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Journal of the Korean Academy of Rehabilitation Medicine 1992;16(2):147-153.
Hydraulic Management of Frozen Shoulder
Park, Sang Kyun , Nam, Myung Ho , Yune, Seoung Ho
Department of Rehabilitation Medicine, Chungnam National University College of Medicine
수압팽창술을 이용한 동결견의 치료
박상균, 남명호, 윤승호
충남대학교 의과대학 재활의학교실

The purpose of this study was to evaluate the effectiveness of hydraulic managment in patients with frozen shoulder which were not improved with previous conservative treatment.

The study population was consited of 4 men and 6 women, 6 cases were affected in the dominant side and 4 cases in the non-dominat side and the duration of frozen soulder was ranged from 3 to 18 months, with mean duration of 8.8 months.

Associated conditions were trauma or fractures in 5 cases and cervical radiculopathy in 2 cases.

The results were as follows:

1) The pre-treatment shoulder ROM was 77o of flexion, 53o of abduction, 21o of external rotation, and 39o of internal rotation, and more severely limited in external rotation, abduction than in flexion, internal rotation.

2) The post-treatment ROM was 132o of flextion, 118o of abduction, 64o of external rotation, and 68 of internal rotation.

3) With the hydraulic management, ROM were increased 55o of flexion, 65 of abduction, 43o of external rotation and 29o of internal rotation.

4) The performance of ADL's and subjective symptoms such as pain, stkffness, sleep disturbance showed moderate to marked improvement in 8 cases.

5) No complications were observed with the hydraulic management.

With the above results, hydraulic distension was thought to be the effective method for improvement of subjective symptoms and increment of ROM in patients with frozen shoulder.

Key Words: Frozen shoulder, Hydraulic management


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