Ahmad Danyal, Hashim Jawad Ali, Asim Hafiz Muhammad
Department of Physiotherapy, Lahore College of Physical Therapy, Lahore Medical and Dental College, Lahore.
J Coll Physicians Surg Pak. 2014 Apr;24(4):293-4.
Frozen shoulder although considered self remitting disease causes significant level of pain and stiffness. This study was planned to determine the immediate outcome of manipulation under anaesthesia (MUA) in patients with adhesive capsulitis in terms of gain of range of movement (ROM) and pain relief. Diagnosed cases of adhesive capsulitis (30 in number), who had symptoms of pain and stiffness lasting more than 2 months eventually underwent MUA. They were interviewed immediately before and after MUA to check the difference in pain intensity and ROM. All the subjects had significant improvement (p < 0.001) in range of motion in flexion followed by abduction and medial rotation. Least improvement (mean 2.06 / n=30) was observed in range of movement in external rotation. Significant decrease (p < 0.001) in pain intensity from mean intensity of 3.66 to 2.1 was seen. Hence, MUA is treatment indicated for those who are not responding to conservative methods of treatments.
肩周炎虽被认为是一种可自愈的疾病，但会引发严重的疼痛和僵硬。本研究旨在确定麻醉下手法松解术（MUA）对粘连性关节囊炎患者的即时疗效，评估其活动范围（ROM）的增加和疼痛缓解情况。确诊为粘连性关节囊炎的患者（共30例），出现疼痛和僵硬症状持续超过2个月，最终接受了MUA。在MUA前后立即对他们进行访谈，以检查疼痛强度和ROM的差异。所有受试者在屈曲活动范围方面有显著改善（p < 0.001），其次是外展和内旋。在外旋活动范围方面改善最少（平均2.06 / n = 30）。疼痛强度从平均强度3.66显著降低（p < 0.001）至2.1。因此，MUA适用于那些对保守治疗方法无反应的患者。
