The Influence Of Acupuncture And Massage Combined With Facilitation Stretch On Frozen Shoulder Patients Rehabilitation

Objective:To observe the influence of acupuncture and massage combined with facilitation stretch on frozen shoulder patients rehabilitation, and evaluate the scheme objectively. Methods: 60 cases with frozen shoulder were randomly divided into3 groups. Group A were treated with basic treatment(acupuncture and massage) and facilitation stretch, group B were treated with basic treatment and routine function exercises, group C were treated with basic treatment and free activities. The data base was no differences among the three groups. The scores were measured at pre-experiment and 4 weeks. The measurement index used t- test, subjective scale index used the nonparametric statistical analysis method, and adverse reactions were analysed and evaluated. Results: 1.After the treatment, pain of the three groups were improved significantly than before(P<0.05), there was no significant difference between group A and B on increased scores, but much higher than group C; 2. After the treatment,shoulder abduction strength score of the three groups were improved significantly than before(P<0.05), group A was significantly higher than group C, group A and B increased approximately; 3.After the treatment, the score of shoulder ROM were increased obviously than before(P<0.01), group A was significantly higher than group B, group A was also significantly higher than group C; 4.After the treatment,the JOA total score were significantly increased than before(P<0.01), group A increased most significantly, followed by group B, group C was the last; 5.After the treatment, the ADL score were obviously increased than before(P<0.05); 6. There were no significant differences among the three groups on the course of treatment;7. After the treatment, the effective population is 20 in group A and the efficiency was 100%, the effective population is 18 in group B and the efficiency was 94.7%, the effective population is 17 in group C and the efficiency was 82%. Conclusion: 1. In this experiment, the three schemes have obvious therapeutic effect and improve the quality of life by relieving pain and improving shoulder activity; 2. Basic treatment combined with facilitation stretch can effectively improve the pain?ROM?abduction strength and coordination of shoulder. 3. The basic treatment combined with facilitation stretch and basic treatmentcombined with routine function training is quite but much better than the basic treatment combined with free on pain; the basic treatment combined with facilitation stretch is significantly better than the other two schemes on abductor muscle strength and ROM improvement.