Publication: A capsular dilatation facilitated shoulder manipulation for treating patients with frozen shoulder
Issued Date
2002-06-01
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ISSN
01252208
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2-s2.0-11244278749
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.85, No.SUPPL. 1 (2002)
Suggested Citation
Somsak Kuptniratsaikul, Tawechai Tejapongvorachai, Vilai Kuptniratsaikul, Pibul Itiravivong A capsular dilatation facilitated shoulder manipulation for treating patients with frozen shoulder. Journal of the Medical Association of Thailand. Vol.85, No.SUPPL. 1 (2002). Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/20483
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Title
A capsular dilatation facilitated shoulder manipulation for treating patients with frozen shoulder
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Abstract
Forty patients with a diagnosis of frozen shoulder who had symptom for an average of 8 months and failed conservative treatment of at least 6 weeks of physical therapy were treated with capsular dilatation facilitated shoulder manipulation. Post-manipulation, the patient underwent arthroscopy for visualization, fibrin debridement and bleeding point coagulation. All the essential intraarticular structures ie, glenohumeral ligament, rotator cuff were intact. Post-operatively, all patients revealed substantial gain in shoulder range of motion as well as diminished shoulder pain. The average flexion, abduction, and internal rotation gain were 76.9±8.9, 18.1±5.7, 9.6±7.1 degrees respectively. External rotation gain in the position of 90° shoulder abduction and shoulder adduction were 53.0± 9.97 and 31.4±7.2 degrees respectively. The average pain score by visual analogue scale pre and 6-month post-manipulation were 80.6±8.6 and 7.6±7.3 respectively with the average of pain score of 73.0±10.4. The authors proposed an effective and safe technique employing intra-articular pressure to facilitate shoulder manipulation in order to treat frozen shoulder.