1. High satisfaction rate and range of motion can be expected in frozen shoulder after awake manipulation with brachial plexus block
- Author
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F. Inglese, M. Montemagno, A. Brigo, M. Nigro, A. Giorgini, G. M. Micheloni, and G. Porcellini
- Subjects
Adhesive capsulitis ,Brachial plexus block ,Passive mobilization ,Physiotherapy ,Treatment ,Orthopedic surgery ,RD701-811 - Abstract
Abstract Background Adhesive capsulitis (AC) is a disease of the glenohumeral joint that is characterized by pain and both passive and active global stiffness with a slow and insidious onset. The disease can occur spontaneously (primary AC) or it can be secondary to other comorbidities, surgery, or trauma, such as fracture or dislocation. Multiple treatment approaches have been suggested: intra-articular steroid injection, physical therapy, manipulation under total anesthesia, and arthroscopic or open surgery. Shoulder manipulation under anesthesia is usually proposed to patients that suffer from severe AC and have already undergone several nonoperative treatments without benefit. Different techniques have been proposed. This study presents our manipulation technique and the clinical results we achieved after shoulder mobilization under brachial plexus block in patients with phase III primary AC. Materials and methods A retrospective cohort study was performed on a sample of 110 patients with phase III AC who were treated with this manipulation and followed up for 1 year. Patients underwent two assessments—before the procedure (T0) and 4 months after it (T1)—based on the Numerical Rating Scale, Simple Shoulder Test, and joint range of motion to assess shoulder pain, function, and joint articulation, respectively. Furthermore, the patients had to express their degree of satisfaction with the procedure and the results achieved. Results Positive and statistically significant results were recorded in terms of pain reduction (ΔNPRS = − 5.4; p
- Published
- 2024
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