Objective: To identify the effects of Kaltenbor-Evjenth mobilization concept and Traditional chinese Tuina on pain, disability, ROM and grip strength of patients with frozen shoulder in China.
Methods: In this study, by appluing inclusion and exclusion criteria, 30 subjects with frozen shoulder were selected, with 15 subjects being randomized to the experiment group (EG) and applied with K-E mobilization, and other 15 subjects being randomized to control group (CG) and applied with Traditional Chinese Tuina. The program consisted of 30 minutes sessions and 3 days a week for 4 weeks. VAS was utilized to measure the pain score. Disability index questionnaire was adopted to measure the disability. Goniometer was applied to measure ROM and hand dynamometer was to measure grip strength. Measurement data was analyzed by statistical program spss version 22.0 for Windows.
Results:
1. The pain of both groups was lowered with statistical significance, while there is no significant differences between the two groups.
2. Disability index obviously decreased after intervention in both groups. In particular, the decrease in EG was more statistically significant than that in CG.
3. ROM, including flexion, abduction, internal rotation and external rotation, greatly increased after intervention in both groups. In particular, the flexion, internal rotation and external rotation of EG were remarkably improved compared with CG. However, no significant difference in abduction ROM between the two groups was observed.
4. The grip strength of both groups was statistically significant, but there was no obvious difference between the two groups.
Conclusion:
These results suggested that Kaltenborn-Evjenth mobilization may be considered as a more effective clinical approach for reducing dysfunction and increasing shoulder ROM of flexion, internal rotation and external rotation.