Abstract
Materials and methods We included 30 patients, 13 males 17 females, aged 42-63 years (the average was 54 years) with diagnosed frozen shoulder, MTrP were identificated in rotator muscles (infraspinatus, supraspinatus, subscapular and teres minor muscles). Patients were randomly assigned to: group A MTrP dry needling (DN) under ultrasound guidance; patients of group B additionally received conservative treatment (physiotherapy, massage, gymnastics) according to accepted treatment protocol. All patients had symptoms over 1 month, underwent general diagnostic examination including MRI, laboratory, neurologic, orthopedic tests, neuropathy, spine diseases were excluded. Visual analogue scale data (VAS, 0-10); Disabilities of the Arm, Shoulder and Hand (DASH) disability, Subjective global function (0-100) scores were measured before, immediately after, 24 hours, 14 days after intervention. We evaluated pain and trigger point (spasticity) recurrence 24 hours and 14 days after manipulation in both groups.
Highlights
Many approaches exist for frozen shoulder, rotators myofascial trigger points (MTrP) inactivation is crucial therapeutic point [1,2].The aim was to determine efficacy of additional treatment after MTrP inactivation
(P < 0.01); DASH scores improved by 40 % (161.3 to 113.4) in A vs. 25% (131.26 to 84.7) in group B (P < 0.05); Subjective global function scores, improved from 56 and 58 at baseline to 73, 91 respectively (P < 0.05)
MTrP recurrence was lower in group A: 30% vs. 53% in group B (P < 0.01) at 24 hours after manipulation; outcome at 14 day was 7% vs. 27% respectively (P < 0.05)
Summary
We included 30 patients, 13 males 17 females, aged 42-63 years (the average was 54 years) with diagnosed frozen shoulder, MTrP were identificated in rotator muscles (infraspinatus, supraspinatus, subscapular and teres minor muscles). Patients were randomly assigned to: group A - MTrP dry needling (DN) under ultrasound guidance; patients of group B received conservative treatment (physiotherapy, massage, gymnastics) according to accepted treatment protocol. All patients had symptoms over 1 month, underwent general diagnostic examination including MRI, laboratory, neurologic, orthopedic tests, neuropathy, spine diseases were excluded. Visual analogue scale data (VAS, 0-10); Disabilities of the Arm, Shoulder and Hand (DASH) disability, Subjective global function (0-100) scores were measured before, immediately after, 24 hours, 14 days after intervention. We evaluated pain and trigger point (spasticity) recurrence 24 hours and 14 days after manipulation in both groups
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