The Clinical Study On The Treatment Of Frozen Shoulder By Manipulation Of TCM Massage Loose Solution Under The General Anesthesia Combined Local Blocking And Functional Exercise

ObjectiveObserve the clinical effects on the treatment of Frozen Shoulder by anipulation of Traditional Chinese Medical Massage Loose Solution under the general anesthesia combined Local Blocking and Functional Exercise.MethodsChoosing the standard diagnostic method and the clinical efficacy evaluation criteria, keep the same treatment parameters, take the ROM, function and symptom of the shoulder of the affected side, and the quality of life of patients as the evaluation of clinical curative effect. A total of67patients were included in the study, but6cases were eliminated because they were failed to get a complete follow-up,61patients were diagnosed as frozen shoulder stage3which was put forward by Neviaser are divided into two groups at random. Among them, the test group(29) was treated by "the Manipulation of TCM Massage Loose Solution under the general anesthesia combined Local Blocking and Functional Exercise"; the control group(32) was treated by "the Local Blocking and Functional Exercise" only. And then analyze and contrast the data of the related parameters of the two groups that observed before treatment and after treatment.ResultsContrast the VAS score, Constant score, QuickDASH score between the two groups before treatment, and contrast the basic information of the two groups, such as gender, age and course of the disease, after statistics analysis, all the results suggest:P>0.05, no significant difference between the two groups. A significant difference in the comparison of the ROM of the affected shoulder’s abduction and flexion before the general anesthesia and after the general anesthesia was found (p<0.05), and no significant difference in the comparison of the ROM of the affected shoulder’s Internal rotation, external rotation and rear protraction before the general anesthesia and after the general anesthesia was found (p>0.05).Respectively contrast the VAS score of both groups that were measured before and after treatment, we can find a significant difference in the score that were measured at1day,2weeks, lmonth and3months after treatment. Comparing the VAS score that were measured at after treatment between the two groups, there was no significant difference can be found on the whole, but we can find that the control group has a clear advantage in the VAS score that were measured at lday,2weeks after treatment between the two groups. Constant score comparison between the two groups, both in1day,2weeks, lmonth or3months after treatment, the results suggests that P<0.05, it means that the two groups have obvious advantages after treatment than before treatment. In Constant score comparison between the two groups of1day,2weeks,3months after treatment, the treatment group also has a distinct advantage than the control group. QuickDASH score comparison between the two groups, both in2weeks, lmonth or3months after treatment, the results suggests that P<0.05, it means that the two groups have obvious advantages after treatment than before treatment. The QuickDASH score comparison between the two groups, the treatment group also has more obvious advantages than the control group at2weeks, lmonth and3months after treatment. We found an adverse event in the treatment group that one of patients had a severe pain and be in resistance to treatment during the process of the treatment.ConclusionIn this study, two treatments have obvious curative effect in patients with frozen shoulder Neviaser stage3. About the pain control after treat ment, the two groups have a parallel effect, but the control group have a significant advantage than the treatment group at1day and2weeks afte r treatment. As a whole, the treatment group have obvious advantages than the control group for patients with shoulder motion, function improvemen t and quality of life after treatment. Because of incomplete anesthesia, a n adverse event was occured in the treatment group, that one of patients had a severe pain and be in resistance to treatment during the process o f the treatment. Which reflects the necessity and superiority of the trea tment under general anesthesia.The passive range of motion of Frozen Shoulder’s certain direction such as abduction and flexion direction, that can be improved after the general anesthesia, it may means that to do the Manipulation of TCM Massage Loose Solution under the general anesthesia which has the scientific nature and rationality. In a word, the patients with frozen shoulder stage3can be treated by " the Manipulation of TCM Massage Loose Solution under the general anesthesia combined Local Blocking and Functional Exercise " which is a Practical combinational therapy with the advantages of safe, rapid and significant curative effect, we suggest this combinational therapy could be used widely in the clinical application.