Clinical Study of Combining"Six-Step Shoulder Manipulation"of Wei's Traumatology with Daoyin Exercise to Treat Frozen Shoulders
Objective:To observe the clinical efficacy of combining"Six-Step Shoulder Manipulation"of Wei's traumatology with Daoyin exercise on the treatment of stiffened frozen shoulders.Methods:120 patients with frozen shoulders were se-lected and randomly divided into three groups,i.e.the manipulation combined with Daoyin exercise group(combination group),the manipulation group and the Daoyin exercise group.40 patients were included in each group in the clinical trial.The visual analogue scale(VAS)pain simulation score,shoulder functional evaluation(Constant-Murley shoulder function scale(CMS))score,range of motion(ROM),and overall efficacy evaluation were used in this study.The VAS pain simu-lation score and CMS score were compared among the three groups at pre-treatment and at 4 and 8 weeks post-treatment.The overall efficacy was evaluated at 8 weeks post-treatment.Results:110 patients completed all treatment and follow-up.Prior to treatment initiation,the three groups dis-played no significant differences in pain VAS scores,shoulder joint function(as measured by CMS),or range of shoulder joint motion(P＞0.05).At 4 weeks after treatment,there was no significant difference in pain VAS scores between the combination group and the manipulation group(P＞0.05),and the VAS scores of combination group was significantly smaller than those of the Daoyin exercise group(P＜0.05).Significant improvements were noted across all groups in terms of shoulder joint function.Notably,the combination group experienced superior outcomes compared to both the manipulation and Daoyin exercise groups(P＜0.05).Regarding range of motion,no significant disparity was found between the combination and manipulation groups in flexion,extension,abduction,and external rotation(P＞0.05).However,the combination group exhibited significantly greater enhancements than the Daoyin exercise group in these same movements(P＜0.05).Adduction and internal rotation did not show any significant difference when the combination group was compared with the manipulation and Daoyin exercise groups(P＞0.05).By the eight-week mark,the combination group's pain VAS scores were significantly lower than those of the ma-nipulation and Daoyin exercise groups(P＜0.001),with the manipulation group also scoring significantly lower than the Daoyin exercise group(P＜0.05).Furthermore,shoulder joint function scores were significantly higher in the combination group compared to the other two groups(P＜0.05),with the manipulation group outperforming the Daoyin exercise group(P＜0.001).In terms of range of motion,the combination group demonstrated significantly greater improvements than both the manipulation and Daoyin exercise groups(P＜0.001).An overall comparison of therapeutic efficacy among the three groups indicated significant variances(P＜0.05).The combination group was found to be superior to both the manipulation and Daoyin exercise groups(P＜0.05),whereas no significant difference was detected between the manipu-lation and the Daoyin exercise groups(P＞0.05).Conclusion:Combining"Six-Step Shoulder Manipulation"of Wei's trau-matology with Daoyin exercise can effectively treat frozen shoulders and improve the overall function of shoulder joints.
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