Effect of Intra-articular Compression Injection Combined with Mulligan Joint Mobilization in the Treatment of Adhesive Shoulder Capsulitis
WANG Zhenghui
CHEN Chong
GUO Xuejun
DAND Changlin
SONG Lina
NIU Weiwei
ZHANG Haina
Abstract：Objective To explore the clinical effect of ultrasound-guided shoulder cavity ozone compression injection combined with Mulligan joint mobilization in the treatment of adhesive capsulitis.Methods From January 2023 to June 2024,56 patients with adhesive capsulitis in the Department of Rehabilitation Medicine of the First Affiliated Hospital of Xinxiang Medical University were randomly divided into two groups:joint training group and compression combined group,with 28 patients in each group.Both groups were given routine rehabilitation therapy,and the joint training group was given Mulligan joint mobilization once a day,5 days a week for 2 weeks.In the compression combined group,on the basis of the treatment of joint training group,ozone was injected into the affected shoulder joint cavity with a concentration of 20 mg·L-1.When the injection was resisted,another 5 mL was injected once a week for 4 weeks.The visual analogue scale(VAS)score,shoulder range of motion,and Constant-Murley shoulder function score were used to evaluate shoulder pain,range of motion,and shoulder function.Serum interleukin-6(IL-6)level was measured to evaluate the inflammation of adhesive capsulitis.Results Intra-group comparison:after treatment,both groups of patients showed improvements in VAS,shoulder range of motion,and Constant-Murley score(P＜0.05),and the IL-6 level decreased in both groups after treatment(P＜0.05).After treatment,when comparing between groups,the VAS,shoulder range of motion,and Constant-Murley score in the compression combined group were all improved compared with those in the joint training group(P＜0.05),and the IL-6 level in the compression combined group decreased more significantly than that in the joint training group(P＜0.05).Conclusion Ultrasound-guided intra-articular ozone compression injection combined with joint mobilization can relieve shoulder pain,improve shoulder mobility and shoulder function in patients with adhesive capsulitis.
Keywords：adhesive capsulitis of shoulderintra-articular compression injectionozone injectionMulligan joint mobilizationinterleukin-6
Publication Date：2025-09-28
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 3293-3297 )