Manipulation under anesthesia with home exercises versus home exercises alone in the treatment of frozen shoulder: A randomized, controlled trial with 125 patients

Kivimaki, J; Pohjolainen, Timo; Malmivaara, Antti; Kannisto, M; Guillaume, Jacques; Seitsalo, Seppo; Nissinen, Markku

doi:10.1016/j.jse.2007.02.125

Cited by 131 publications

(137 citation statements)

References 14 publications

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“…50 Generally, ROM loss of greater than 25% in at least 2 planes and passive external rotation loss that is greater than 50% of the uninvolved shoulder or less than 30° of external rotation have been used to define adhesive capsulitis. 12,19,20,23,37,45,61,82,85,106,110,119,131,132 The capsular pattern described by Cyriax, 37 where external rotation motion loss is proportionally greater than loss of abduction, which is more limited than internal rotation, is not consistently found when objective measurements are taken. Rundquist et al 116 found varying patterns of restriction in patients with adhesive capsulitis, but the most common pattern was a loss of external rotation with the arm at the side followed by a loss of abduction and internal rotation.…”

Section: Classificationmentioning

confidence: 99%

“…Although this study was well controlled, the placebo group (intra-articular saline injection and a HEP) is considered by others to be an effective treatment for adhesive capsulitis. 19,61 Ryans et al 117 also investigated the effect of steroid injections and physiotherapy, performing both glenohumeral joint intra-articular and subacromial injections. Patients were classified as having adhesive capsulitis and included in this study if they had a painful shoulder in the fifth cervical nerve root dermatome distribution of more than 4 weeks and less than 6 months in duration, and a limitation of active and passive range of movement greater than 25% in abduction and external rotation compared to the uninvolved, contralateral shoulder.…”

Section: Corticosteroid Injectionsmentioning

confidence: 99%

“…Results are inconsistent across multiple studies, demonstrating that stretching results in minimal or no difference in outcomes (at 3-6 months) in patients treated with a therapistdirected HEP or other interventions. 19,23,61,117 There is only 1 study 45 for which the authors fully described the exercises performed, with the other studies simply describing the program as active and/or passive exercises. No evidence exists to guide the optimal frequency, number of repetitions, or duration of stretching exercises.…”

Section: Stretching Exercisesmentioning

confidence: 99%

See 2 more Smart Citations

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Kelley¹,

Shaffer²,

Kuhn³

et al. 2013

J Orthop Sports Phys Ther

279

222

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Section: Classificationmentioning

confidence: 99%

Section: Corticosteroid Injectionsmentioning

confidence: 99%

Section: Stretching Exercisesmentioning

confidence: 99%

See 1 more Smart Citation

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Kelley¹,

Shaffer²,

Kuhn³

et al. 2013

J Orthop Sports Phys Ther

279

222

View full text Add to dashboard Cite

“…Several retrospective studies suggest that duration of symptoms may be reduced by manipulation (2,(6)(7)(8)(9)(10)(11)(12), and good outcome is maintained for several decades (13). However, there are randomized controlled trials (RCTs) showing that MuA does not add effectiveness to an exercise program carried out by the patient after instruction (14) or to administration of an intra-articular steroid with distension (15) or hydrodilatation (16). Kivimäki et al (14) showed in a randomized, controlled trial that MuA with home exercises had not better outcome than home exercise alone in the treatment of frozen shoulder.…”

Section: Introductionmentioning

confidence: 99%

Optimal time for manipulation of frozen shoulder may be between 6 and 9 months

Vastamäki

Varjonen²,

Vastamäki

2015

Scand J Surg

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Background and Aims: idiopathic frozen shoulder can be successfully treated conservatively. manipulation under anesthesia, in randomized controlled studies, has proven to bring no additional benefit to other treatments. however, manipulation under anesthesia still is a used method mainly among patients with unbearable pain or too longstanding restriction of shoulder motion. manipulation under anesthesia may lead to significant improvement in shoulder motion and function. however, the best timing for manipulation under anesthesia is still unclear. we therefore investigated whether timing of manipulation under anesthesia has influence on the results of manipulation under anesthesia, concerning range of motion, pain, and function.Material and Methods: we followed 57 patients (65 shoulders; 31 in women) at 2-14 years after manipulation under anesthesia evaluating range of motion, pain, and function. their mean age at manipulation under anesthesia was 54.0 years. a total of 10 patients had diabetes. the time between the onset of symptoms and manipulation averaged 8.8 months. we formed two groups, those mobilized between 6 and 9 months after the onset of symptoms (Group a, 25 shoulders), and the others (Group b, 40 shoulders). we recorded visual analog scale pain, range of motion, simple shoulder test, and constantmurley scores.Results: patients manipulated between 6 and 9 months after the onset of symptoms had significantly better abduction and external rotation, less pain at rest and at night, and better simple shoulder test than the others.Conclusions: it seems that timing has statistically significant influence on results of manipulation of the idiopathic frozen shoulder. the best time for manipulation under anesthesia, if non-operative treatment has failed to alleviate pain or limitation of shoulder

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“…Manipulation under anaesthesia (MUA) can prove to be effective, but this does not allow for controlled release of pathologic tissue and has an increased risk of causing a humeral shaft fracture. Contraindications and relative contraindications to manipulation are no improvement or worsening in ROM or discomfort after previous manipulation and patients with significant osteopenia, rotator cuff tear, or long-term insulin-dependent diabetes [16]. Hamdan and Al-Essa, treated 100 patients with idiopathic frozen shoulder of at least 3 months' duration with MUA.…”

Section: Disscusionmentioning

confidence: 99%

Evaluation of The Results of Management of Frozen Shoulder Using the Arthroscopic Capsular Release

Mubark¹,

Ragab²,

Nagi³

et al. 2015

Ortop Traumatol Rehabil

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SUMMARYBackground. The aim of treatment of frozen shoulder is to regain a painless and functional shoulder range of shoulder motion. In this study we evaluated the results of using the arthroscopic technique for the release of the shoulder joint capsule in patients with a diagnosis of frozen shoulder.Material and methods. The study included 40 patients with frozen shoulder. They were operated upon with the use of electrocautery for the release of the shoulder joint capsule. The group consisted of 29 women and 11 men with a mean age of 48.2 years (range 38-62).Results. Preoperatively, the mean Constant and Murly shoulder score was 36.35 (range 21-51). At the end of the follow up period, the mean score was 85.8 (range 62 to 98). The difference between the means of preand postoperative total score was statistically significant (t =10.85 and p=0.0001). 22 patients (55%) had excellent results, 14 patients (35%) had good results, 4 patients (10%) had fair results and none had poor results. The 4 cases with fair results were all female, all had insulin-dependent diabetes mellitus and were > 50 years old.Conclusions. 1. Arthroscopic capsular release is an effective and safe method for the treatment of refractory frozen shoulder. 2. It achieves dramatic pain and motion improvement post-operatively, allowing very early postoperative rehabilitation.

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Manipulation under anesthesia with home exercises versus home exercises alone in the treatment of frozen shoulder: A randomized, controlled trial with 125 patients

Cited by 131 publications

References 14 publications

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Optimal time for manipulation of frozen shoulder may be between 6 and 9 months

Evaluation of The Results of Management of Frozen Shoulder Using the Arthroscopic Capsular Release

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