The Effect of Manipulation Under Anesthesia for Secondary Frozen Shoulder: A Randomized Controlled Trial

Abstract

Introduction: Manipulation under anesthesia (MUA) is often used for frozen shoulder treatment, but controversy still exists regarding MUA compared with conservative treatment. This research was conducted to compare the outcome between MUA and celecoxib (CLX) in secondary frozen shoulder. Methods: Patients with secondary frozen shoulder were randomized into two groups, an MUA plus exercise (EX) group and a CLX plus EX group. Clinical outcomes were documented at baseline and at 1 day, 2, 4, and 12 weeks after intervention, including Constant-Murley Score (CMS) for function, Pain Rating Index (PRI) and Qinguang Xu, Huihui Li, and Ding Jiang contributed equally to this work and should be regarded as co-first authors.

Physiotherapy Management of Frozen Shoulder Dextra E.C Dextra Shoulder Osteoarthritis Case

“…From the results of evaluating muscle strength for 3 times of therapy every Tuesday and Friday from T1-T3 there was a minimal increase in abductor and adductor muscle strength in patients, this is in line with previous studies which explained that patients who had frozen shoulder had significant increases in muscle strength. which is a little due to the age conditions of patients who have stepped on to the elderly (Xu et al, 2022)…”

Improved PROMs and Less Post-op Pain at 6 months with ACR and MUA compared to MUA Alone in Patients with Resistant Frozen Shoulder

“…8,11,12,13 A recent RCT compared the effects MUA and celecoxib for frozen shoulder concluded that MUA was superior than celecoxib in terms of pain control and passive ROM. 14 However, MUA is a less precise procedure, and authors have pointed out that it is not evident whether the manipulation is causing more damage than good. Moreover, other reported adverse effects include proximal humeral (shaft) fracture, glenoid rim fracture, and brachial plexus traction injury.…”