Effect of shoulder joint manual release combined with local extracorporeal shock wave for the treatment of patients with scapulohumeral periarthritis in prefrozen stage

Abstract

Objective To investigate the clinical effect of shoulder joint manual release therapy combined with local extracorporeal shock wave in the treatment of patients with scapulohumeral periarthritis in prefrozen stage. Methods From August 2017 to August 2018, 80 patients with scapulohumeral periarthritis in prefrozen stage over 50 years old, who had poor pain control 1 week after taking loxoprofen sodium tablets orally, were collected in the department of Pain Medicine of the Third People's Hospital Affiliated to Jianghan University. All patients were treated with shoulder joint manual release first, and then underwent extracorporeal shock wave therapy 3 days later, once a week for 3 times. According to the Constant-Murley scoring method, the pain, function and the therapeutic effect of scapulohumeral periarthritis were evaluated comprehensively before the treatment and 1, 3 and 6 months after the treatment respectively. Results The pain score, activity of daily living (ADL) and range of motion of joints (ROM) were significantly better at 1, 3 and 6 months after the treatment than those before the treatment (all P 0.05). The effective rate was 100% at 1 month and 3 months, but 98% at 6 months after the treatment. Conclusion Shoulder joint manual release combined with extracorporeal shock wave therapy can significantly relieve pain and improve shoulder joint function in patients with scapulohumeral periarthritis in prefrozen stage. Key words: Shoulder joint; High-energy shock waves; Periarthritis of shoulder; Manipulation lysis