Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Complex Korean Medical Treatment in Patients with Frozen Shoulder: A Retrospective Chart Review

동결견 환자에 대한 한의복합치료 효과: 후향적 차트 리뷰

  • SeongHwan Ko (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Eun-Jung Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University)
  • 고성환 (대전대학교 한의과대학 한방재활의학교실) ;
  • 이은정 (대전대학교 한의과대학 한방재활의학교실)
  • Received : 2023.06.20
  • Accepted : 2023.07.10
  • Published : 2023.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives Through this study, we investigated the effects of Korean medicine treatments on range of motion recovery and pain reduction in patients with Frozen shoulder. Methods In this study, the medical records of 26 patients diagnosed with frozen shoulder were retrospectively observed and analyzed through the IBM SPSS Statistics 25 program. We used range of motion to observe the patient's motion recovery and numeric rating scale to evaluate pain reduction. Results The shoulder range of motion increased statistically significantly from 160.0 (123.5~170.0) to 170.0 (160.0~180.0) (flexion), 115.0 (90.0~135.0) to 167.5 (130.0~178.8) (abduction), 40.8±22.1 to 58.3±16.0 (external rotation) (p<0.001). The average of numeric rating scale reduced statistically significantly from 6.7±2.0 to 3.2±1.4 (p<0.001). Depending on the period, the range of motion increased statistically significantly when visited within 3 months, also the pain score decreased 7.0 (5.4~8.0) to 3.0 (1.8~3.6) statistically significantly when visited within 3 months. In the treatment intervention, the increase in the range of motion and the decrease in pain were statistically significant, especially when the bee venom acupuncture and chuna manaul therapy were used together. Conclusions Korean medicine treatments was effective in improving the range of motion and reducing pain in frozen shoulders. In particular, when treated within 3 months of onset and when bee venom acupuncture and chuna manual therapy were used together, it was effective in recovering the range of motion and reducing pain.

Keywords

References

  1. Shen L, Lee JH, Joo JC, Park SJ, Song YS. Bee venom acupuncture for shoulder pain: a systematic review and meta-analysis of randomized controlled trials. Journal of Pharmacopuncture. 2020;23(2):44-53.  https://doi.org/10.3831/KPI.2020.23.008
  2. Choi SJ. Adhesive capulitis of the shoulder. Journal of the Korean Society of Radiology. 2021;82(6):1355-65.  https://doi.org/10.3348/jksr.2021.0131
  3. Lundberg BJ. The frozen shoulder. Clinical and radio-graphical observations. The effect of manipulation under general anesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta orthopaedica Scandinavica, Supplementum. 1969;40(sup119):1-59.  https://doi.org/10.3109/ort.1969.40.suppl-119.01
  4. Park GY, Hwang SE. Comparison of intraarticular steroid injection with and without capsular distension in adhesive capsulitis of the shoulder. Journal of Korean Academy of Rehabilitation Medicine. 2000;24(6):1174-9. 
  5. Fields BKK, Skalski MR, Patel DB, White EA, Tomasian A, Gross JS, Matcuk jr GR. Adhesive capsulitis: review of imaging findings, pathophysiology, clinical presentation, and treatment options. Skeletal Radiology. 2019;48(8):1171-84.  https://doi.org/10.1007/s00256-018-3139-6
  6. Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen shoulder: a long-term prospective study. Annals of the Rheumatic Diseases. 1984;43(3):361-4.  https://doi.org/10.1136/ard.43.3.361
  7. Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ Clinical Pain. 2005;331(7530):1453-6.  https://doi.org/10.1136/bmj.331.7530.1453
  8. Lee SC. Ultrasound guidance for intra-articular shoulder injections for frozen shoulder. Clinical Pain. 2022;21(2):70-3.  https://doi.org/10.35827/cp.2022.21.2.70
  9. Ranalletta M, Rossi LA, Bongiovanni SL, Tanoira I, Elizondo CM, Maignon GD. Corticosteroid injections accelerate pain relief and recovery of function compared with oral NSAIDs in patients with adhesive capsulitis: a randomized controlled trial. The American Journal of Sports Medicine. 2016;44(2):474-81.  https://doi.org/10.1177/0363546515616238
  10. Han SH, Lee HE, Byun DY, Kim YI, Kim MK, Min BK, Lim HB, Jeong YJ, Oh MS. A systematic review of moxibustion for frozen shoulder. J Korean Med Rehabil. 2019;29(3):35-49.  https://doi.org/10.18325/jkmr.2019.29.3.35
  11. Oh TY, Kim YH, Oh EM, Hong SM, Ha HJ, Lee EJ, Oh MS. A systematic review and meta-analysis of herbal medicine for frozen shoulder. J Korean Med Rehabil. 2019;29(3):15-33.  https://doi.org/10.18325/jkmr.2019.29.3.15
  12. Han DH, Park IH, Heo I. Extracorporeal shock wave therapy with meridian and acupoint theory for adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. Journal of Korean Medicine. 2022;32(2):55-63.  https://doi.org/10.18325/jkmr.2022.32.2.55
  13. Kim MH. Three cases of frozen shoulder treated with hominis placenta pharmacopuncture and chuna manual therapy. Journal of Korean Medicine. 2023;44(1):117-27.  https://doi.org/10.13048/jkm.23011
  14. Song EM. Effects of far-infrared therapy on weight loss in Korean obese women. Journal of Society of Korean Medicine for Obesity Research. 2012;12(1):20-32. 
  15. Luime JJ, Koes BW, Hendriksen IJM, Burdorf A, Verhagen AP, Miedema HS, Verhaar JAN. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scandinavian Journal of Rheumatology. 2004;33(2):73-81.  https://doi.org/10.1080/03009740310004667
  16. Park CI, Moon JH. Rehabilitation medicine. Hanmi Medical Publishing. 2007. 
  17. Akpinar S, Ozalay M, Hersekli MA, Ozkoc G, Tandogan R. Arthroscopic capsular release for frozen shoulder. Acta Orthopaedica et Traumatologica Turcica. 2003;37(3):213-8. 
  18. The Society of Korean Medicine Rehabilitation. Korean rehabilitation medicine. 5th ed. Koonja Publishing. 2020. 
  19. De Jong BA, Dahmen R, Hogeweg JA, Mar ti RK. Intra-articular triamcinolone acetonide injection in patients with capsulitis of the shoulder: a comparative study of two dose regimens. Clinical Rehabilitation. 1998;12(3):211-5.  https://doi.org/10.1191/026921598673772420
  20. Cho CH, Bae KC, Kim DH. Treatment strategy for frozen shoulder. Clinics in Orthopedic Surgery. 2019;11(3):249-57.  https://doi.org/10.4055/cios.2019.11.3.249
  21. Kwon OG, Lee YK. A case report of intra-articular bee venom pharmacopuncture for adhesive capsulitis. Journal of Korean Acupuncture & Moxibustion Society. 2012;29(4):99-103. 
  22. Yuk DI, Song I, Ko MK, Sung IS, Kim MJ, Lee JW, Oh YS, Jo JH, Kang WC, Hong KE. Five cases of frozen shoulder patients treated by acupotomy combined with oriental medical treatments. Journal of Korean Acupuncture & Moxibustion Society. 2012;29(5):167-76. 
  23. Lee JS, Ryu CH, Jeong SS, Moon SI. A review of fir e needling on frozen shoulder: focusing on Chinese journals. Journal of Korean Acupuncture & Moxibustion Society. 2013;30(3):87-99. 
  24. Buchbinder R, Youd JM, Green S, Stein A, Forbes A, Harris A, Bennell K, Bell S, Wright WJL. Efficacy and cost-effectiveness of physiotherapy following glenohumeral joint distension for adhesive capsulitis: a randomized trial. Arthritis & Rheumatology. 2007;57(6):1027-37.  https://doi.org/10.1002/art.22892
  25. Cho JC, Park SY, Shin BC. Chuna manual therapy for adhesive capsulitis: a systematic review and meta analysis. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2019;14(2):1-14. 
  26. Sung SH, Lee HJ, Han JE, Sung ADM, Park M, Shin SW, Jeong HI, Jang SB, Lee GH. Bee venom acupuncture for neck pain: a review of the Korean literature. Toxins. 2023;15(2):129.