Clinical Observation On Chronic Frozen Shoulder Treated By Massage Combined With PNF

Objective:A randomized controlled trial was conducted to observe the clinical efficacy of massage combined with Proprioceptive Neuromuscular Facilitation(PNF)in the treatment of chronic frozen shoulder,so as to optimize the clinical treatment scheme.Method:60 patients with chronic frozen shoulder conforming to the inclusion and exclusion criteria were selected from the second people's hospital affiliated to Fujian University Of Traditional Chinese Medicine and randomly divided into treatment group(30cases)and control group(30 cases).The treatment group was treated with massage combined with PNF(massage first and PNF training later),the control group was treated with massage,once a day,a course of treatment for 14 times.The curative effect was evaluated after one course of treatment.The basic information and medical history were recorded according to CRF table at the first treatment.According to the VAS,CMS scale,traditional Chinese medicine curative effect evaluation standard and the determination of multi-joint isokinetic muscle strength evaluation and training system,the curative effect before and after treatment was evaluated comprehensively from the aspects of efficacy evaluation,VAS,CMS score and multi-joint isokinetic muscle strength measurement.Data were collected and analyzed by SPSS19.0.Results:1.The general data of gender,age and course of disease of the two groups were not statistically significant(p>0.05),and were comparable.2.The difference between VAS score and CMS score of shoulder joint between the two groups was significant(p<0.05),indicating that both methods could relieve shoulder pain,increase shoulder joint activity and improve patients' daily living ability.3.The difference of range of motion between the two groups before and after treatment showed significant difference(p<0.05),which indicated that massage and massage combined with PNF could effectively improve the limited range of motion of shoulder joint,but massage combined with PNF improved significantly.4.The difference of muscle strength between the two groups before and after treatment was examined,there was a significant difference(p<0.05),indicating that the two groups can improve the muscles strength around the shoulder,but massage combined with PNF group improved significantly more than massage group.5.The clinical efficacy of the two groups after treatment was statistically significant(p<0.05),indicating that massage combined with PNF group in the treatment of chronic frozen shoulder of shoulder clinical efficacy is better than massage group.Conclusions:1.Massage combined with PNF can reduce shoulder pain in patients with chronic frozen shoulder,increase shoulder mobility,improve the muscle strength of shoulder joint,improve the ability of daily life of patients.2.Massage combined with PNF is an economic,green and safe treatment,simple operation,no obvious side effects,curative effect is exact,worthy of clinical promotion.