Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Comparison Research of Clinical Effect of Eastern and Western Medical Treatment on Frozen Shoulder Patients

동결견(凍結肩) 환자의 동서협진 치료의 임상효과 비교연구 - 견관절 가동운동범위(ROM) 변화를 중심으로 -

  • Nam, Dong-Woo (Research Group of Pain and Neuroscience in Vision 2000 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University,Department of Acupuncture and Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Haeng-Beom (Department of Acupuncture and Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Yang, Dong-Hoon (Department of Biofunctional Medicine and Diagnosis, College of Oriental Medicine, Kyung Hee University) ;
  • Lim, Sa-Bi-Na (Research Group of Pain and Neuroscience in Vision 2000 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University) ;
  • Kim, Keon-Sik (Research Group of Pain and Neuroscience in Vision 2000 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University) ;
  • Lee, Doo-Ik (Research Group of Pain and Neuroscience in Vision 2000 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University) ;
  • Lee, Jae-Dong (Research Group of Pain and Neuroscience in Vision 2000 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University,Department of Acupuncture and Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Choi, Do-Young (Research Group of Pain and Neuroscience in Vision 2000 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University,Department of Acupuncture and Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Yun-Ho (Research Group of Pain and Neuroscience in Vision 2000 Project, East-West Medical Research Institute, WHO Collaborating Center, Kyung Hee University,Department of Acupuncture and Moxibustion, College of Oriental Medicine, Kyung Hee University)
  • 남동우 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀,경희대학교 한의과대학 침구과교실) ;
  • 김행범 (경희대학교 한의과대학 침구과교실) ;
  • 양동훈 (경희대학교 한의과대학 진단.생기능의학과학교실) ;
  • 임사비나 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀) ;
  • 김건식 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀) ;
  • 이두익 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀) ;
  • 이재동 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀,경희대학교 한의과대학 침구과교실) ;
  • 최도영 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀,경희대학교 한의과대학 침구과교실) ;
  • 이윤호 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학연구팀,경희대학교 한의과대학 침구과교실)
  • Published : 2006.10.20
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Abstract

Objectives : To establish an effective collaborate medicine treatment of acupuncture and western medicine for treating frozen shoulder patients. Methods : 59 voluntary patients were randomly assigned to Eastern treatment group(E group, n=22), Western treatment group(W group, n=17) and East-West treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received acupuncture and injection treatment including nerve block All groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment based on the change in shoulder Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The patient's satisfaction scores were E group 5.67, W group 7.73 and EW group 7.67. The E group and the EW group showed significant improvement in abbduction, adduction and flexion(p<0.05). The W group showed significant improvement in adduction(p<0.05). Abduction significantly improved(p<0.05) in the EW group compared to E group and W group. Flexion also showed improvement in the EW group, but the difference among the 3 groups was statistically insignificant. The three group's difference of change in extension and adduction was insignificant(p>0.05). Conclusion : Acupuncture and nerve block alone significantly improved ROM in frozen shoulder patients. Also collaborate treatment of acupuncture and nerve block significantly improved ROM in frozen shoulder patients. But the difference of the three treatments were significant only for improving abduction(p<0.05).

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