Effect of Qing Gong's orthopaedic manipulation for the shoulder on hand-behind-back restriction after ro-tator cuff repair:A randomised controlled clinical trial
DENG Wanxi
ADILIJIANG Abudushalamu
HU Yingyu
LIANG Minli
CHEN Haiyun
LIU Jun
Abstract：Objective To assess the efficacy and safety of Qing Gong′s orthopaedic manipulation(QGOM)for the shoulder on hand-behind-back(HBB)restriction after rotator cuff repair(RCR).Methods Forty-two patients with post-RCR HBB restriction were randomised into two groups(n=21 each):one performing shoulder exercises(control),and the other receiving thrice-weekly QGOM treatment for 6 weeks(observation).Results At 6 weeks,the median HBB score increased by 5(2,6)in the observation group compared to a 2(2,2)in the control group(Z=-3.678,P<0.001).The median visual analogue scale score decreased by 3(2,4)in the observation group,while it decreased by 1(1,2)(Z=-3.652,P<0.001)in the control group.The mean Constant-Murley score increased by 28.76 and 15.90 in the observation and control groups,respectively.The differ-ence between the two groups was 12.86(95%confidence interval(CI):7.26～18.45,P<0.001).At 6 weeks,active forward flexion(Z=-3.663,P<0.001),abduction(t=-4.579,P<0.001),extension(Z=-2.281,P=0.023)and external rotation(t=-2.757,P=0.009)were significantly greater in the observation group than those in the control group.Shoulder forward flexion and abduction in the observation group increased signifi-cantly in the observation group(Z=-2.055,P=0.041)than those in the control group(Z=-2.450,P=0.013).The observation group showed significantly greater improvement than the control group in forward flexion(Z=-3.059,P=0.002),abduction(Z=-3.700,P<0.001),extension(Z=-2.194,P=0.028),and exter-nal rotation(Z=-3.003,P=0.003).Conclusions QGOM for the shoulder was effective,safe and more benefi-cial than shoulder exercise alone in improving HBB after RCR.
Keywords：rotator cuff repairpost-operative stiffnessmanual therapytraditional Chinese medi-cinehand-behind-back movement
Publication Date：2026-02-10
Online Publishing Date：2026-02-07(First online date of this platform, not the publication date of the document)
Pages：8( 371-378 )