Effectiveness of the combination of shortwave or hot pack to stretching exercise in the management of frozen shoulder

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Effectiveness of the combination of shortwave or hot pack to stretching exercise in the management of frozen shoulder

 

Author: Leung, Siu-fong
Title: Effectiveness of the combination of shortwave or hot pack to stretching exercise in the management of frozen shoulder
Degree: M.Sc.
Year: 2006
Subject: Hong Kong Polytechnic University -- Dissertations.
Shoulder pain -- Physical therapy.
Stretching exercises.
Department: Dept. of Rehabilitation Sciences
Pages: vi, 71 leaves : ill. (some col.) ; 30 cm.
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1986355
URI: http://theses.lib.polyu.edu.hk/handle/200/950
Abstract: Frozen shoulder is a common condition seen in the out-patient physiotherapy departments. Patients often present with pain and stiffness. They are usually taught to do stretching exercise. Clinically, physiotherapists may use heat in combination with stretching to manage the disorder. However, there is a lack of evidence to show the effectiveness of such combined treatment in managing frozen shoulder. A total of 30 subjects were randomly allocated to receive 20 minutes of either shortwave (Shortwave group) or hot pack (Hot pack group) plus stretching; or stretching alone (Stretching group). All subjects performed daily stretching exercise at home. The American Shoulder and Elbow Surgeons assessment form was used for measuring pain intensity and performance of activities in daily living; these two measurements were used to deprive a shoulder score index. A goniometer was used for measuring shoulder range of motion (ROM) before treatment on session 1,6, 12 and the 4-week follow-up. At the 4-week follow-up, a significantly greater increase in the shoulder score index was found in Shortwave group than Stretching group. This meant that subjects' pain intensity was decreased, and/or, performance of activities in daily living (ADL) was better. For range of motion, subjects in Shortwave group showed significantly gain than subjects in Hot pack group. In conclusion, shortwave in combination with stretching produces better effects in pain-relief and performance of ADL than stretching alone. Moreover, it produces greater gain in shoulder ROM than hot pack plus stretching.

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