• Title/Summary/Keyword: Frozen Shoulder

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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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    • v.33 no.5
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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.

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

  • Byun, Sangjoon;Kang, Cheolho;Choi, Guirack;Hong, Seong Gyun
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.205-211
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    • 2013
  • This study is for patients who are diagnosed with Frozen Shoulder, Korean traditional osteopath (KTO) was applied. The reduction of pain in patients with significant pain relief who studied how to increase the range of motion of the shoulder joint in order to additionally confirm. Consists of a total of 14 subjects, divided into two groups of seven experimental groups and seven control groups was studied. KTO seven patients was performed a total of 10 times seven patients was not performed. Look at each item, if the range of motion of the shoulder joint, The group looked at the changes in the operation value when applying the KTO Flexion (7.33), Extension (10.00), Abduction (8.76), Adduction (9.05), external rotation (8.10), internal rotation (10.00) was changed. The group looked at the changes in the operation value when did not apply the KTO Flexion (7.33), Extension (10.00), Abduction (8.76), Adduction (9.05), external rotation (8.10), internal rotation (10.00) was changed. That you can bring an increase in range of motion of the shoulder Frozen Shoulder Korean traditional osteopathic treatment to patients.

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

  • Nam, Dong-Woo;Jung, In-Tae;Kim, Joo-Hee;Park, You-Seon;Lim, Sabina;Lee, Doo-Ik;Lee, Jae-Dong;Lee, Yun-Ho;Choi, Do-Young
    • Journal of Acupuncture Research
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    • v.23 no.5
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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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The Clinical study on the treatment of Frozen Shoulder (동결견 치료에 관한 임상적 연구)

  • Byun, Jae-Young;Ahn, Soo-Gi
    • Korean Journal of Oriental Medicine
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    • v.3 no.1
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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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    • v.35 no.2
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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.

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

  • Kim, Munki;Lee, Hyung Hoan
    • Journal of Naturopathy
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    • v.8 no.2
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    • pp.53-62
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    • 2019
  • Purpose: To investigate the healing effect of 21 patients with chronic back pain, shoulder pain, and knee arthritis by a Qigong. Methods: The study performed by hand injection of a Soojung Qi-therapy. Results: Ten patients (47.6%) had low back pain, eight (38%) had frozen shoulders, and three (14.3%) had knee arthritis. Satisfaction after five times of the Qi-healing was 72% in those who returned to normal and 14% in those who improved. When the maximum pain level set at 5.0, the difference between before and after healing was 3.33 in arthritis subjects, 3.75 in fifty shoulder subjects, and 3.80 in low back pain. In general, the degree of pain decreased as the number of healings increased. In particular, even after the first healing, the pain reduction of the subjects was high in arthritis, frozen shoulders, and low back pain. That is, there was a possibility of controlling pain with only one Qi-healing. Conclusions: Soojung Qi-therapy is one of the natural healing treatments because it reduces fast pains and accessible to handling anytime and anywhere. Conclusions: With Qi-therapy, arthritis, frozen shoulder, and lumbago patients almost recovered to their original shape. Therefore, Qi-therapy regarded as one of the useful natural healing therapies.

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

  • Choi, Kyu-Hee;Bang, Ji-Hyun;Kim, Jae-Hwan;Jung, Sung-Ki;Jung, Hee-Jae
    • Journal of Korean Traditional Oncology
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    • v.15 no.1
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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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The Effect of Mulligan Treatment and PNF on the Patients with Frozen Shoulder (Mulligan 치료법과 고유수용성 신경근 촉진법이 동결견 환자의 치료에 미친 효과)

  • Yang, Jung-Ae;Yoon, Hong-Il;Park, Huyn-Sik;Shin, Young-Il;Jeon, Beom-Su
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.1
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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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