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Rehabilitation Practice and Science

Translated Title

比較動態關節鬆動術與活動極限下做關節鬆動術治療冰凍肩療效之隨機分配臨床試驗

Abstract

The objective of this stud is to compare the efficacy between mobilization with movement (MWM) and end-range mobilization techniques (EMTs) in the management of adhesive capsulitis. Eighteen and twenty-two patients from MWM and EMT groups, respectively, who returned after two-week follow-up were evaluated. This was a randomized, evaluator-blind, parallel comparison study. Active and passive range of motion (ROM) for flexion, internal and external rotation, abduction and pain scale were assessed regularly by the same physical therapist. Pain reduction was observed in most of the patients. The proportion of patients with the same or worse condition after one month of follow-up was not significantly different for all measures between groups, although the MWM group had a slightly smaller percentage than EMT group in internal rotation (1/18 vs 6/22, p=0.105). After one-month follow-up the MWM patients also had a significantly better improvement in external rotation, p﹤0.05. MWM was proved to be at least equally effective in the treatment of adhesive capsulitis compared to EMTs. Further studies are needed to investigate the efficacy of MWM and the duration of its effect.

Language

English

First Page

187

Last Page

197

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