Journal of Orthopedics and Joint Surgery

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VOLUME 4 , ISSUE 2 ( July-December, 2022 ) > List of Articles

Original Article

Treating Frozen Shoulder with Integrative Medicine Approach by the Energy Accumulator

Kevin Ki-Wai Ho, Anthony Wai-Leung Kwok, Wai-Wang Chau, Leung-Kim Hung

Keywords : Energy accumulator, Frozen shoulder, Integrative medicine, OSS, SPADI, VAS

Citation Information : Ho KK, Kwok AW, Chau W, Hung L. Treating Frozen Shoulder with Integrative Medicine Approach by the Energy Accumulator. 2022; 4 (2):49-54.

DOI: 10.5005/jp-journals-10079-1085

License: CC BY-NC 4.0

Published Online: 31-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Frozen shoulder is a painful and disabling disorder of unclear cause, affecting middle-aged people after their 5th decade. They suffer from annoying pain and limited shoulder mobility. energy accumulator provides a better way of relief through an integrative medicine concept. Objectives: This study aims to evaluate the effectiveness of localized heat therapy using the energy accumulator on acupoints combined with mobilization exercise for the treatment of frozen shoulder. Methods: Thirty-eight subjects (26 females, 12 males) of age 45–65 (mean age 55.43) were recruited. An orthopedic surgeon diagnosed frozen shoulder using Codman's 12 criteria. An eight-session Traditional Chinese medicine (TCM) treatment applying heat and stroking massage was offered. All subjects completed the questionnaire set including Oxford Shoulder Score (OSS), Shoulder Pain & Disability Index (SPADI), and visual analog scale (VAS) for pain. Range of motion (ROM), muscle power, muscle circumference, and grip strength were measured. Results: Comparing with the controls from literature, the treatment group showed improvement in the OSS (mean change = 4.93, p < 0.01), SPADI (mean change = −18.9, p < 0.01), SF-12 physical (mean change = 2.5, p < 0.01), SF-12 mental (mean change = 2.6, p = 0.03), VAS (mean change = −0.5, p < 0.01), active ROM (mean change = 21.6, p < 0.01), and passive ROM (mean change = 23.7, p = 0.01). Conclusion: The results demonstrated an efficient and effective treatment effect of using the energy accumulator in treating frozen shoulders among middle-aged patients. This study was a good example of integrating Western medicine with the TCM for efficient and effective treatment outcomes.

  1. Tukmachi ES. Frozen shoulder: a comparison of Western and Traditional Chinese approaches and a clinical study of its acupuncture treatment. 1999;17(1). DOI:10.1136/aim.17.1.9
  2. Hand C, Clipsham K, Rees JL, et al. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 2008;17(2):231–236. DOI: 10.1016/j.jse.2007.05.009
  3. Hakim AJ, Cherkas LF, Spector TD, et al. Genetic associations between frozen shoulder and tennis elbow: a female twin study. Rheumatology (Oxford) 2003;42(6):739–742. DOI: 10.1093/rheumatology/keg159
  4. Bunker T. (ii) Frozen shoulder. Orthopaedics and Trauma 2011; 25(1):11–18. DOI: 10.1016/j.mporth.2011.01.007
  5. Uitvlugt G, Detrisac DA, Johnson LL, et al. Arthroscopic observations before and after manipulation of frozen shoulder. Arthroscopy 9(2):181–185. DOI: 10.1016/s0749-8063(05)80371-8
  6. Rangan A, Brealey SD, Keding A, et al. Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicenter, pragmatic, three-arm, superiority randomised clinical trial. Lancet 2020;396((10256)):977–989. DOI: 10.1016/S0140- 6736(20)31965-6
  7. Hanchard NCA, Goodchild L, Brealey SD, et al. Physiotherapy for primary frozen shoulder in secondary care: developing and implementing stand-alone and post operative protocols for UK FROST and inferences for wider practice. Physiotherapy 2020;107:150–160. DOI: 10.1016/
  8. Huang B. [wen tong jing luo tui na fa zhi liao jian zhou yan]. Journal of External Therapy of Traditional Chinese Medicine. 2004;(3):48.
  9. Sui G, Zhang J, Yin J. [ai jiu dui zhi ti zu kang xue liu xiao ying de ying xiang]. Journal of Shandong University of Traditional Chinese Medicine. 1989;(5):50.
  10. Li Q, Ma X, Wang Y. [jiu fa zhi liao jian zhou yan lin chuang yan jiu gai kuang]. Journal of Yunnan College of Traditional Chinese Medicine. 2011;(3):3.
  11. Shanghai CTMCo, Shanghai CTMRIo. Chinese Acupuncture and Moxibustion: Shanghai University of Traditional Chinese Medicine; 2003.
  12. Wu YC, Wang CM, Zhang JF, et al. Clinical study on electronic moxibustion for shoulder periarthritis. Journal of Acupuncture and Tuina Science. 2012;10(6):377–382.
  13. Zhao T. [tui na pei he ti wai gao pin tou re liao fa zhi liao jian zhou yan]. Journal of Practical Medical Techniques. 2005;(14):1.
  14. Codman EA. The shoulder; rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston, Mass: [T. Todd Company, printers]; 1934.
  15. Lee JS, Hobden E, Stiell IG, et al. Clinically important change in the visual analog scale after adequate pain control. Acad Emerg Med 2003;10(10):1128–1130. DOI: 10.1111/j.1553-2712.2003.tb00586.x
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