• Journal of Acupuncture Research
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• 제32권4호
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• pp.177-186
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• 2015

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.

• 대한약침학회지
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• 제2권1호
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• pp.27-38
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• 1999

It was the Study for more deep understanding about the Frozen shoulder by literature investigation. The following result were obtained. : 1. The reason of Frozen shoulder is inflamatory reaction, degeneration, continual fixing, injury, etc. 2. The symptom of Frozen shoulder is shoulder pain, night pain, limit of joint movement. 3. Frozen shoulder is classified primary and secondary types and in the oriental medicine, is classified six types by the three Yin&Yang channels of the hand 4. Jackin's exercise or codman's exercise is used for kinesiatrics. 5. $Ky\check{o}njong$(SI9), nosu(SI10), $ch'\check{o}njong$(SI11) are in commonly used acupuncture point. 6. It is used to the Tongbihanseungbang, Small-intestine jeong kyuck in SA-AM Acupuncture. 7. It is used to the TrPs of subscapularis in MPS. 8. It is used to Frozen shoulder the Sin-kwan, Sahwajung, etc. in Dong-si Acupuncture. 9. It is used the I, HO or HN to Frozen shoulder treatment in Herbal Acupuncture. 10. Using the Electro-acupuncture, we select the point according to the channels. 11. Cupping or Moxibustion is commonly used with Acupuncture. 12. Commonly used recipes are Seokyungtang, Oyacksungisan, Banhakumchultang, etc.

• Clinics in Shoulder and Elbow
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• 제3권1호
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• pp.33-38
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• 2000

Objectives: The purpose of this study was to grading the severity of intra-articular lesions and evaluate the effects of arthroscopic surgery after manipulation of the resistant frozen shoulder. Materials and Methods : Forty-eight cases from 44 subjects, median age of 53, who underwent arthroscopic surgery after manipulation with minimum follow-up of 12 months were chosen. The UCLA shoulder rating scale was applied, and average scale was 18.2 points. Results: Twelve cases out of our series showed as rotator cuff tear which could produce secondary frozen shoulder. In postoperative follow up, 34 subjects complained of no pain or noctalgia, 5 showed mild degree of pain, 8 with mild degree of remained limited range of motion, and only 1 with no improvement. When viewed with UCLA shoulder rating scale, the most improved aspect was pain, and satisfaction of patient was following. And final average scale was 31.9 points. Conclusion: Our study revealed that arthroscopic surgery after manipulation showed favorably high final scale and patient's satisfaction. Therefore, we recommend this modality for treatment of resistant frozen shoulder in a point of view that the diagnosis and treatment can be done simultaneously.

• 한방재활의학과학회지
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• 제29권3호
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• pp.35-49
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• 2019

Objectives The purpose of this research is to evaluate the effectiveness of moxibustion theraphy for frozen shoulder through systematic review and meta-analysis. Methods The effect of moxibustion for frozen shoulder was constructed as a key question to search randomized controlled trials (RCTs) in 16 databases without type of publication restriction. Results A total of 790 studies were searched and 22 RCTs were finally selected through primary and secondary selection/exclusion process. In most of the evaluation indexes used in each study, moxibustion treatment for shoulder pain was statistically significant compared with other treatments. A meta-analysis of effective rate in 10 studies comparing moxibustion with acupuncture and acupuncture showed a statistically significant effect of moxibustion treatment. And there was a significant effect on the improvement of the shoulder mobility, but the effect size of shoulder pain was no significant effect for shoulder pain reduction. In addition in the result of meta-analysis of 4 studies' effective rate comparing moxibustion with electronic acupuncture, the effect of moxibustion was significantly higher than that of electronic acupuncture in frozen shoulder. Conclusions Moxibustion therapy was effective in symptoms in patients with frozen shoulder. However because of the high risk of bias in the quality of the included studies, the applicability of this study seems to be limited. It is thought that future randomized controlled trials will need to be designed and performed by reviewing ways to minimize bias.

• Clinics in Shoulder and Elbow
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• 제11권1호
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• pp.19-23
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• 2008

목적: 비수술적 치료에 반응하지 않는 일차성 유착성 관절낭염 환자에서 견봉하 점액낭의 병변을 발견하고 임상적 의의를 파악하고자 하였다. 대상 및 방법: 유착성 관절낭염 환자 21예를 대상으로 하였으며 견봉하 점액낭 유리술을 시행하고 환자의 견관절 운동 범위의 호전 정도를 측정하였고, VAS 점수 및 UCLA 평가를 시행하였다. 결과: 발견된 병변은 점액낭염, 경도의 오구 견봉 인대의 마찰 소견, 충돌 소견 및 유착의 소견이 관찰되었으며 단순 견봉 상완 관절 유리술에 비하여 기능적, 통증의 호전 효과를 조기에 얻을 수 있음을 관찰할 수 있었다. 결론: 일차성 유착성 관절낭염 환자에서 견봉하 관절경을 시행하는 것은 숨겨진 이차성 동결견의 가능성과 이차변화를 평가하여 치료와 예후 판정에 도움이 될 것으로 보인다.

• 대한약침학회지
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• 제27권1호
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• pp.14-20
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• 2024

Objectives: Frozen shoulder (FS) is one of the most challenging shoulder disorders for patients and clinicians. Its symptoms mainly include any combination of stiffness, nocturnal pain, and limitation of active and passive glenohumeral joint movement. Conventional treatment options for FS are physical therapy, nonsteroidal anti-inflammatory drugs, injection therapy, and arthroscopic capsular release, but adverse and limited effects continue to present problems. As a result, pharmacoacupuncture (PA) is getting attention as an alternative therapy for patients with FS. PA is a new form of acupuncture treatment in traditional Korean medicine (TKM) that is mainly used for musculoskeletal diseases. It has similarity and specificity compared to corticosteroid injection and hydrodilatation, making it a potential alternative injection therapy for FS. However, no systematic reviews investigating the utilization of PA for FS have been published. Therefore, this review aims to standardize the clinical use of PA for FS and validate its therapeutic effect. Methods: The protocol was registered in Prospero (CRD42023445708) on 18 July 2023. Until Aug. 31, 2023, seven electronic databases will be searched for randomized controlled trials of PA for FS. Authors will be contacted, and manual searches will also be performed. Two reviewers will independently screen and collect data from retrieved articles according to predefined criteria. The primary outcome will be pain intensity, and secondary outcomes will be effective rate, Constant-Murley Score, Shoulder Pain and Disability Index, range of motion, quality of life, and adverse events. Bias and quality of the included trials will be assessed using the Cochrane handbook's risk-of-bias tool for randomized trials. Meta analyses will be conducted using Review Manager V.5.3 software. GRADE will be used to evaluate the level of evidence for each outcome. Results: This systematic review and meta-analysis will be conducted following PRISMA statement. The results will be published in a peer-reviewed journal. Conclusion: This review will provide scientific evidence to support health insurance policy as well as the standardization of PA in clinical practice.