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Frozen Shoulder physiotherapy

Alireza Rouhani, Mohsen Mardani-Kivi, Mohammadreza Bazavar, Mahmood Barzgar, Ali Tabrizi, Keyvan Hashemi-Motlagh, Khashayar Saheb-Ekhtiari
INTRODUCTION: Adhesive capsulitis (frozen shoulder) is a relatively prevalent disease of shoulder and affects soft tissue of glenohumeral joint. Signs include painful restricted motion and disability of the patient in daily activities. Calcitonin is a thyroid hormone, and its effectiveness has been demonstrated in painful conditions. The presents study aims to evaluate the effect of calcitonin in treating shoulder adhesive capsulitis. METHOD: This double-blinded randomized clinical trial was conducted on 64 patients suffering from shoulder adhesive capsulitis...
August 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
S Lerch, S Elki, M Jaeger, T Berndt
OBJECTIVE: Coracoacromial ligament release to widen the subacromial space, resection of the anterior undersurface of the acromion and, if needed, caudal exophytes at the acromioclavicular joint. INDICATIONS: All types of outlet impingement after 3 months of conservative treatment. CONTRAINDICATIONS: Impingement syndrome with instability/muscular imbalance, massive rotator cuff tear, unstable os acromionale, posterior-superior impingement, joint infection, freezing phase of a secondary frozen shoulder...
October 2016: Operative Orthopädie und Traumatologie
Tim Kraal, Cornelis Visser, Inger Sierevelt, Lijkele Beimers
A frozen shoulder is a common cause of a painful and stiff shoulder. A web-based survey was conducted to obtain insight in the current preferences about the diagnosis and treatment of a frozen shoulder. A response rate of 54% was reached among shoulder specialized orthopaedic surgeons from the Netherlands and Belgium. Non-steroidal anti-inflammatory drugs and intra-articular corticosteroid injections are used frequently in the first phase of the condition. Physiotherapy is assumed to be more important in the final phase...
March 2016: Acta Orthopaedica Belgica
C Meyer, G Stein, J Kellinghaus, T L Schneider
BACKGROUND: Management of primary frozen shoulder is still controversial. Many authors tend to treat patients with an arthroscopic release, if conservative therapy fails. We aimed to demonstrate the efficiency of manipulation under anaesthesia (MUA) in patients with primary frozen shoulder and to contrast the outcome of single MUA with the results of MUA with an additional subacromial injection of cortisone. MATERIAL AND METHODS: A prospective trial with a 1-year follow-up was performed...
December 2015: Zeitschrift Für Orthopädie und Unfallchirurgie
C Schoch, S Geyer, M Geyer
OBJECTIVE: Safe and cost-effective rotator-cuff repair. INDICATION: All types of rotator cuff lesions. CONTRAINDICATIONS: Frozen shoulder, rotator cuff mass defect, defect arthropathy. SURGICAL TECHNIQUE: Extensive four-point fixation on the bony footprint is performed using the double-row lateral augmentation screw anchor (LASA-DR) with high biomechanical stability. Following mobilization of the tendons, these are refixed in the desired configuration first medially and then laterally...
February 2016: Operative Orthopädie und Traumatologie
(no author information available yet)
No abstract text is available yet for this article.
2015: PloS One
Harpal Singh Uppal, Jonathan Peter Evans, Christopher Smith
Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely unclear. This systematic review of current treatments for frozen shoulder reviews the evidence base behind physiotherapy, both oral and intra articular steroid, hydrodilatation, manipulation under anaesthesia and arthroscopic capsular release. Key areas in which future research could be directed are identified, in particular with regard to the increasing role of arthroscopic capsular release as a treatment...
March 18, 2015: World Journal of Orthopedics
Tariq Adam Kwaees, Charalambos P Charalambous
BACKGROUND: frozen shoulder is a common condition and its management can be surgical or non-surgical. The aim was to determine current trends in the management of frozen shoulder amongst surgical members of the British Elbow and Shoulder Society (BESS). METHODS: a single electronic questionnaire was emailed to surgical members of the BESS. Participants were asked about their surgical and non-surgical treatments of choice and the reasoning behind that, as well as which components of arthroscopic arthrolysis they favoured...
October 2014: Muscles, Ligaments and Tendons Journal
Wei-Chun Hsu, Tao-Liang Wang, Yi-Jia Lin, Lin-Fen Hsieh, Chun-Mei Tsai, Kuang-Hui Huang
The intraarticular injection of lidocaine immediately before a physiotherapy session may relieve pain during the stretching and mobilization of the affected joint in patients with a frozen shoulder, thus enhancing the treatment effect. To compare the effects of intraarticular injection of lidocaine plus physiotherapy to that of physiotherapy alone in the treatment of a frozen shoulder, a prospective randomized controlled trial was conducted in the rehabilitation department of a private teaching hospital. Patients with a frozen shoulder were randomized into the physiotherapy group or the lidocaine injection plus physiotherapy (INJPT) group...
2015: PloS One
Nigel Hanchard
No abstract text is available yet for this article.
December 2014: Journal of Physiotherapy
T Berndt, S Elki, A Sedlinsch, S Lerch
OBJECTIVE: Arthroscopic capsular release for refractory shoulder stiffness to recreate active and passive shoulder joint mobility. INDICATIONS: Adhesive capsulitis of the shoulder (primary and secondary frozen shoulder) after receiving at least 3 months of conservative treatment. CONTRAINDICATIONS: Boney-related stiffening of the shoulder joint, joint infection, freezing phase of the primary frozen shoulder and shoulder stiffness after reconstructive surgery...
April 2015: Operative Orthopädie und Traumatologie
Delan Jinapriya, Christina Leung, Jeffrey Gale
PURPOSE: To report a case of unilateral brachial plexus neuropathy after prone positioning for macular hole repair. METHODS: Case report. RESULTS: After 7 days of strict prone positioning post-macular hole surgery, a 60-year-old patient developed severe pain and weakness in the left arm. Neurologic examination, imaging, and electromyography showed that the patient developed a unilateral brachial plexus neuropathy. Her strength and pain quickly improved after hospitalization and treatment with intravenous solumedrol, pain control, and physiotherapy...
2011: Retinal Cases & Brief Reports
Matthew J Page, Sally Green, Sharon Kramer, Renea V Johnston, Brodwen McBain, Rachelle Buchbinder
BACKGROUND: Adhesive capsulitis (also termed frozen shoulder) is a common condition characterised by spontaneous onset of pain, progressive restriction of movement of the shoulder and disability that restricts activities of daily living, work and leisure. Electrotherapy modalities, which aim to reduce pain and improve function via an increase in energy (electrical, sound, light, thermal) into the body, are often delivered as components of a physical therapy intervention. This review is one in a series of reviews which form an update of the Cochrane review 'Physiotherapy interventions for shoulder pain'...
2014: Cochrane Database of Systematic Reviews
Matthew J Page, Sally Green, Sharon Kramer, Renea V Johnston, Brodwen McBain, Marisa Chau, Rachelle Buchbinder
BACKGROUND: Adhesive capsulitis (also termed frozen shoulder) is commonly treated by manual therapy and exercise, usually delivered together as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain.' OBJECTIVES: To synthesise available evidence regarding the benefits and harms of manual therapy and exercise, alone or in combination, for the treatment of patients with adhesive capsulitis...
2014: Cochrane Database of Systematic Reviews
Jeremy Lewis
Frozen shoulder is a poorly understood condition that typically involves substantial pain, movement restriction, and considerable morbidity. Although function improves overtime, full and pain free range, may not be restored in everyone. Frozen shoulder is also known as adhesive capsulitis, however the evidence for capsular adhesions is refuted and arguably, this term should be abandoned. The aim of this Masterclass is to synthesise evidence to provide a framework for assessment and management for Frozen Shoulder...
February 2015: Manual Therapy
L E Warmington
Although there has been a considerable amount of material published on the pathology and the probable aetiology of the frozen shoulder, the same cannot be said of suggestions for an effective method of physical treatment for all stages of the condition. Some authors claim that exercises mar the recovery process (Cyriax, 1957). Others have found that the condition runs a self-limiting course of anything up to three years, and any physical treatment is "notoriously unsuccessful" in altering this pattern (Crisp and Hume Kendall, 1955)...
September 1970: Australian Journal of Physiotherapy
A Leonidou, D A Woods
INTRODUCTION: The aim of this paper is to present the results of manipulation under anaesthesia (MUA) and injection of local anaesthetic and corticosteroid followed by a physiotherapy regime for secondary frozen shoulder after breast cancer treatment (surgery, radiotherapy), and to compare them with a control group. METHODS: Patients referred to the senior author for secondary frozen shoulder following breast cancer treatment over a ten-year period were investigated...
March 2014: Annals of the Royal College of Surgeons of England
Antony Paul, Joshua Samuel Rajkumar, Smita Peter, Litson Lambert
BACKGROUND: Physiotherapy treatment of frozen shoulder is varied, but most lack specific focus on the underlying disorder, which is the adhered shoulder capsule. Although positive effects were found after physiotherapy, the recurrence and prolonged disability of a frozen shoulder are major factors to focus on to provide the appropriate treatment. QUESTIONS/PURPOSES: We wished to study the effectiveness of a shoulder countertraction apparatus on ROM, pain, and function in patients with a frozen shoulder and compare their results with those of control subjects who received conventional physiotherapy...
July 2014: Clinical Orthopaedics and related Research
Sarah Russell, Arpit Jariwala, Robert Conlon, James Selfe, Jim Richards, Michael Walton
BACKGROUND: There is little evidence for the optimal form of nonoperative treatment in the management of frozen shoulder. This study assesses the efficacy of current physiotherapy strategies. METHODS: All primary care referrals of frozen shoulder to our physiotherapy department were included during a 12-month period. Of these referrals, 17% met the inclusion criteria for primary idiopathic frozen shoulder. The 75 patients were randomly assigned to 1 of 3 groups: group exercise class, individual physiotherapy, and home exercises alone...
April 2014: Journal of Shoulder and Elbow Surgery
Marcus Bateman, Stuart McClymont, Sally R Hinchliffe
Frozen shoulder is a common condition resulting in pain, stiffness and functional impairment. Symptoms can persist for months or even years if left untreated. Various treatments are available, but a standard care package does not exist and the most cost-effective treatment has not been established. The objective of this study was to conduct a service evaluation of current practice to establish the effectiveness of corticosteroid injection and physiotherapy intervention and the costs associated. A review of all patients with a diagnosis of frozen shoulder who had received a corticosteroid injection and physiotherapy was undertaken for a 12-month period at a single NHS hospital in the UK...
July 2014: Clinical Rheumatology
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