Efficacy of a manual method according to the fascial distortion model in the treatment of contracted («frozen») shoulder

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«Frozen shoulder» is a common problem and difficult to treat. The present prospective randomised single-blind controlled trial evaluates the efficacy of the fascial distortion model according to Typaldos as a remedy for the «frozen shoulder». Material and methods. A total of 60 patients were randomised to receive either the FDM-guided treatment (FDM, n = 30) or a «conventional» manual therapy (MT, n=30). The primary endpoint for the treatment effect was the shoulder mobility, and secondary endpoints were pain (measured on a VAS), raw force and function as expressed by the Constant-Murley and DASH scores. Results. Before therapy groups were well comparable in terms of all outcome parameters. All endpoints showed a substantial and significant improvement in both treatment groups. Improvement was significantly more marked in the FDM group as compared to the MT group, and the effect occurred significantly faster. During posttreatment observation, there was no further improvement and the achieved benefit in mobility in the FDM group decreased. However, the abduction ability of 15,2±37,2° continued to be substantially better than in control patients (124.1±38.6°, p <0,01), and the ultimate improvement in abduction was 59.4° (64% more than baseline) as opposed to 25.9° (27%) in controls. Secondary outcome parameters (raw force, functional handicap, and pain) showed a significant improvement in both groups but a significantly better result in patients treated according to FDM guidelines. However, patients in this group experienced pain during the treatment more frequently (21/27 vs. 10/27, P < 0,01 ). Conclusion. «Frozen shoulder» treatment according to the FDM is an effective modality with swift onset of action and acceptable side effects that is superior to conventional manual therapy. Long-tern effects, and modes of action need to be investigated.

作者简介

M. Fink

Hannover Medical University, Clinic of Rehabilitation Medicine

编辑信件的主要联系方式.
Email: fink.matthias@mh-hannover.de
俄罗斯联邦

J. Schiller

Hannover Medical University, Clinic of Rehabilitation Medicine

Email: pmr@mh-hannover.de
俄罗斯联邦

H. Buhck

Hannover Interdisciplinary Medical Association

Email: dr.buhck@medcomtools.de
俄罗斯联邦

C. Stein

Osteopathic clinic

Email: c.stein@osteopathie-oper.de
俄罗斯联邦

参考

  1. Gesundheitsberichterstattung des Bundes. Gesundheit in Deutschland. Berlin: Robert Koch-Institut; 2006.
  2. Bongers P.M. The cost of shoulder pain at work. BMJ 2001; 322: 64-65
  3. Dinnes J., Loveman E., Mclntyre L. et al. The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess. 2003; 7: iii, 1-166.
  4. Kuijpers T., van Tulder M.W., van der Heijden C.J. et al. Costs of shoulder pain in primary care consulters: a prospective cohort study in The Netherlands. BMC Musculoskelet Disord. 2006; 7: 83.
  5. Makela M., Heliovaara M., Sainio P. et al. Shoulder joint impairment among Finns aged 30 years or over: prevalence, risk factors and comorbidity. Rheumatology (Oxford). 1999; 38: 656-662.
  6. Chard M.D., Hazleman R., Hazleman B. Letal Shoulder disorders in the elderly: a community survey. Arthritis Rheum1991; 34: 766-769.
  7. Rolf O., Cohlke F. Degenerative Erkrankungen. In: Wirth C.J., Mutschler W., Hrsg. Praxis der Orthopadie und Unfallchirurgie. Stuttgart, New York: Thieme; 2009: 832-840.
  8. Meislin R.J., Sperling J.W., Stitik T.P. Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. Am. J. Orthop. (Belle Mead NJ). 2005; 34: 5-9.
  9. Pribicevic M., Pollard H., Bonello R. An epidemiologic survey of shoulder pain in chiropractic practice in Australia. J. Manipulative Physiol. Ther. 2009;32:107-117.
  10. van der Windt D.A., Koes B.W., Boeke A.J. et al. Shoulder disorders in general practice: prognostic indicators of outcome. Br. J. Gen. Pract. 1996; 46: 519-523.
  11. van der Windt D.A., Koes B.W., de Jong B.A. et al. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum. Dis. 1995; 54: 959-964.
  12. Vecchio P., Kavanagh R., Hazleman B.L. et al. Shoulder pain in a community-based rheumatology clinic. Br. J. Rheumatol. 1995; 34:440-442.
  13. Buchbinder R., Green S., Youd J.M. Corticosteroid injections for shoulder pain. Cochrane Database Syst. Rev. 2003: CD004016.
  14. Green S., Buchbinder R., Glazier R. et al. Interventions for shoulder pain. Cochrane Database Syst. Rev. 2000: CD001156.
  15. Green S., Buchbinder R., Glazier R. et al.WITHDRAWN: Interventions for shoulder pain. Cochrane Database Syst. Rev. 2006: CD001156.
  16. Green S., Buchbinder R., Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst. Rev. 2003: CD004258.
  17. Green S., Buchbinder R., Hetrick S. Acupuncture for shoulder pain. Cochrane Database Syst. Rev. 2005: CD005319.
  18. Bergman G.J., Winters J.Q., Groenier K.H. et al. Manipulative therapy in addition to usual medical care for patients with shoulder dysfunction and pain: a randomized, controlled trial. Ann. Intern. Med. 2004; 141: 432-439.
  19. Conroy D.E., Hayes K.W. The effect ofjoint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. J. Orthop. Sports Phys. Ther. 1998; 28: 3-14.
  20. Desmeules F., Cote C.H., Fremont P. Therapeutic exercise and orthopedic manual therapy for impingement syndrome: a systematic review. Clin. J. Sport. Med. 2003; 13:176-182.
  21. Kromer T.O., Tautenhahn U.G., de Bie R.A. et al. Effects of physiotherapy in patients with shoulder impingement syndrome: a systematic review of the literature. J. Rehabil. Med. 2009; 41: 870-880.
  22. Rossmy C. Der Effekt des Fasziendistorsionsmodells (FDM) auf die schmerzhaft eingeschrankte Abduktion der Schulter. Marl: College fur angewandte Osteopathie; 2005.
  23. Stein C. Untersuchung der Wirksamkeit einer manuellen Behandlungs-technik nach dem Faszien-Distorsions-Modell bei schmerzhaft einge-schrankter Schulterbeweglichkeit. Eine explorativ-prospektive, rando-misierte und kontrollierte klinische Studie [Dissertation]. Hannover: Medizinische Hochschule Hannover; 2008: 98.
  24. Typaldos S. Orthopathische Medizin - Die Verbindung von Orthopadie und Osteopathie durch das Fasziendistorsionsmodell. Kotztingen/ Bayer. Wald: Verl. für Ganzheitliche Medizin Wühr; 1999
  25. Typaldos S. FDM: Clinical and theoretical application of the fascial distortion model within the practice of medicine and surgery. Kittery, ME: Typaldos Publishing Co.; 2002.
  26. Schleip R. Fascial plasticity - a new neurobiological explanation. Part 2. J. Bodyw. Mov. Ther. 2003;7:104-116.
  27. Schleip R. Fascial plasticity - a new neurobiological explanation. Part 1. J. Bodyw. Mov. Ther. 2003; 7:11-19.
  28. Schleip R. Die Bedeutung der Faszien in der manuellen Therapie. DO Deutsche Zeitschrift für Osteopathie 2004; 1:10-16.
  29. Dicke E. Meine Bindegewebsmassage. Stuttgart: Hippokrates-Verlag MarquardtSiCie; 1953.
  30. Wolf U. Bildatlas der Manuellen Therapie. Berlin: KVM Dr. Holster; 2008.
  31. Schuck P.M., Müller H., Resch K.-L. Wirksamkeitsprufung: „Doppelblind-studien" und komplexe Therapien. Dtsch. Ärztebl. 2001; 98: A1942-A1944.
  32. Germann G., Wind C., Harth A. Der DASH-Fragebogen - Ein neues Instrument zur Beurteilung von Behandlungsergebnissen an der oberen Extremitat. Handchir. Mikrochir. Plast. Chir. l999; 31:149-152.
  33. Skutek M., Fremerey R.W., Zeichen J. et al. Outcome analysis following open rotator cuff repair. Early effectiveness validated using four different shoulder assessment scales. Arch. Orthop. Trauma Surg. 2000; 120: 432-436.
  34. Schmid A., Brunner F., Wright A. et al. Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilisation. Man. Ther. 2008; 13: 387-396.
  35. Weir A., Jansen J.A., van de Port I.G. et al. Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial. Man. Ther. 2011; 16:148-154.
  36. Winters J.C., Sobel J.S., Groenier K.H. et al. Comparison of physiotherapy, manipulation, and corticosteroid injection for treating shoulder complaints in general practice: randomised, single blind study. BMJ. 1997; 314:1320-1325.
  37. Diercks R.L., Stevens M. Gentle thawing of the frozen shoulder: a pro-spective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. J. Shoulder Elbow Surg. 2004; 13:499-502.
  38. Nicholson G.G. The effects of passive joint mobilization on pain and hy-pomobility associated with adhesive capsulitis of the shoulder. J. Orthop. Sports. Phys. Ther. 1985; 6: 238-246.
  39. Brantingham J.W., Cassa T.K., Bonnepn D. et al. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. J. Manipulative Physiol. Ther. 2011; 34: 314-346.
  40. Vermeulen H.M., Razing P.M., Obermann W.R. et al. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys. Ther. 2006; 86: 355-368.
  41. Dickenson A.H. Gate control theory of pain stands the test of time. Br. J. Anaesth. 2002; 88: 755-757.
  42. Finfc M.G., Kunsebeck H., Wipperman В. et al. Nonspecific effects of traditional Chinese acupuncture in osteoarthritis of the hip. Complement Ther. Med. 2001; 9: 82-89.
  43. Wirte W. Schmerz und Anasthesiologie: Aspekte der Entwicklung der modernen Schmerztherapie im 20. Jahrhundert. Anaesthesist 2011; 60:555-566.
  44. Loew M., Heichel T.O., Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg. 2005; 14:16-21.

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