The efficacy of Turem in the treatment  of chronic shoulder pain syndrome
	    		
		   		
	    	
    	
    	
   		
        
        	
        		- VernacularTitle:Мөрний архаг өвдөлтийн хам шинжийн үеийн  түрэм засал эмчилгээний үр дүн
- Author:
	        		
		        		
		        		
			        		Wu Ji Ming Zhu
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Munkhchimeg O
			        		
			        		
			        		
			        			2
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Lagshmaa B
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Alimaa T
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		
		        		
		        		
		        		
    Author Information Author Information
 
			        		
			        		
			        			1. International School of Mongolian Medicine, MNUMS
 2. Central Hospital of Mongolian Medicine, MNUMS
 
 
- Publication Type:Journal Article
- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Shoulder pain syndrome;
			        		
			        		
			        		
				        		Turem;
			        		
			        		
			        		
				        		traditional medicine;
			        		
			        		
			        		
				        		Quality of life
			        		
			        		
	        			
        			
        		
- From:
	            		
	            			Mongolian Journal of Health Sciences
	            		
	            		 2025;85(1):79-84
	            	
            	
- CountryMongolia
- Language:Mongolian
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		        	Abstract:
			       	
			       		
				        
				        	Background:When the incidence of the chronic shoulder pain syndrome is increasing year by year, it is necessary to 
determine the effects of pain relief, recovery of joint disability, and impact on quality of life through clinical trial research 
when calculating the results of Turem treatment, which is one of the main methods of traditional medical treatment. 
				        	
 Aim: To study the effects of traditional medicine chiropractic on pain relief, mobility improvement, joint function recovery, and quality of life in chronic shoulder pain syndrome.
 Materials and Methods:The study was conducted using a single-blind, randomized controlled clinical trial (RCT) design. In the study, 60 clients were randomly selected from people suffering from of the shoulder joint pain, and group 1 
received Turem treatment together with physical therapy, and group 2 received physical therapy. The results of the study 
were evaluated by shoulder pain (VAS score), muscle strength, range of motion of the shoulder joint with a goniometer, 
and the Disability of Arms, Shoulders, and Paws Questionnaire (DASH). The research was conducted in accordance with 
the appropriate ethical approvals (No. 2024/3-05), (No. 2024-18) and confirmed by an informed consent form. Clinical 
trial research results were processed using T-test, Independent T-test, repeated ANOWA test.
 Results:The average age of the participants in the study was 56.13±7.13 years in the treatment group and 53.87±8.05 
years in the control group, and 55% were male and 45% female. When shoulder joint pain was evaluated by VAS assessment, the values   before and after treatment and after 1 month of treatment in the turem treatment group and the control 
group decreased statistically significantly (p=0.000). There was a statistical difference between the results of the 2 study 
groups. When assessing muscle strength, no statistically significant difference was observed between the results of the 
turem treatment and control groups. When measuring the amplitude of the shoulder joint in the subjects, the amplitude of 
shoulder extension, abduction, external rotation, and inward rotation increased after the treatment, and compared to the 
two groups, the index of the turem treatment group increased with statistical significance (p=0.000). When assessed by 
the Hand, Shoulder, and Hand Dysfunction Questionnaire (DASH), the score of the questionnaire decreased significantly 
(p=0.000) before, after, and after 1 month of treatment in the turem treatment group and the control group. Turem treatment has been shown to reduce the rate of shoulder disability and improve function in chronic shoulder pain syndrome. 
Conclusion: Turem treatment for chronic shoulder pain syndrome can reduce shoulder pain, increase joint range, and 
improve muscle strength. Also, turem treatment reduced the rate of shoulder disability and improved function.
 Conclusion: Turem treatment for chronic shoulder pain syndrome can reduce shoulder pain, increase joint range, and 
improve muscle strength. Also, turem treatment reduced the rate of shoulder disability and improved function.
- Full text:202505271431085321979-84.pdf