물리치료 중재방법에 따른 동결견 치료 효과 비교

Abstract

Purpose: This study prospectively compared the clinical outcomes of physio therapy interventions by evidence-based clinical guidelines in frozen shoulder. Based on this information, it was aimed to provide the clinical protocol in the treatment of frozen shoulder.

Method: The 45 patients met the inclusion criteria for this study were randomly assigned to 1 of 3 groups: group exercise, manual therapy, home exercise. Pain and satisfaction, Range of motion, Korean Shoulder Scoring System, Constant-Murley score, and WHOQOL-BREF outcome measures were performed at baseline, 4 weeks, 8 weeks, and 12 weeks.

Results: Visual analog scale, active ROM of the shoulder, functional outcomes, and WHOQOL-BREF improved in all groups at final follow-up(P<.05). Group exercise and manual therapy achieved faster VAS index and shoulder motion than home exercise. However, no significant differences among the two groups(P>.05). Functional outcomes improved the most in group exercise at final follow-up. This improvement was greater than with manual therapy or home exercise(P<.05).

Conclusion: There is significant improvement in the Visual analog scale, active ROM of the shoulder, functional outcomes, and WHOQOL-BREF. Group exercise and manual therapy provided faster VAS index and an earlier improvement in shoulder motion and function than home exercise in frozen shoulder. Especially, group exercise is more effective in functional recovery than other physiotherapy interventions. ------------------------------------ Key Words: Frozen shoulder, Group exercise, Physiotherapy interventions