동결견 환자의 관절낭 팽창술 시 수동관절운동의 부가적인 파열 효과 (The Additional Effect of Tear after Passive Exercise during Distension Arthrography in Patients with Frozen Shoulder)

서지정보

· 발행기관 : 대한재활의학회
· 수록지 정보 : Annals of Rehabilitation Medicine / 32권 / 3호 / 324 ~ 326페이지
· 저자명 : 김준성, 권정이, 이원일, 김재민

초록

Objective: To evaluate the effect of tear after passive ROM exercise during distension arthrography in patients with frozen shoulder.Method: Fifteen patients (male: 7, female: 8, mean 57.5 years old) who had complained of shoulder pain with decreased ROM at least 3 months prior were enrolled. Distension arthrogrphy of 35 ml of fluid which contained 10 ml of 1% lidocaine, 1 ml of depomedrol (40 mg), 19 ml of normal saline, and 5 ml of radiocontrast material was injected by a single physician. Then if there was no capsular tear, passive ROM exercise was performed for two minutes.
Results: In seven of the thirteen patients, the occurrence of capsular tear was observed after only distension arthrography. In five of the six patients without capsular rupture, the occurrence of capsular tear was observed by passive ROM exercise after distension arthrography. Two patients were interrupted because of severe pain. Clinical outcomes of occurrence of capsular tear by conventional distension arthrography and by passive ROM exercise after distension arthrography were similar.Conclusion: Passive ROM exercise after distension arthrography could serve as an effective method of capsular tear in patients with frozen shoulder.

영어초록

Objective: To evaluate the effect of tear after passive ROM exercise during distension arthrography in patients with frozen shoulder.Method: Fifteen patients (male: 7, female: 8, mean 57.5 years old) who had complained of shoulder pain with decreased ROM at least 3 months prior were enrolled. Distension arthrogrphy of 35 ml of fluid which contained 10 ml of 1% lidocaine, 1 ml of depomedrol (40 mg), 19 ml of normal saline, and 5 ml of radiocontrast material was injected by a single physician. Then if there was no capsular tear, passive ROM exercise was performed for two minutes.
Results: In seven of the thirteen patients, the occurrence of capsular tear was observed after only distension arthrography. In five of the six patients without capsular rupture, the occurrence of capsular tear was observed by passive ROM exercise after distension arthrography. Two patients were interrupted because of severe pain. Clinical outcomes of occurrence of capsular tear by conventional distension arthrography and by passive ROM exercise after distension arthrography were similar.Conclusion: Passive ROM exercise after distension arthrography could serve as an effective method of capsular tear in patients with frozen shoulder.

참고자료

· 없음