Department of Physical Therapy, Masan University, Changwon, Gyeongnam, Republic of Korea.
Arch Phys Med Rehabil. 2013 Jan;94(1):9-16. doi: 10.1016/j.apmr.2012.07.013. Epub 2012 Jul 28.
To compare 2 different treatment approaches, physical therapy modalities, and joint mobilization versus whole-body cryotherapy (WBC) combined with physical therapy modalities and joint mobilization, for symptoms of adhesive capsulitis (AC) of the shoulder.
A randomized trial.
Hospital.
Patients with AC of the shoulder (N=30).
Patients were randomly assigned to 2 groups. The WBC group received physical therapy modalities, passive joint mobilization of the shoulder, and WBC, whereas the non-WBC group received only physical therapy modalities and passive joint mobilization of the shoulder.
Visual analog scale (VAS), active range of motion (ROM) of flexion, abduction, internal and external rotation of the shoulder, and the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) were measured before and after the intervention.
A statistically significant difference between groups was found for the VAS, active ROM of flexion, abduction, internal rotation, and external rotation, and the ASES with greater improvements in the WBC group (Ps<.01). Overall, both groups showed a significant improvement in all outcome measures and ROM measures from pre to post at a level of P<.01.
There is significant improvement with the addition of WBC to treatment interventions in this sample of patients.
比较两种不同的治疗方法，即物理治疗方法和关节松动术，与全身冷冻疗法（WBC）联合物理治疗方法和关节松动术，治疗肩关节粘连症（AC）的症状。
随机试验。
医院。
患有肩部 AC 的患者（N=30）。
患者被随机分配到两组。WBC 组接受物理治疗方法、肩部被动关节活动度和 WBC，而非 WBC 组仅接受物理治疗方法和肩部被动关节活动度。
视觉模拟评分（VAS）、肩部前屈、外展、内旋和外旋的主动活动范围（ROM），以及美国肩肘外科医生协会标准化肩部评估表（ASES），在干预前后进行测量。
组间 VAS、主动前屈 ROM、外展 ROM、内旋 ROM 和外旋 ROM 以及 ASES 存在统计学显著差异，WBC 组改善更显著（P<.01）。总体而言，两组在所有结局测量和 ROM 测量方面均从干预前到干预后均有显著改善，达到 P<.01 的水平。
在本患者样本中，在治疗干预中加入 WBC 可显著改善。
