拘縮肩のマニプレーション―成績と成績影響因子―

DOI 被引用文献2件

書誌事項

タイトル別名
  • Manipulation for Refractory Contracture of the Shoulder

この論文をさがす

抄録

Purpose: This paper is to determine the factors that affect the outcome of manipulation for refractory contracture of the shoulder.<br>Methods: Fifty-five patients with refractory contracture of the shoulder underwent manipulation under general anesthesia. The average age at manipulation was 53.7 years (range 33-68 years). Thirty-five shoulders were primary contractures and 20 shoulders were secondary contratures after a trauma. The effects of the background parameters (age, sex, side, traumatic onset, occupation, duration of symptoms, previous treatment and complications) on the recovery period were analyzed using a multiple regression analysis.<br>Results: All the shoulders showed remarkable increases in the range of motion in all directions after manipulation (p <0.0001). The average recovery period was 5.3 months (range 1-18 months). The factors which significantly influenced the recovery period were the traumatic onset (p =0.0210), muscle strength (p =0.0001), and pain (p =0.0059). Among patients with refractory shoulder contracture, those with well-preserved muscle strength, little pain and without a major traumatic onset are the best candidates for manipulation.<br>Conclusions: Manipulation is an effective procedure for refractory contracture of the shoulder.

収録刊行物

  • Katakansetsu

    Katakansetsu 18 (2), 405-409, 1994

    Japan Shoulder Society

被引用文献 (2)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ