Comparison of the effects of two kinds of joint mobilization combined with muscle strength training on shoulder impact syndrome / 中国基层医药

ABSTRACT

Objective:To compare the application effect of two different kinds of joint mobilization combined with muscle strength training in patients with shoulder impingement syndrome.Methods:From January 2017 to March 2019, 69 patients with shoulder impingement syndrome were divided into control group(34 cases) and observation group(35 cases) by random number table method.The control group received Maitland joint loosening and muscle strength training, and the observation group received Mulligan dynamic joint loosening and muscle strength training.The differences of visual analogue scale(VAS), shoulder pain and disability index(SPADI) and active shoulder joint activity were compared between the two groups before and after treatment.Results:Before treatment, there were no statistically significant differences in VAS score, SPADI and shoulder active joint mobility between the two groups(all P>0.05). After treatment, the VAS score and SPADI score of the control group were (2.75±0.29)points, (29.88±4.85)points, respectively, which of the observation group were (1.20±0.15)points, (12.04±2.29)points, respectively, which of the two groups were significantly improved compared with before treatment(control group: t=9.60, 9.15; observation group: t=17.47, 19.51, all P<0.01). The VAS score and SPADI score of the observation group were better than those of the control group( t=28.00, 19.63, all P<0.01). After treatment, the ranges of motion of the active joint in the control group were (69.06±8.77)°, (67.83±13.25)°, (164.06±17.94)°, (160.15±20.24)°, respectively, which in the observation group were (84.74±10.13)°, (82.24± 15.06)°, (179.84±19.16)°, (176.45±23.26)°, respectively, the differences were statistically significant between the two groups( t=6.87, 4.22, 3.53, 3.10, all P<0.01). Conclusion:Compared with Maitland joint loosening and muscle strength training, Mulligan dynamic joint loosening and muscle strength training can effectively relieve shoulder pain in patients with shoulder impingement syndrome, increase shoulder mobility, improve shoulder mobility limitation and promote shoulder function recovery.