Frozen Shoulder
Conditions
Keywords
Frozen Shoulder, Acupotomy, Small Needle-Knife, Adhesive Capsulitis, Laser Doppler Flowmetry, Photoplethysmography, Blood Pressure Waveform
Brief summary
The aim is to investigate whether adding small needle-knife therapy to standard Western medicine enhances the treatment of frozen shoulder by evaluating its impact on microcirculation and meridian unblocking.
Detailed description
The aim of this research is to investigate whether the combination of small needle-knife therapy with conventional Western medicine treatment can enhance therapeutic effects compared to conventional treatment methods. In addition to clinical measurements of joint mobility and relevant scales, this study integrates instruments such as Laser Doppler Flowmetry (LDF) and pulse diagnosis devices. These non-invasive methods are employed to evaluate the microcirculation performance of patients with frozen shoulder before and after conventional Western medicine treatment or combined treatment with small needle-knife therapy. The objective is to understand the effects of small needle-knife therapy on the microcirculation and meridian unblocking in frozen shoulder patients.
Interventions
PROCEDURESmall Needle-Knife
The small needle-knife therapy originated from the ancient Chinese acupuncture instrument known as the Pi needle from the Nine Needles, which resembled a sword, had two sharp edges, and was originally used for abscess drainage. It is currently widely applied in treating conditions such as myofascial adhesions, chronic pain, or nerve compression. The small needle-knife features a flat and rounded tip design, with its handle made of solid steel. This construction provides excellent toughness and flexibility, minimizing tissue damage, and facilitating microadhesiolysis, an intervention aimed at releasing adhesions.
OTHERStandard treatment
Standard treatment
Sponsors
National Taiwan University of Science and Technology
National Yang Ming Chiao Tung University
Taipei City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
This study plans to collect 120 individuals diagnosed with frozen shoulder by both Western and Traditional Chinese medicine practitioners, randomized in a 1:1 ratio to receive either standard treatment or a combination of small needle-knife therapy and standard treatment.
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Limited shoulder joint mobility in various angles (forward flexion, abduction, external rotation, and internal rotation), persisting for over two months. * Persistent pain on the affected shoulder even without rest. * Willing and consenting to participate in this research.
Exclusion criteria
* Degenerative shoulder joint arthritis (osteoarthritis). * Rheumatoid arthritis. * Fracture of the humerus, clavicle, scapula, shoulder acromioclavicular dislocation, shoulder dislocation. * Cervical radiculopathy. * Thoracic outlet syndrome. * Restricted shoulder joint mobility due to stroke, spinal cord injury, or other factors.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain VAS | 90 days | The intensity of the pain along a continuum from 'no pain' to 'worst pain' imaginable with visual analog scale. |
| ROM | 90 days | Glenohumeral range of motion(ROM) of the affected shoulder. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| LDF | 90 days | The Laser Doppler Flowmetry (LDF) is a widely used technology for monitoring microcirculatory status. Due to its excellent frequency response, ease of use, and tissue specificity, it is highly suitable for non-invasive microcirculatory examinations and be applied to detect microcirculation in frozen shoulder cases. |
| WHOQOL-BREF | 90 days | A self-report questionnaire which assesses 4 domains of quality of life (QOL): physical health, psychological health, social relationships, and environment. |
| PPG | 90 days | Photoplethysmography(PPG), which is a non-invasive method used to detect blood volume changes in the microvascular bed of tissue |
| BPW | 90 days | Blood pressure waveform(BPW) is a graphical representation or visual display of the changes in blood pressure over time measured through a radial artery pressure sensor. |
| SPADI | 90 days | Shoulder Pain and Disability Index (SPADI) is a 13-item patient completed instrument. Its categories include pain (5 items) and disability (8 items). |
Contacts
Primary ContactMing Jen Wang, MD
Backup ContactChao Zong Chen, MD
Outcome results
None listed