Yang Jing-lan, Chang Chein-wei, Chen Shiau-yee, Wang Shwu-Fen, Lin Jiu-jenq
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Phys Ther. 2007 Oct;87(10):1307-15. doi: 10.2522/ptj.20060295. Epub 2007 Aug 7.
The purpose of this study was to compare the use of 3 mobilization techniques--end-range mobilization (ERM), mid-range mobilization (MRM), and mobilization with movement (MWM)--in the management of subjects with frozen shoulder syndrome (FSS).
Twenty-eight subjects with FSS were recruited.
A multiple-treatment trial on 2 groups (A-B-A-C and A-C-A-B, where A=MRM, B=ERM, and C=MWM) was carried out. The duration of each treatment was 3 weeks, for a total of 12 weeks. Outcome measures included the functional score and shoulder kinematics.
Overall, subjects in both groups improved over the 12 weeks. Statistically significant improvements were found in ERM and MWM. Additionally, MWM corrected scapulohumeral rhythm significantly better than ERM did.
In subjects with FSS, ERM and MWM were more effective than MRM in increasing mobility and functional ability. Movement strategies in terms of scapulohumeral rhythm improved after 3 weeks of MWM.
本研究旨在比较三种松动技术——终末范围松动（ERM）、中间范围松动（MRM）和动态松动术（MWM）——在冻结肩综合征（FSS）患者治疗中的应用。
招募了28例FSS患者。
对两组患者进行多治疗阶段试验（A-B-A-C和A-C-A-B，其中A = MRM，B = ERM，C = MWM）。每个治疗阶段持续3周，共12周。疗效指标包括功能评分和肩部运动学指标。
总体而言，两组患者在12周内均有改善。ERM和MWM组有统计学意义上的显著改善。此外，MWM在纠正肩肱节律方面明显优于ERM。
在FSS患者中，ERM和MWM在增加活动度和功能能力方面比MRM更有效。MWM治疗3周后，肩肱节律方面的运动策略得到改善。
