Therapeutic observation of arthrolysis under brachial plexus anesthesia for adhesivecapsulitis of the shoulder
https://doi.org/10.1007/s11726-020-1168-x
- VernacularTitle:臂丛神经麻醉下手法松解术治疗粘连型肩周炎疗效观察
- Author:
Yuan-Zhi FAN
;
Yao-Chi WU
;
Jue HONG
- Keywords:
Tuina;
Massage;
Arthrolysis;
Frozen Shoulder;
Shoulder Pain;
Periarthritis;
Brachial Plexus Anesthesia;
Range of Motion;
Articular
- From:
Journal of Acupuncture and Tuina Science
2020;18(2):135-142
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To objectively evaluate the short-term and long-term efficacies of arthrolysis under brachial plexus anesthesia in treating adhesive capsulitis of the shoulder (ACS). Methods: One hundred patients diagnosed with ACS were divided into two groups using the random number method. The two groups both received same active rehabilitation exercises. Besides, 55 cases in the treatment group were given one session of arthrolysis under brachial plexus anesthesia, and 45 cases in the control group were given tuina treatment. Changes in the visual analog scale (VAS) score, Melle score and pressure pain index were observed 1 month and 3 months after treatment. The therapeutic efficacies were also compared. Results: The total effective rate was 96.4％ at the 1-month follow-up and 96.4％ at the 3-month follow-up in the treatment group. The total effective rate was 33.3％ at the 1-month follow-up and 28.9％ at the 3-month follow-up in the control group. There were significant differences between the two groups comparing the total effective rate at the two time points (both P<0.05). The scores of VAS, Melle and pressure pain were significantly different at the 1-month and 3-month follow-ups from those before treatment in the treatment group (all P<0.05); the three scores did not show significant differences at the 1-month and 3-month follow-ups compared with those before treatment in the control group (all P>0.05). Conclusion: Based on the active rehabilitation exercises, one session of arthrolysis under brachial plexus anesthesia can release the adhesion and restore the range of motion and function of shoulder joint in ACS patients. It is superior to rehabilitation exercises plus tuina treatment comparing both short-term and long-term efficacies.
