Frozen shoulder

Graduated from St Ursula High School - Jakarata. I jointed the millis. I found one of my friends seeks help for her mother. She is suffering couse the pain of her shoulder.I hope this review from one of our research, could help.




Marching brass Putri Santa Ursula



Sonya Monica dearest, this is for you

EFFECTS OF LOW POWER LASER IN FROZEN SHOULDER

Wyasa Andrianto,MD, Ferial Hadipoetro,MD,PhD, Nury Nusdwinuringtyas,MD,

Zuljasri Albar,MD,; Nyoman Murdana,MD, Suryanto Hartono,MD,MA,

Background

Frozen shoulder :

• disorder of progressive pain and decrease of range of motion of shoulder articulation

• the main causation of shoulder pain and dysfunction in the middle and older age population

• treatment option:

• ice cooling, medicaments, exercise, TENS, ultrasound diathermy

Objectives

• Low power laser therapy with exercise will decrease shoulder pain and increase the range of motion of the shoulder articulation

• improve the quality of life of patients with frozen shoulders

Materials and methods

• Design comparison of parameter before and after therapy of frozen shoulder patients

• OPD Rehab.Med.,Rheumatology Div,Dept.Internal Med,School of Medicine,University of Indonesia/Dr.Cipto Mangunkusumo Hospital,Jakarta,Indonesia

• December 2004 to April 2005

INCLUSION CRITERIA

• Frozen shoulder patients not less than 18 years of age

• VAS not less than 8

• Cooperative

• Informed consent

Exclusion criteria

• Cases with trauma of shoulder articulation

• Rheumatoid arthritis and spondyloarthritis with shoulder involvement

• Following or under corticosteroid injection therapy within the last 3 months

• Patients with abduction range of motion less than 90 degree

• patients with contraindication of laser therapy

• patients who are unable to perform shoulder exercise properly

Laser device

• Endolaser 476(Enraf-Nonius)

• Wavelength : 830 nm

• Output : 30 mW

• Dose : 30 J per treatment

• Continuous wave

• 3 times per week for 3 weeks

DATA ANALYSIS

Data of patients’ background were analyzed by description and were presented in the form of frequency distribution.

• Data of VAS and shoulder ROM before and after treatment were analyzed by t test in normal data distribution and were analyzed by Wilcoxon test when data distribution were abnormal.

Table 1.

Group distribution of frozen shoulders

by age

Age(year)	Total	Percentage
40 – 50 51 – 60 61 – 70	1 2 13	6,25 12,5 81,25

Table 2.

Group distribution of frozen shoulders by sex

Sex	Total	Percentarge
Male Female	6 7	46,15 53,85

Table 3.
Group distribution of frozen shoulders

by education level

Education level	Total	Percentage
Elementary School Junior High School Senior High School Nursing School College University	3 1 3 2 3 4	18,75 6,25 18,75 12,5 18,75 25

Table 4.
GROUP DISTRIBUTION OF

FROZEN SHOULDER BY PROFESSION

PROFESSION	TOTAL	PERCENTAGE
PRIVATE HOUSEWIFE RETIRED/JOBLESS NURSE TEACHER	4 6 4 1 1	25 37,5 25 6,25 6,25

Table 5.
GROUP DISTRIBUTION OF FROZEN SHOULDERS

ACCORDING TO DURATION OF SICKNESS

DURATION	TOTAL	PERCENTAGE
<> ³ 2 months	3 13	18,75 81,25

Table 6.
GROUP DISTRIBUTION OF

FROZEN SHOULDERS BY LOCATION

Location affected	Total	Percentage
Left shoulder Right shoulder	9 7	56,25 43,75

Table7.
VAS BEFORE AND AFTER TREATMENT OF

FROZEN SHOULDER

VAS SCORE	MEAN± SD	n = 16	p
VAS (pre) VAS (post)	8,6875 ± 0,8237 1,4125 ± 0,9142		0,000

Graphic 1.

Graphic : Declining VAS score (shoulder joints)

Graphic 2.

Graphic : Increasing joint movements (shoulder joints)

RESULTS AND DISCUSSION

• Significant decrement of shoulder pain before and after treatments following 3 weeks of therapy

• Significant increment of range of motion of shoulder articulations before and after treatments of low power laser therapy with shoulder exercises following 3 weeks of therapy

CONCLUSIONS

• LOW POWER LASER THERAPY AND EXERCISES OF SHOULDER ARTICULATION IS EFFECTIVE AND EFFICIENT MODALITIES TO TREAT FROZEN SHOULDER