Archives of physical medicine and rehabilitation · 2001
Manipulation under anesthesia for frozen shoulder with and without steroid injection.
Клиническое исследованиеСравнительное исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Kivimäki J, Pohjolainen T
Аннотация
OBJECTIVE: To study the effect of manipulating a shoulder with adhesive capsulitis (frozen shoulder) under anesthesia with and without corticosteroid injection.
DESIGN: Randomized trial.
SETTING: Hospital.
PARTICIPANTS: Twenty-four patients referred for manipulation of a frozen shoulder.
INTERVENTION: The patients were randomized into 2 groups. One group received an injection of corticosteroid and manipulation; the other was only administered manipulation during anesthesia.
MAIN OUTCOME MEASURES: The degree of shoulder mobility and pain before and after the manipulation.
RESULTS: Manipulation under anesthesia increased the mobility of the affected shoulder. Injection with lidocaine and betamethason did not enhance the effect of the manipulation.
CONCLUSION: Manipulation under anesthesia without intraarticular corticosteroids is recommended as the therapy for frozen shoulder.
DESIGN: Randomized trial.
SETTING: Hospital.
PARTICIPANTS: Twenty-four patients referred for manipulation of a frozen shoulder.
INTERVENTION: The patients were randomized into 2 groups. One group received an injection of corticosteroid and manipulation; the other was only administered manipulation during anesthesia.
MAIN OUTCOME MEASURES: The degree of shoulder mobility and pain before and after the manipulation.
RESULTS: Manipulation under anesthesia increased the mobility of the affected shoulder. Injection with lidocaine and betamethason did not enhance the effect of the manipulation.
CONCLUSION: Manipulation under anesthesia without intraarticular corticosteroids is recommended as the therapy for frozen shoulder.
Предметные рубрики MeSH
Activities of Daily LivingAnesthesia, IntravenousAnesthetics, LocalAnti-Inflammatory AgentsBetamethasoneBursitisCombined Modality TherapyFollow-Up StudiesHumansInjections, Intra-ArticularLidocaineManipulation, OrthopedicPainPhysical ExaminationRange of Motion, ArticularRotationShoulder JointTreatment Outcome