Original articleManipulation under anesthesia with home exercises versus home exercises alone in the treatment of frozen shoulder: A randomized, controlled trial with 125 patients
Section snippets
Materials and methods
Three regional hospitals in Southern Finland recruited patients who had a stiff and painful shoulder between June 1999 and September 2002. All underwent radiography of the shoulder joint. Specialists in physical medicine and rehabilitation ensured that the history and physical findings fit the diagnosis of frozen shoulder, and they also controlled the list of exclusion and inclusion criteria and executed the manipulations.
Adult patients with gradually increasing shoulder pain and stiffness were
Results
The demographic and clinical characteristics of the patients at baseline are presented in Table I. The 2 groups were similar. Chronic disorders were noted in the groups equally, with the most frequently reported being hypertonia (21 patients), diabetes mellitus (18 patients), and asthma (5 patients).
Follow-up information was obtained for 88% of the subjects at the 6-week follow-up examinations, with 10 being absent from the manipulation group and 5 from the control group. At 3 months,
Discussion
Only a few follow-up studies have thus far recorded the time of recovery from frozen shoulder. In our study, shoulder pain subsided essentially and glenohumeral mobility was restored nearly to normal approximately 1 year after the onset of shoulder symptoms (half a year after randomization). This finding is in contrast to the findings in the medical literature, according to which the course of the illness is notably longer-lasting.17, 19 We assume that there is selection bias in case series, in
References (21)
- et al.
Manipulation and arthroscopy under general anesthesia and early rehabilitative treatment for frozen shoulders
Arch Phys Med Rehabil
(2004) - et al.
Gentle thawing of the frozen shoulder: a prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years
J Shoulder Elbow Surg
(2004) - et al.
Intra-articular lesions in primary frozen shoulder after manipulation under general anesthesia
J Shoulder Elbow Surg
(2005) - et al.
Frozen shoulder
Semin Arthritis Rheum
(1982) - et al.
Corticosteroid injections for painful shoulder: a meta-analysis
Br J Gen Pract
(2005) Periarthritis of the shoulder and diabetes mellitus
Ann Rheum Dis
(1972)- et al.
Short course prednisolone for adhesive capsulitis (frozen shoulder or stiff painful shoulder): a randomised, double blind, placebo controlled trial
Ann Rheum Dis
(2004) - et al.
Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens
Ann Rheum Dis
(1980) - et al.
The role of surgery in frozen shoulder
J Bone Joint Surg Br
(2003) The shoulder
(1934)
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