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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(4):784-792.
Usefulness of Manual Medicine Therapy in Adhesive Capsulitis of Shoulder.
Lee, Kyoung Moo , Lee, Kwang Lai , Han, Gi Seok
1Department of Rehabilitation Medicine, College of Medicine, Chungbuk National University.
2Department of Diagnostic Radiology, College of Medicine, Chungbuk National University.
견관절 유착성 관절낭염에서 도수의학 치료의 유용성
이경무, 이광래, 한기석1
충북대학교 의과대학 재활의학교실, 1진단방사선과학교실
Abstract

Objective
The purpose of this study was to determine the usefulness of manual medicine therapy in adhesive capsulitis of shoulder.


Method
Twelve patients with adhesive capsulitis of shoulder were treated with the muscle energy technique of Greenman in manual medicine therapy. The muscle energy technique of Greenman was repeated 6 times for each subject. The therapeutic effect of manual medicine therapy was assessed by the shoulder range of motion (ROM) and visual analogue scale (VAS) before and after the treatment. Two patients took the fluoroscopic examination before and after the treatment.


Results
After the manual medicine therapy, active range of shoulder motion were increased by 30.0o in forward flexion, by 21.2o in abduction, by 11.2o in external rotation, and by 18.7o in internal rotation, respectively. The visual analogue scale was decreased after treatment. None of the subjects complained pain during treatment. The mobility of shoulder joint was improved and the rhythm of scapulohumeral joint was restored.


Conclusion
The manual medicine therapy is an effective, tolerable and noninvasive treatment method for the painful adhesive capsulitis of shoulder.

Key Words: Adhesive capsulitis, Manual medicine therapy, Muscle energy technique, Range of motion (ROM), Visual analogue scale (VAS)


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