Feasibility analysis of scapular stability training for patients with primary frozen shoulder
Objective To explore the intervention effect of Scapular Stabilization Exercise(SSE)for patients with primary frozen shoulder(PFS).Methods Eighty-five patients with PFS admitted to our hospital between May 2022 and May 2023 were selected for a single-blind,randomized and controlled clinical study,including 43 cases in the observation group(aged 28-62 years old,26 males and 17 females,with BMIs ranging from 18.23 to 32.68)and 42 cases in the control group(aged 26-65 years old,22 males and 20 females,with BMIs ranging from 19.13 to 31.88).Conventional physiotherapy program was applied in the control group.In the observation group,SSE was added to the conventional physiotherapy program.Numerical rating scale(NRS)scores,shoulder pain and disability index(SPADI)and patient-specific functional scale(PSFS)were measured.Enzyme-linked immunosorbent assay(ELISA)was used for tumor necrosis factor-α(TNF-α),interleukin(IL)-1,IL-6 and IL-8 levels.Results At 4 and 8 weeks after treatment,NSR-exercise and NSR-rest were lower in the observation group than in the control group(P<0.05).At 2,4 and 8 weeks after treatment,SPADI was lower in the observation group than in the control group(P<0.05);at 1,2,4 and 8 weeks after treatment,PSFS was lower in the observation group than in the control group(P<0.05).At 8 weeks after treatment,the mobility of the affected shoulder joint(abduction,forward flexion and external rotation)was higher in the observation group than in the control group(P<0.05).Eight weeks after treatment,TNF-α and IL-6 were lower in the observation group than in the control group(P<0.05).Eight weeks after treatment,the SF-36 scores of the observation group were higher than those of the control group in all dimensions(P<0.05).Conclusions SSE intervention can effectively reduce the motion and resting pain of the affected shoulder and improve the shoulder functions for PFS patients.
ScapulaJoint instabilityArthritisFunctional status
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