• Title/Summary/Keyword: Frozen Shoulder

검색결과 127건 처리시간 0.032초

The Effect of Manual Physical Therapy on Improvement in the Range of Motion of Frozen Shoulder Patients: A Meta-Analysis of Cases in South Korea

  • Kim, Chan Myeong;Lee, Jong Kyung;Hwang, Jong Ha;Lee, Jae Kwang
    • The Journal of Korean Physical Therapy
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    • 제33권5호
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    • pp.211-216
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    • 2021
  • Purpose: The main purpose of this meta-analysis was to identify the degree of effect size and variables for the impact of manual physical therapy on the improvement in the range of motion of frozen shoulder patients. Methods: This study collected 8 studies published between 1st January 2010 and 31st December 2020. The analysis of the results verified 49 effect size data and the random effect model was chosen. Results: First, the full case showed the largest mean effect size of 2.485 (p<0.001). Second, the size of the effect based on manual therapy and modality therapy showed an effect size of 4.178 (p<0.001). Third, the outcome group included 6 variables. The external rotation (2.818) variable group showed the largest mean effect size, followed by internal rotation (2.748), flexion (2.643), abduction (2.356), and adduction (2.356). Six outcomes were significant and the mean effect sizes of all the varied groups were above large size. The number of participants showed a 20 or less effect size of 2.478 (p>0.737). The number of intervention periods showed 4 weeks 20 or more effect size of 2.782 (p>0.294). Finally, the 'Trim and Fill' result confirmed that the calibration effect size was 1.471 (p<0.001). Conclusion: This study verified that manual physical therapy had a substantial effect on the improvement of the range of motion of patients with frozen shoulders and that the effects were dependent on the methods of outcomes.

KTO(Korea Traditional Osteopathy)를 이용한 동결견 치료 시 견관절 가동범위 변화 연구 (Shoulder Joint Range of Motion Change Research Frozen Shoulder Therapy KTO (Korea Traditional Osteopathy))

  • 변상준;강철호;최규락;홍성균
    • 한국방사선학회논문지
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    • 제7권3호
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    • pp.205-211
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    • 2013
  • 이 연구는 동결견 진단을 받은 환자에 대한 한국전통 정골요법(이하 KTO)을 적용하여 통증완화에 대한 유의성 연구가 진행하였던 환자를 대상으로 통증의 감소가 견관절의 가동범위도 증가하는지를 추가적으로 확인하기 위하여 진행하였다. 대상자는 총 14명으로 구성되어 있으며, 두 개 그룹으로 나누어 7명의 실험군과 7명의 대조군으로 하여 2그룹으로 나누어 연구를 진행하였다. 7명은 KTO를 총 10회 시술하고, 7명은 시술하지 않았다. 견관절의 가동범위의 경우 항목별로 살펴보면 KTO를 적용한 그룹은 가동치의 변화를 살펴보았을 때 굴곡(7.33) 신전(10.00) 외전(8.76) 내전(9.05) 외회전(8.10) 내회전(10.00)의 변화가 나타났다. KTO를 적용하지 않은 그룹의 가동치의 변화를 살펴보았을 때 굴곡(4.67), 신전(7.50), 외전(7.14), 내전(9.14), 외회전(6.59), 내회전(9.31)의 변화가 나타났다. 동결견 환자에게 한국전통정골요법을 적용하면 견관절의 가동범위 증가를 가져올 수 있음을 확인하였다.

유착성 관절낭염 치료에 있어서 한방 치료와 양방 치료의 임상적 고찰 - 동서협진 모델 개발을 위한 기초 연구를 중심으로 - (Clinical Observation of Western Medical Treatment and Acupuncture Treatment on Frozen Shoulder Patients)

  • 남동우;정인태;김주희;박유선;임사비나;이두익;이재동;이윤호;최도영
    • Journal of Acupuncture Research
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    • 제23권5호
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    • pp.177-185
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    • 2006
  • Objectives : To observe the effect of acupuncture treatment and western medical treatment on frozen shoulder patients. Methods : 39 voluntary patients were randomly assigned to the Eastern treatment group(E group, n=22) and the Western treatment group(W group, n=17). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. Both groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment using Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The E group showed significant improvement(p<0.05) according to the CSA and SPADI. The patient's satisfaction scored 5.67 on a scale of 10. The W group showed significant improvement(p<0.05) according to the CSA and SPADI. The patient's satisfaction scored 7.73. But the difference between the two groups were insignificant according to CSA and SPADI. Conclusion : Both acupuncture and nerve block treatment significantly improved frozen shoulder. But the difference of the two treatments was insignificant.

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동결견 치료에 관한 임상적 연구 (The Clinical study on the treatment of Frozen Shoulder)

  • 변재영;안수기
    • 한국한의학연구원논문집
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    • 제3권1호
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    • pp.279-287
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    • 1997
  • Clinical studies were done on 80 persons who were treated with the acupuncture theraphy frozen shoulder. The following results are obtained. 1. Distribution of sex: male(28 persons), female (52 persons). 2. Causes of illness: work(40 persons), unknown origin(32 persons). 3. Duration of illness: less than 1 month(28 persons), 1-3 month(22 persons), 3-6 months(20 persons). 4. Distribution of occupational: housewife(30 persons), unemployed(22 persons), farmer(16 persons). 5. Distribution according to number of times of treatment rate: 3 weeks(32 persons), 2 weeks(14 persons), 4weeks(10 persons). 6. The classification of abduction disturbance before treatment were Gl group 14 persons, GII group 46 persons, GIII group 20 persons. After treatment were GI group 41 persons, GII group 30 persons, GIII group 9 persons. 7. The classification of HBST disturbance before treatment were GI group 10 persons, GII group 51 persons, GIII group 19 persons. After treatment were GI group 39 persons, GII group 28 persons , GIII group 13 persons. 8. The classification of MWT disturbance before treatment were GI group 25 persons, GII group 37 persons, GIII group 18 persons. After treatment were GI group 44 persons, GII group 25 persons, GIII group 11 persons.

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Effectiveness of graded motor imagery in subjects with frozen shoulder: a pilot randomized controlled trial

  • Gurudut, Peeyoosha;Godse, Apurva Nitin
    • The Korean Journal of Pain
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    • 제35권2호
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    • pp.152-159
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    • 2022
  • Background: Subjects with frozen shoulder (FS) might not be comfortable with vigorous physical therapy. Clinical trials assessing the effect of graded motor imagery (GMI) in FS are lacking. The aim of this study was to determine the effect of GMI as an adjunct to conventional physiotherapy in individuals with painful FS. Methods: Twenty subjects aged 40-65 years having stage I and II of FS were randomly divided into two study groups. The conventional physiotherapy group (n = 10) received electrotherapy and exercises while the GMI group (n = 10) received GMI along with the conventional physiotherapy thrice a week for 3 weeks. Pre- (Session 1) and post- (Session 9) intervention analysis for flexion, abduction, and external rotation range of motion (ROM) using a universal goniometer, fear of movement using the fear avoidance belief questionnaire (FABQ), pain with the visual analogue scale, and functional disability using the shoulder pain and disability index (SPADI) was done by a blinded assessor. Results: Statistically significant difference was seen within both the groups for all the outcomes. In terms of increasing abduction ROM as well as reducing fear of movement, pain, and functional disability, the GMI group was significantly better than control group. However, both groups were equally effective for improving flexion and external rotation ROM. Conclusions: Addition of GMI to the conventional physiotherapy proved to be superior to conventional physiotherapy alone in terms of reducing pain, kinesiophobia, and improving shoulder function for stage I and II of FS.

관절염, 오십견 및 요통에 대한 기(氣)치유 효과 (Naturopathic Effects of Arthritis, Frozen Shoulder and Lumbago Using the Qi-Therapy)

  • 김문기;이형환
    • 한국자연치유학회지
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    • 제8권2호
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    • pp.53-62
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    • 2019
  • 목적: 만성질환인 요통, 오십견, 무릎관절염 환자 남녀 21명을 대상으로 수정기공을 주사해서 치유효과를 연구하는 것이 목적이었다. 방법: 대상자에게 수정기공 에너지를 손으로 주사해서 치유 연구를 하였다. 결과: 대상자는 요통환자는 10명 (47.6%), 오십견은 8명(38%), 무릎 관절염은 3명(14.3%)의 비율이었다. 기공치유 5회 후의 만족도는 정상으로 회복한 대상자가 72%, 호전된 대상자는 14%로 전체적으로 86%의 만족도를 나타내었다. 최대통증의 기준치를 5.0로 하였을 때에, 치유 전과 후의 차이는 관절염의 대상자는 3.33, 오십견 대상자는 3.75 그리고 요통의 경우도 3.80으로 높게 나타나서 모두 유의한 차이를 보이었다(p<.001). 전체적으로 치유 횟수의 증가에 따라서 통증정도가 현저히 감소하였다. 특히 첫 1회 치유를 한 후에도 대상자가 느끼는 통증의 감소는 관절염, 오십견, 요통에서 모두 높게 나왔다. 즉, 단 한 번의 치유만으로도 통증의 조절 가능성이 있었다. 결론: 상기 수정기공요법으로 관절염, 오십견, 그리고 요통 환자가 거의 정상 상태로 회복이 되었다. 그런고로 기공요법이 유용한 자연치유 요법중의 하나라고 평가한다.

폐엽절제술 후 견배부 통증을 호소한 폐암환자 치험 1례 (A Clinical Case Report of a Lung Cancer Patient with Shoulder Pain after Lobectomy)

  • 최규희;방지현;김재환;정승기;정희재
    • 대한암한의학회지
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    • 제15권1호
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    • pp.79-87
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    • 2010
  • Objectives : Quality of life(QoL) in patients with lung cancer usually goes down after pneumoectomy, and the pain is the most common cause. Uncontrolled postoperative pain can restrict the movements of shoulders resulting in frozen shoulder. This case report is to report the effect of herb medicine, Ohjuksan on a 49-year-old female lung cancer patient with shoulder pain after lobectomy. Methods : The patient was treated with Ohjuksan for 10 days. The patient's symptoms were assessed by range of motion(ROM) of shoulder, Visual analogue scale(VAS) of shoulder pain and abdominal diagnosis. Results & Conclusions : The patient showed improvement of ROM, VAS and abdominal diagnosis. As the shoulder pain is relieved from VAS6 to VAS3, ROM of abduction, adduction and internal rotation were increased. Also discomfort of abdomen was disapeared to a certain degree. This suggests that herb medicine, Ohjuksan is effective for treating postoperative pain of shoulder for a Lung cancer patient.

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Mulligan 치료법과 고유수용성 신경근 촉진법이 동결견 환자의 치료에 미친 효과 (The Effect of Mulligan Treatment and PNF on the Patients with Frozen Shoulder)

  • 양정애;윤홍일;박현식;신영일;전범수
    • 대한정형도수물리치료학회지
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    • 제12권1호
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    • pp.27-36
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    • 2006
  • The purpose of this study was to compare the effects of Mulligan method and PNF method on the pain and limitation of range of motion in patients with frozen shoulder. The subjects of this study were 20 patients, 10(50%) males and 10(50%) females. They visited clinic for physical treatment within 6 months after onset of shoulder pain and limitation of range of motion with frozen shoulder. One group was applied with Mulligan method and other group was with PNF method. The patient were treated 5 times session weekly for 6 weeks from March 4th, 2002. And each treatment session was 15min. with physiotherapy. The pain was measured by visual analogue scale (V AS) and rage of motion (ROM) of flexion, abduction, external rotation, internal rotation were measured by goniometer. The data was analysed by paired T-test and independent T-test. The results of this study were summarized as follow : 1. The ROM of Mulligan method group increase in after treatment in comparison with ROM in before treatment, it is significant increase. Although the V AS of MMG decrease in before than after treatment, it is significant difference. 2. There is significant difference in before and after treatment of ROM of shoulder flexion, abduction, internal rotation, external rotation between PNF method group. The V AS of PMG is decreasing in before than after treatment, it is significant difference. 3. There is significant difference in before movement and after movement ROM of flexion, abduction, internal rotation, external rotation and VAS between Mulligan method session and PNF method session then the scale which measured by Mulligan method was more increased than that of PNF method. The results showed that both Mulligan method and PNF method were effective in pain reduce and ROM increase, but Mulligan method was superior to PNF method in ROM increase and pain reduce.

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