| Objective: To observe the clinical effectiveness of discovery of posture technique on scapulohumeral periarthritis in adhesion stage. Methods: A total of 30 patients with periarthritis of scapuhumeral adhesion were selected from the outpatient department of rehabilitation medicine of Affiliated Hospital of Qingdao University from August 2020 to May 2021 and met the inclusion criteria. According to the random number table method, the patients were divided into observation group (15 cases) and control group (15 cases). Patients in the observation group were treated with discovery of posture technique, and those in the control group were treated with traditional manipulation. Each treatment lasted for 30 min, twice a week, for a total of 2 weeks. Visual analog scale (VAS), pressure pain threshold (PPT), range of motion (ROM), constant murley score (CMS), and absolute vertical distance difference between the upper angle of scapula and the second spinous process of thoracic vertebra were evaluat-ed before treatment, one and 4 times of treatments, and one month after treatment. The acromiohumeral interval (AHI) was assessed before and 4 times after treatment. Results: VAS score, CMS, ROM, and the tenderness thresholds of pectoralis minor muscle, suprapinatus muscle and deltoid muscle were all improved in 2 groups after 1 and 4 times of treatment, and 1 month after treatment (P<0.05). VAS score, CMS and the tenderness thresholds of pectoralis minor muscle, suprapinatus muscle and deltoid muscle in the observation group were improved as compared with those in the control group after 4 times of treatment and 1 month after treatment (P<0.05). As compared with the control group, the ROM in the observation group was improved at each time point (P<0.05). The tenderness threshold of subscapular muscle and the absolute distance between the upper angle of the scapula and the second thoracic spinous process in the observation group were improved at each time point as compared with those before treatment and the control group (P<0.05). After 4 times of treatment, AHI in the observation group was increased as compared with that before treatment and control group (P<0.05), and there was no statistically significant difference in the control group before and after treatment. Conclusion: Discovery of posture technique can effectively change the symptoms of periarthritis of shoulder in the adhesion stage, so that the scapula can be better restored to the neutral position. |
