Abstract
Shoulder injuries are common among geriatric population. As it leads to limited joint range, pain and limiting daily function.
Aims & Objectives of this original presentation was to analyze effects of 2 months of mobilization prior to manipulation under GA and two months of the post manipulation using shoulder function index.
Materials & Methodology: 63 year old female post traumatic stiffness of left shoulder was treated for 2 months of mobilization, then she was treated with manipulation under GA (MUA) and physiotherapy restarted, For 2 months in Chennai between 03.09.2017 to 04.01.2018.
Results: Pre & Post physiotherapy before MUA was P<.05 and after manipulation under GA for 2 months period using shoulder function index P<.001
Conclusion: Proper physiotherapy modalities following injuries promote earlier recovery of functional activities.
Keywords: Manipulation under General Anesthesia, Manual Therapy, Adhesive Causalities, Shoulder Function Index.
References
- Wolf JM, Green A. Influence of comorbidity of self-assessment instrument scores of patients with idiopathic adhesive capsulitis. J Bone Joint Surg Am 2002;84:1167-72.
- Maeda K. Occupational cerviobrachial disorder and its causative factors. J Hum Ergon 1977;6:193-202.
- Bunker TD, Anthony PP. The pathology of frozen shoulder: A Dupuitren-like disease. J Bone Joint Surg Br 1995;77:677- 83.
- Neviaser TJ. Adhesive capsulitis. Orthop Clin North Am 1987;18:439-43
- Sandor R, Brone S. Exercising the frozen shoulder. Physician Sportsmed 2000;28: 83-4
- Jürgel , Lauri Rannama , Helena Gapeyeva , Jaan Ereline, Ivo Kolts , Mati Pääsuke. Shoulder function in patients with frozen shoulder before and after 4-week rehabilitation. Medicina (Kaunas) 2005; 41(1), 30-38
- Park YM, Lee BH, Lee SH. The association between serum lipid levels, suicide ideation, and central serotonergic activity in patients with major depressive disorder. J Affect Disord. 2014;159:62–65.
- Shah N, Lewis M. Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections. Br J Gen Pract 2007;57:662-7.
- Cleland J, Durall CJ. Physical therapy for adhesive capsulitis: systematic review. Physiotherapy 2002;88:450-7
- Rookmoneea, L. Dennis, S. Brealey, A. Rangan, B. White, C. McDaid, M. Harden. The effectiveness of interventions in the management of patients with primary frozen shoulder. VOL. 92-B, No. 9, SEPTEMBER 2010. J Bone Joint Surg [Br] 2010;92-B:1267-72.
- Chambler AF, Carr AJ. The role of surgery in frozen shoulder. J Bone Joint Surg [Br] 2003;85-B:789-95.
- Tasto JP, Elias DW. Adhesive capsulitis. Sports Med Arthrosc 2007;15:216-21.
- Grubbs N. Frozen shoulder syndrome: a review of literature. J Orthop Sports Phys Ther 1993;18:479-87
- Castellarin G, Ricci M, Vedovi E, et al. Manipulation and arthroscopy under general anesthesia and early rehabilitative treatment for frozen shoulders. Arch Phys Med Rehabil. 2004;85:1236-1240
- Ozaki J, Nakagawa Y, Sakurai G, Tamai S. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg Am. 1989;71:1511-1515
- Diercks RL, Stevens M. 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;13:499-502
- Warner JJ, Bowen MK, Deng X, Torzilli PA, Warren RF. Effect of joint compression on inferior stability of the glenohumeral joint. J Shoulder Elbow Surg. 1999;8:31-36
- Harryman DT, 2nd, Sidles JA, Clark JM, McQuade KJ, Gibb TD, Matsen FA, 3rd. Translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone Joint Surg Am. 1990;72:1334-1343.
- Johnson A. J., Godges J. J., Zimmerman G. J., Ounanian L. L. The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis. J Orthop Sports Phys Ther. 2007; 37:88–99
- Gajdosik R, Lusin G. Hamstring muscle tightness Reliability of an active-knee-extension test. Phys Ther. 1983; 63:1085-90
- Jacobs L. G., Smith M. G., Khan S. A., Smith K., Joshi M. Manipulation or intra-articular steroids in the management of adhesive capsulitis of the shoulder? A prospective randomized trial. J Shoulder Elbow Surg. 2009; 18:348–353
- Potter PJ. Musculoskeletal complaints and fibromyalgia in patients attending a respiratory sleep disorders clinic. J Rheumatol. 1997;24:1657–1658.
- Kivimaki J, Pohjolainen T, Malmivaara A, et al. Manipulation under anesthesia with home exercises versus home exercises alone in the treatment of frozen shoulder: a randomized, controlled trial with 125 patients. J Shoulder Elbow Surg. 2007;16:722–726.
- Alvado A, Pelisser J, Benamin C, Petiot S, Herisson C. Physical therapy of frozen shoulder: a literature review.Ann Readapt Med Phys 2001;44:59-71.
- Binder AI, Bulgen D, Hazleman NL, Roberts S. Frozen shoulder: a long-term prospective study. Ann Rheum Dis 1984; 43:314-6.
- Jürgens H, Haass W, Castañeda TR Schürmann A, Koebnick C, Dombrowski F, Otto B, Nawrocki AR, Scherer PE, Spranger J, Ristow M, Joost HG, Havel PJ, Tschöp MH. Consuming fructose-sweetened beverages increases body adiposity in mice. Obes Res.2005 Jul;13(7):1146-56.
- Grotle M, Vollestad NK, Brox JI. Clinical course and impact of fear-avoidance beliefs in low back pain: prospective cohort study of acute and chronic low back pain: II. 2006;31(9):1038–1046.
- Witvrouw E, Bellemans J, Victor J. Manipulation under anaesthesia versus low stretch device in poor range of motion after TKA.Knee Surg Sports Traumatol Arthrosc 2013;21:2751-8.
- Neviaser RJ.Painful conditions affecting the shoulder. Clin Orthop Relat Res.1983 Mar;(173):63-9.
- Park K.D., Nam H.S., Lee J.K., Kim Y.J., Park Y. Treatment effects of ultrasound-guided capsular distension with hyaluronic acid in adhesive capsulitis of the shoulder. Phys. Med. Rehabil. 2013;94(2):264–270. doi: 10.1016/j.apmr.2012.10.002.
- Neviaser 1987 further supports better results with MUA in less time among FS than an exercise alone
- Grubbs N. Frozen shoulder syndrome: a review of literature. J Orthop Sports Phys Ther.1993 Sep;18(3):479-87.
- Shaffer B, Tibone JE, Kerlan RK (1992) Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am 74(5): 738-746.
Corresponding Author
Dr S.S.Subramanian
M.P.T (Orthopaedics), M.S (Education), M. Phil (Education), Ph.D (Physiotherapy)
The Principal, Sree Balaji College of physiotherapy, Chennai – 100
Affiliated To (Bharath) University, BIHER, Chennai – 73
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone: 99400 47137
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.169
