Scapula Dissolution in the Treatment of Chronic Periarthritis of Shoulder

Objective:To study the effectiveness of scapula dissolution combined with the rhythm mobilization of joint treating chronic periarthritis of shoulder.Methods:Sixty patients diagnosed having chronic periarthritis of shoulder were treated with the rhythm mobilization of joint and divided randomly into groups A and group B(30 cases in each group).The scapula dissolution was done in group A.Before and after treatment,the pain and ROM of shoulder joint were compared between two groups.Results:After treatment for 20 days,VAS scores was decreased significantly as compared with those before treatment(P0.01),but more significantly in group A than in group B(P0.01).After treatment,ROM was increased significantly as compared with that before treatment(P0.01).But flexion,extension,external rotation,abduction and internal rotation of shoulder joint in the group A were greater than in the group B(P0.01).There was no significant difference in the recurrent rate between two groups(3.3 % vs 6.9 %).Conclusion:Treatment of chronic periarthritis of shoulder with scapula dissolution and rhythm mobilization of joint has excellent clinical outcome,and better curative effect than single rhythm mobilization of joint especially in releasing pain and increasing the ROM of flexion,extension,abduction of shoulder joint.