Abstract
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.
Highlights
Frozen shoulder (FS) was first defined by Codman in 1934, and it is characterized by shoulder pain and active dysfunction caused by inflammation of the soft tissue around the shoulder, known as adhesive capsulitis [1]
The remaining 180 patients who agreed to participate were randomized into the treatment group or the control group
The present study showed that distension arthrography effectively reduced shoulder pain and improved the movement and function of the shoulder joint
Summary
Frozen shoulder (FS) was first defined by Codman in 1934, and it is characterized by shoulder pain and active dysfunction caused by inflammation of the soft tissue around the shoulder, known as adhesive capsulitis [1]. FS is a common cause of shoulder pain, affecting 2% to 5% of the general population [2]. The etiology of FS is still controversial and includes inflammatory responses, local microcirculatory disorders, fibroplasia, neurogenic inflammation, degenerative changes, and paralysis of the shoulder muscles [4, 5]. The treatment objectives for FS are to relieve pain, regain shoulder motion, and restore function. Recommended treatments for FS include physical therapy, analgesia, and gentle exercise [9]. Patients with FS causing severe pain or limited range of motion (ROM) are treated with intra-articular injections, distension arthrography, manipulation under anesthesia, and surgery. Intra-articular corticosteroid injections only achieve short-term pain relief [10].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
