- 期刊
冰凍肩在中醫骨傷與西醫復健臨床療效之比較初探
Comparison of Chinese Manipulation and Western Medicine Rehabilitation in Treating Frozen Shoulder-Pilot Study
摘要
Adhesive capsulitis, also known as frozen shoulder, is a condition characterized by pain for the shoulder; the obstacle of shoulder ROM and daily activity function are limited. Frozen shoulder is most common over 50 year old age group, and the etiology is not yet clear. In Taiwan the usual ways to treat the frozen shoulder are medical therapy, Physical therapy, Nerve block and acupuncture etc. Chinese Manipulation is a traditional treating way, but there are few related studies. Besides, people would take the treatment of western medicine rehabilitation as they get some physique problems. Therefore, this study aimed at patients with frozen shoulder to compare their treating ways of western medicine to Chinese medicine. 24 patients are collected and treated them with rehabilitation and Chinese Manipulation. And then we performed pretest and posttest in first, second, and fourth weeks. Our sample standing includes: patients who get pain over one month; all their range of motion (ROM) reduce over 100°; ER＜45°, IR＜45°; and Abd＜100°. Moreover, we also eliminated these who ever got serious trauma (fracture). The experiment group was treated with Chinese Manipulation and the control group was treated with rehabilitation. Our evaluation use Wilcoxon test and Mann-Whitney test by SPSS software. The result show that there is no difference between Chinese Manipulation and rehabilitation. Especially, Chinese Manipulation is better than rehabilitation in IR of ROM after 4 weeks. We strongly considered that Chinese Manipulation is a recommendable medical technique.
並列摘要
Adhesive capsulitis, also known as frozen shoulder, is a condition characterized by pain for the shoulder; the obstacle of shoulder ROM and daily activity function are limited. Frozen shoulder is most common over 50 year old age group, and the etiology is not yet clear. In Taiwan the usual ways to treat the frozen shoulder are medical therapy, Physical therapy, Nerve block and acupuncture etc. Chinese Manipulation is a traditional treating way, but there are few related studies. Besides, people would take the treatment of western medicine rehabilitation as they get some physique problems. Therefore, this study aimed at patients with frozen shoulder to compare their treating ways of western medicine to Chinese medicine. 24 patients are collected and treated them with rehabilitation and Chinese Manipulation. And then we performed pretest and posttest in first, second, and fourth weeks. Our sample standing includes: patients who get pain over one month; all their range of motion (ROM) reduce over 100°; ER＜45°, IR＜45°; and Abd＜100°. Moreover, we also eliminated these who ever got serious trauma (fracture). The experiment group was treated with Chinese Manipulation and the control group was treated with rehabilitation. Our evaluation use Wilcoxon test and Mann-Whitney test by SPSS software. The result show that there is no difference between Chinese Manipulation and rehabilitation. Especially, Chinese Manipulation is better than rehabilitation in IR of ROM after 4 weeks. We strongly considered that Chinese Manipulation is a recommendable medical technique.