The clinical effect of hydraulic distension plus manual therapy on patients with frozen shoulder

Kwak, Kwang-Il; Kim, Eun-Kyung

doi:10.1589/jpts.28.2393

Cited by 5 publications

(4 citation statements)

References 12 publications

(13 reference statements)

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“…In the later stages, when there is persistent pain and stiffness, manipulation under anaesthesia is often associated with severe pain and mechanical complications such as fracture and subluxation of the joint. Some authors [17][18][19] have recommended hydrostatic pressure to rupture the capsule. De Palma [20] has suggested that, before manipulation, one should distend the joint with saline solution under pressure until free flow is established.…”

Section: Discussionmentioning

confidence: 99%

Frozen Shoulder: Ambulatory Treatment with Hydraulic Distension

Monreal¹

2017

OAJS

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Purpose: Frozen shoulder syndrome has been an enigma to orthopaedic surgeons. The current treatment ranges from observation of this condition described as self-limiting, to manipulation under anaesthesia, to surgical release and in the last years arthroscopy treatment has been recommended. During the past eight years, we have observed that local infiltration of anaesthesia and hydraulic distension of glenohumeral joint have been a successful alternative for the management of this condition. Although similar techniques have been mentioned in the literature, they have been given little attention.Materials and Methods: Twelve patients were seen and diagnosed as having frozen shoulder syndrome. All patients were treated ambulatory with hydraulic distension and followed between six months to one year. Median patient age was 44.7 years with a range from 26 to 70 years of age. All patients were treated ambulatory. Four of twelve patients were women. The patients were examined immediately prior to and after treatment to document Range of Motion (ROM).Results: All patients noted immediate resolution of previous pain. Return to function was 77.3% for abduction and 80.1% for IR/ER immediately after the first treatment but at the two-week examination, some loss of motion was noted (10º-20º). All patients had continued full function and complete resolution of the symptoms at the four-week follow-up examination. In all cases, shoulder function remained normal at follow-up examination six months to one year later. Conclusion:Ambulatory treatment of frozen shoulder with hydraulic distension and local anaesthesia and a coordinate effort on the part of the physician, the patient, and the physical therapist is safe, reliable and highly effective.

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Section: Discussionmentioning

confidence: 99%

Frozen Shoulder: Ambulatory Treatment with Hydraulic Distension

Monreal¹

2017

OAJS

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“…Considering a 0.05 two-sided significance level in each group, a power of 90% to detect a difference in mean SPADI values of ≥10 with a standard deviation of ≤15, and an allocation ratio of 1 : 1, 39 participants were required in each group. Allowing for a dropout rate of 20%, a total of 180 participants were included (90 participants in each group) [ 15 ]. Each participating clinical center treated 30 patients, comprising 15 in the control group and 15 in the treatment group.…”

Section: Methodsmentioning

confidence: 99%

The Efficacy of Manipulation with Distension Arthrography to Treat Adhesive Capsulitis: A Multicenter, Randomized, Single-Blind, Controlled Trial

Zhang

Xue

Tong

et al. 2022

BioMed Research International

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Objective. To determine whether arthrographic distention combined with manipulation for frozen shoulder provides additional benefits. Methods. A total of 180 participants from five clinical centers with pain and stiffness in predominantly 1 shoulder for >3 months entered the study, and 165 completed the study. The control group was treated with arthrographic distention alone, and the treatment group underwent manipulation after resting for 5 minutes following arthrographic distention. Patients were followed up at the one and two weeks and at three and six months. For the clinical evaluation, shoulder-specific disability measure (SPADI) score, the visual analog scales (VASs) for pain, and range of active motion were used. Results. 83 patients out of 90 in the treatment group and 82 out of 90 in the control finished the entire study period. SPADI, VAS, Constant-Murley (CM), and range of motion (ROM) were improved after treatments in both groups. The statistical differences were not observed in the CM, adduction, internal rotation, and posterior extension function between groups ( P > .05 ) after the first treatment. And the statistical differences were not observed in the internal rotation, the extorsion, and posterior extension function ( P > .05 ) after the second treatment. Conclusion. Distention arthrography plus manual therapy provided faster pain relief, a higher level of patient satisfaction, and an earlier improvement in AROM of the shoulder than distention arthrography alone in patients with frozen shoulder.

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“…At the end range of each, the patient is asked to resist further ROM by activating their muscles and holding this isometric contraction for 6–8 s. Comparable manipulations include Mulligan's technique and Gong's manipulation 25,26 . The addition of manipulation appears to provide faster and greater improvements in pain and ROM in the 3 months following the procedure 1,27–29 …”

Section: Case Scenariomentioning

confidence: 99%

Hydrodilatation versus corticosteroid injection in treatment for adhesive capsulitis

Latzka,

Cali,

Ishii

et al. 2023

PM&R

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A 58-year-old woman with a past medical history significant for type II diabetes mellitus (well controlled with metformin) presents with 3 months of progressively worsening right shoulder pain. She reports no inciting event or trauma and no prior history of shoulder pain. She has noticed the range of motion (ROM) in her shoulder has gotten progressively worse. She is now unable to hook her bra strap or put on a coat. She has a lot of trouble sleeping at night. She does not feel pain when she is at rest and is not moving her shoulder. Physical exam shows significantly limited ROM of the shoulder in all directions. Special tests are unable to be performed due to ROM limitations. Inoffice diagnostic ultrasound shows mild supraspinatus tendinosis but otherwise is normal. The patient is interested in an injection to help with pain and ROM of her shoulder to treat her adhesive capsulitis. What would you recommend? Drs. Erek Latzka and Malia Cali will argue for ultrasound-guided (USG) hydrodilatation (HD) plus steroid injection. Drs. Haruki Ishii and Salvador Portugal will argue for USG intra-articular steroid injection.

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The clinical effect of hydraulic distension plus manual therapy on patients with frozen shoulder

Cited by 5 publications

References 12 publications

Frozen Shoulder: Ambulatory Treatment with Hydraulic Distension

Frozen Shoulder: Ambulatory Treatment with Hydraulic Distension

The Efficacy of Manipulation with Distension Arthrography to Treat Adhesive Capsulitis: A Multicenter, Randomized, Single-Blind, Controlled Trial

Hydrodilatation versus corticosteroid injection in treatment for adhesive capsulitis

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