PDF(Pubmed)
Abstract：
BACKGROUND Frozen shoulder with limited range of motion is a common and debilitating condition that occurs on the affected side following a stroke. The effectiveness of therapy was reported to be negatively correlated with the complexity of pathogenesis. Prolotherapy involves injection into the joint of a small amount of irritant, such as dextrose, which enhances tissue strength and facilitates healing by targeting joint spaces. The treatment is used to relieve pain. This report describes the effects of combined prolotherapy and physical therapy in a 60-year-old man with left shoulder pain and limited range of motion (frozen shoulder) following a hemiplegic stroke. CASE REPORT A 60-year-old man had left shoulder pain and limited ROM for 9 months, which disrupted daily life, with a NRS of 7 and a DASH score of 58.3%. The patient had an ischemic stroke 1 year ago, with left extremity weakness. On physical examination, joint active ROM was significantly restricted and the joint was tender upon palpation. Therapy is carried out using prolotherapy combined with exercise and physical therapy for 6 weeks. At the 6-week follow-up, he had good outcomes for pain relief, increasing ROM, and quality of life. CONCLUSIONS The use of prolotherapy with physical therapy may be an effective treatment for painful frozen shoulder following a hemiplegic stroke.
摘要：
背景技术具有有限运动范围的冻结肩部是在中风后在受影响侧发生的常见且衰弱的状况。据报道，治疗的有效性与发病机制的复杂性呈负相关。Prolotherapy包括向关节注射少量刺激物，如葡萄糖，通过靶向关节间隙增强组织强度并促进愈合。该治疗用于缓解疼痛。该报告描述了在偏瘫中风后左肩疼痛和活动范围受限（冻结肩）的60岁男性中，联合治疗和物理治疗的效果。病例报告一名60岁的男子有9个月的左肩疼痛和有限的ROM，扰乱了日常生活，NRS为7，DASH得分为58.3％。病人1年前有缺血性中风,左侧四肢无力。在体检时，关节活性ROM明显受限，触诊时关节触痛。使用prolotherapy结合运动和物理疗法进行治疗6周。在为期6周的随访中，他的疼痛缓解效果很好，增加ROM，和生活质量。结论在物理治疗的同时使用prolotherapy可能是偏瘫中风后疼痛性肩周炎的有效治疗方法。
