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BioMed Research International
Volume 2018, Article ID 3450940, 5 pages
https://doi.org/10.1155/2018/3450940
Research Article

Analgesic Effect of Extracorporeal Shock Wave Treatment Combined with Fascial Manipulation Theory for Adhesive Capsulitis of the Shoulder: A Retrospective Study

1Rehabilitation Department, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China
2Orthopaedic Department, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China

Correspondence should be addressed to Zhiqiang Zhang; gro.latipsoh-js@qzgnahz and Jianjun Li; gro.latipsoh-js@1jjil

Received 4 November 2017; Revised 2 December 2017; Accepted 19 December 2017; Published 18 January 2018

Academic Editor: Lidong Zhai

Copyright © 2018 Xiangnan Yuan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. This study aims to explore whether extracorporeal shockwave treatment (ESWT) based on the theory of fascial manipulation (FM) at select treatment points is superior to traditional local ESWT for pain relief in adhesive capsulitis of the shoulder. Methods. Data from patients with adhesive capsulitis of the shoulder who received weekly ESWT according to fascial manipulation theory (ESWT-FM) or local extracorporeal shockwave treatment (L-ESWT) during a 5-week treatment period were evaluated. Pain-on-movement numeric rating scale (p-NRS) and range of motion (ROM) testing were performed before the treatment period, after the first treatment, and after the fifth treatment. Results. There were significant reductions in pain scores in the ESWT-FM group () after the first treatment, and after the fifth treatment, both groups had marked, significant improvement (), with a significantly greater reduction in pain (p-NRS) in the ESWT-FM group compared to the L-ESWT group (). There was no significant difference in terms of ROM in the L-ESWT group, while there was slight improvement of forward flexion in the ESWT-FM group after the fifth treatment. Conclusions. ESWT-FM provided faster pain relief and slightly more notable improvement of function compared with L-ESWT for the patients with adhesive capsulitis of shoulder.