抄録
The purpose of this study was to investigate the effect of pumping therapy for a frozen shoulder.
58 patients (average age 54.8 years old) who were treated by pumping therapy were classified using Morioka's arthroqram classifications (frozen type, subscapular type, rotator type, bicipital type, and another) and were reviewed. The clinical outcomes were evaluated at pretreatment and at follow-up, using the JOA score for the shoulder. Pumping was performed by injecting about 10ml of saline or 1% Lidocaine into the joint capsule. After measuring the intraarticular pressure, the injected solution was manually ejected and injected again. This process was continued 4 to 5 times.
The average follow-up period was 8.6 months (1∼38). The JOA scores of all the arthroqram type qroups increased after the treatment, especially the frozen type. Eighteen in the 58 patients were evaluated at the end of treatment and at follow-up (avarage period was 11 months after treatment), using the JOA scores. It revealed that the improvement of each JOA score at the end of treatment was also kept at follow-up period.
One patient underwent a follow-up arthroscopy, which revealed a new vasculization of the synovium in the shoulder joint capsule.
In conclusion, pumping therapy may be a good choice of treatment for a frozen shoulder. It was effective in recovering ROM, the functional ability and controlling pain.
