Effect of manipulation under anesthesia combined with comprehensive rehabilitation under anesthesia on pain and shoulder joint mobility of patients with frozen shoulder
麻醉下手法松解术联合综合康复治疗对冻结肩患者疼痛及肩关节活动度的影响

摘要

目的 分析对冻结肩患者采用麻醉下手法松解术（MUA）联合综合康复治疗方案的实际价值。方法选取2024年6月至2025年6月在我院接受治疗的42例冻结肩患者，依照研究对象匹配性原则进行分组，各21例。对照组采用单一麻醉下手法松解术进行治疗，观察组联合综合康复治疗方案，比较两组的疼痛指数及肩关节活动度的变化情况。结果 治疗前两组患者的VAS及CMS评分无显著差异（P＞0.05），治疗后各阶段观察组的VAS及CMS评分均显优（P＜0.05）。结论 在冻结肩患者的干预中采用MUA联合综合康复治疗的干预方案，能够有效改善患者患处的疼痛状况，优化肩关节活动度评分，显示出良好的应用效果。

Abstract

Objective To analyze the practical value of manual release under anesthesia (MUA) combined with comprehensive rehabilitation for patients with frozen shoulder.
Methods Forty-two patients with frozen shoulder treated in our hospital from June 2024 to June 2025 were divided into two groups according to the principle of matching subjects, with 21 patients in each group. The control group was treated with MUA alone, while the observation group was treated with comprehensive rehabilitation. The changes of pain index and shoulder joint activity between the two groups were compared.
Results There was no significant difference in the scores of VAS and CMS between the two groups before treatment (P > 0.05), but the scores of VAS and CMS in the observation group were significantly better after treatment (P < 0.05).
Conclusion   In the intervention of patients with frozen shoulder, the intervention scheme of MUA combined with comprehensive rehabilitation treatment can effectively improve the pain of the affected area and optimize the score of shoulder joint activity, which shows good application effect.