Study Of Different Joint Mobilization On Muscle Strength,Pain,Constant-Murley Scale And Active Range Of Motion In Patients With Secondary Frozen Shoulder

Objective:To evaluate the efficacy of Mobilization with movement technique for patients with secondary frozen shoulder by comparing the shoulder pain,active range of motion,muscle strength and function scores of the two Maitland joint mobilization techniques.In order to provide a more effective treatment for patients with secondary frozen shoulder.Methods:According to the methods of clinical trial research,a total of 34 patients with secondary frozen shoulder admitted to the outpatient and ward of Rehabilitation Medicine Department of People’s Hospital from April 2021 to April 2022(all satisfied the incorporation standards of this research and voluntarily joined the research)were randomly divided into Mobilization with movement treatment group(experimental group)and Maitland loosening treatment group(control group).Four of them withdrew from the study due to treatment interruption,and 30 patients(18 males and12 females)were finally enrolled.The basic data of gender,age and duration of disease,and side of involvement were compared between the two groups,and the differences were not significant(P > 0.05).All the treatments were given 5 times a week(weekends off),3 weeks as one course,and a total of 2 courses.Muscle strength,range of motion(ROM),visual analogue scale(VAS)and functional score were evaluated before treatment,3 weeks and 6 weeks after treatment.SPSS22.0 was used for statistical analysis.Results:1.Muscle strength results:The results of intra-group comparison of muscle strength: after treatment,the forward flexion/abduction/internal rotation/external rotation muscle strength of shoulder joint of the patients in the Mobilization with movement group and the Maitland loosening group increased compared with those before treatment(P < 0.05).Comparison of muscle strength between groups: After treatment,there was no significant difference in the forward flexion/abduction/internal rotation/external rotation muscle strength of shoulder joint between the Maitland loosening group and the Mulligan loosening group(P > 0.05).2.Pain score VAS results:Comparison of pain scores within groups: after treatment,the VAS scores of shoulder joint pain in the Mobilization with movement group and Maitland loosening group were significantly higher than those before treatment(P < 0.05).Comparison of pain scores between groups: After treatment,the VAS score of shoulder joint pain in the Mobilization with movement was better than that in the Maitland loosening group(P < 0.05).3.CMS results of shoulder function score:Comparison of shoulder joint function score CMS within the group: after treatment,the shoulder joint function score CMS of the patients in the Mobilization with movement and the Maitland loosening group were higher than those before treatment(P < 0.05).Comparison of shoulder joint function score between CMS groups: after treatment,the shoulder joint function score of CMS in the Mobilization with movement group was better than that in the Maitland loosening group(P < 0.05).4.Results of active range of motion of shoulder jointIntra-group comparison of shoulder joint active motion: after treatment,the active motion range of shoulder joint in the Mobilization with movement group and Maitland loosening group was improved compared with that before treatment(P <0.05).Comparison of active motion of shoulder joint between the two groups: after treatment,the active motion range of shoulder joint in the Mobilization with movement group was better than that in the Maitland loosening group(P < 0.05).There was no significant difference between the Maitland loosening group and the Mobilization with movement group in improving the active range of motion of shoulder joint(P > 0.05).Conclusion:1.The effect of Mobilization with movement is significantly better than that of conventional Maitland loosening in terms of pain,shoulder function score and active range of motion of shoulder joint in patients with secondary frozen shoulder.2.There was no significant difference in the improvement of muscle strength and active range of motion of external rotation between the Mobilization with movement and the traditional Maitland loosening treatment.