Document Detail


Adhesive capsulitis: a new management protocol to improve passive range of motion.
MedLine Citation:
PMID:  20006315     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the short-term efficacy of a nonoperative shoulder protocol for the treatment of adhesive capsulitis. DESIGN: A retrospective chart review was used to collect data for a 3-year period. SETTING: Academic tertiary medical center. PATIENTS: 28 consecutive patients diagnosed as having adhesive capsulitis were identified and managed with a new protocol. METHODS: The protocol consisted of the administration of a suprascapular nerve block, the subsequent injection of an intra-articular steroid, and then the injection of an anesthetic agent with brisement normal saline volume dilation. The final step was manipulation of the shoulder. RESULTS: A paired t test was used to examine the difference in the preprocedure and postprocedure passive range of motion (flexion and abduction). The average shoulder abduction before the procedure was 89.5 degrees ; this improved by an average of 51.7 degrees (P<.0001). The average shoulder flexion improved from 117.3 degrees by an average of 37.7 degrees (P<.0001). There was no significant difference in either abduction or flexion based on age, gender, or chronicity of symptoms. White patients experienced significantly more improvement in abduction than did nonwhite patients. CONCLUSIONS: This study suggests that this adhesive capsulitis management protocol is effective and produces a significant improvement in the passive range of motion immediately after the procedure.
Authors:
Raj Mitra; Alex Harris; Chainey Umphrey; Matthew Smuck; Michael Fredericson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  PM & R : the journal of injury, function, and rehabilitation     Volume:  1     ISSN:  1934-1482     ISO Abbreviation:  PM R     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-17     Completed Date:  2010-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101491319     Medline TA:  PM R     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1064-8     Citation Subset:  IM    
Affiliation:
Stanford University School of Medicine, 450 Broadway St, Mailcode: 6342, Redwood City, CA 94063, USA. rmitra@stanford.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Algorithms
Anti-Inflammatory Agents / administration & dosage*
Bursitis / physiopathology*,  therapy*
Female
Humans
Male
Manipulation, Orthopedic
Middle Aged
Nerve Block
Retrospective Studies
Shoulder Joint
Triamcinolone / administration & dosage*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 124-94-7/Triamcinolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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