In rehabilitation department we are doing the treatment, research and education for physical, mental, and social rehabilitation of the patients and disabled peoples by using several physical therapy means.
Crenophysical department started its work in December, 1961 and became rehabilitation department in September, 1996.
Now in our department we are doing the rehabilitation work for several diseases including; spinal and limb articulation diseases such as herniated disk, spinal deformaties, periarthritis of shoulder and bursitis; neurological disorders such as stroke syndrome, peroneal paralysis, cerebral palsy, autism; skin diseases such as herpes zoster, psoriasis, eczema, acnes; internal diseases such as dyspepsia and bronchitis; opthalmological and otorlayngological diseases such as keratitis, nasosinusitis, otitis media, sore throat and etc.
The periarthritis of shoulder is referred to so called "frozen shoulder" and regarded as an important rehabilitation disease since it has high incidence and causes disability in many people.
The periarthritis of shoulder is a disease whose main symptoms are pain and dysfunction and in spite of classical treatment, result is not satisfactory.
Recently the research has been made actively to increase treatment efficiency by rehabilitation methods including sludge therapy, low frequency iontophoresis therapy, cervical traction, and massage.
In our department we have made research to determine the influence and treatment efficiency of combination therapy of cervical adjustment, ultrasonic therapy and stretching on the periarthritis of shoulder.
The cervical adjustment releases the neural depression due to cervical incomplete dislocation and enables to keep the biomechanical balance of spine.
The ultrasonic therapy decreases the muscle tone by vibration of cells in the tissue, which produces "subtle massage" action.
The muscle stretching facilitates the rehabilitation process, which decreases muscular tense and improves blood circulation by the mechanical stretching of the muscle.
We studied 80 patients (male 43, female 37) who had periarthritis of shoulder and divided them into study group (41, male 23, female 18) and control group (39, male 20, female 19).
In the study group the limited mobility site was determined through cervical palpation and corrected by traction, flexion, rotation and then stretching was done.
The stretching was done as following: the patient lifts the painful arm as high as possible and doctor find the painful points, presses the exact point and resists the patient's arm while the patient maintains the lifted arm for 10 seconds.
The patient breaths in deeply through the nose and breaths out through the mouth and flexes the shoulder forward and backward and repeats that action 3-5 times.
And then ultrasonic therapy was applied with the strength of 0.8~1.2W/cm2 on the painful site for 10- 15 minutes by moving.
The control group was treated by manual technique of the shoulder joints.
The manual technique therapy was done as following: stroking of the neck, shoulder, arm for 10 minutes, rubbing for 10 minutes and depression on the acupoints(LI15, GB2, TE14, LU1, SI11, LI11 and Ashi point) and passive movements of shoulder joints for 10 minutes.
The result of combination therapy of cervical adjustment, ultrasonic therapy and stretching was higher than control group, in study group 95%, in control group 80%.
Now we are making continuous research work on the new treatment methods to increase the efficiency and decrease the patient's burden.
