain Reduction and ROM Increase in Patients With Frozen Shoulder)

  • 윤정규;박호준;정보인
    • 한국전문물리치료학회지
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    • 제7권2호
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    • pp.66-75
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    • 2000
  • A single subject experimental design (alternating treatment design) was used to compare the effects of Mulligan method and electrotherapy on the pain and limitation of range of motion in patients with frozen shoulder. In the Mulligan method sessions, the physiotherapist performed a posterior and caudal glide on the patient while the patient was performing shoulder flexion and abduction. In the electrotherapy sessions, the patient received ultrasound and interference current treatments. Mulligan method and electrotherapy were alternately performed on each patient. Pain was measured by visual analogue scale (VAS) and range of motion (ROM) was measured by modified finger ladder. The results showed that both Mulligan method and electrotherapy were effective in pain reduce and ROM increase, but Mulligan method was superior to electrotherapy in ROM increase while electrotherapy was superior to Mulligan method in pain reduce.

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우측 견관절통 치료 중 발견된 전이된 폐암 1예 -증례보고- (Right Shoulder Pain due to Metastatic Lung Cancer -A case report-)

  • 정영호;우승훈;전승규;이우용;임윤희;유병훈
    • The Korean Journal of Pain
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    • 제21권2호
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    • pp.164-167
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    • 2008
  • Frozen shoulder is known to be a self-limited disease, and it is associated with chronic pain and limitation of joint movement. Although its etiology is still unknown, frozen shoulder is associated with several diseases. The diagnosis is made based on the medical history, the clinical and radiological examinations and exclusion of other shoulder pathologies. The skeleton is one of the most common sites of metastasis in patients with lung cancer. It has been reported that the incidence of bone metastases in lung cancer patients is approximately 30-40%, and the median survival time of patients with such metastases is 6-7 months. We experienced a case of a 77-year-old female patient who complained of right shoulder pain and limited joint mobility, and these symptoms were due to metastatic lung cancer in the shoulder.

Can manipulation under anesthesia alone provide clinical outcomes similar to arthroscopic circumferential capsular release in primary frozen shoulder (FS)?: the necessity of arthroscopic capsular release in primary FS

  • Lee, Seung-Jin;Jang, Jun-Hyuk;Hyun, Yoon-Suk
    • Clinics in Shoulder and Elbow
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    • 제23권4호
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    • pp.169-177
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    • 2020
  • Background: We evaluated the need for arthroscopic capsular release (ACR) in refractory primary frozen shoulder (FS) by comparing clinical outcomes of patients treated with ACR and manipulation under anesthesia (MUA). Methods: We assessed patients with refractory primary FS, 57 patients (group A) who were treated with MUA and 22 patients (group B) who were treated with ACR. In group A, manipulation including a backside arm-curl maneuver was performed under interscalene brachial block. In group B, manipulation was performed only to release the inferior capsule before arthroscopic circumferential capsular release, which was carried out for the unreleased capsule after manipulation. Pain, range of shoulder motion, and American Shoulder and Elbow Surgeons score were recorded at 1 week, 3 months, 6 months, and 1 year after surgery. We compared outcome variables between treatment groups and between diabetics and non-diabetics and also evaluated the numbers of patients receiving additional intra-articular steroid injection. Results: Outcome variables at 3 months after surgery and improvements in outcome variables did not differ between groups. Group A showed significantly better results than group B in the evaluation of pain and range of motion at 1 week. Diabetics showed comparable outcomes to non-diabetics for most variables. Eleven patients required additional steroid injections between 8 to 16 weeks after surgery: 12.2% in group A, 18.2% in group B. Additional injections were given three times more often in diabetics compared to non-diabetics. Conclusions: MUA alone can yield similar clinical outcomes to ACR in refractory FS.