Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder
Background Frozen shoulder is characterized by inflammation of the synovial lining and capsule, with subsequent generalized contracture of the glenohumeral joint causing shoulder pain and a gradual loss of both passive and active range of motion. Pain relief through suprascapular nerve block (SSNB)...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2014-01-01
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| Series: | Egyptian Rheumatology and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.err.eg.net/article.asp?issn=1110-161X;year=2014;volume=41;issue=4;spage=172;epage=178;aulast=El-Badawy |
| _version_ | 1818917534938693632 |
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| author | Mohja A El-Badawy Mahmoud Mohamed Fathalla |
| author_facet | Mohja A El-Badawy Mahmoud Mohamed Fathalla |
| author_sort | Mohja A El-Badawy |
| collection | DOAJ |
| description | Background
Frozen shoulder is characterized by inflammation of the synovial lining and capsule, with subsequent generalized contracture of the glenohumeral joint causing shoulder pain and a gradual loss of both passive and active range of motion. Pain relief through suprascapular nerve block (SSNB) followed by manipulation and home exercises may be a suitable treatment option in such patients.
Objective
The aim of this study was to evaluate the role of SSNB followed by Codman′s shoulder manipulation and home exercises in the management of idiopathic frozen shoulder.
Patients and methods
Twenty patients with idiopathic unilateral frozen shoulder underwent SSNB followed by Codman′s manipulation of the glenohumeral joint and a home exercise program. Differences in range of motion, visual analog scale for pain, and Shoulder Disability Questionnaire were assessed before manipulation and at 1, 6, and 12 weeks after manipulation.
Results
The mean age of the patients was 52.1 years. Active range of motion increased significantly for flexion, abduction, internal rotation, and external rotation. Significant decrease in visual analog scale and Shoulder Disability Questionnaire scores between baseline and follow-up assessments was observed.
Conclusion
Manipulation under SSNB is a safe, effective, and minimally invasive procedure for relieving pain, improving range of motion, and decreasing disability in patients with idiopathic frozen shoulder. |
| first_indexed | 2024-12-20T00:35:36Z |
| format | Article |
| id | doaj.art-182afa568a984340841334b834cd0e6f |
| institution | Directory Open Access Journal |
| issn | 1110-161X 2090-3235 |
| language | English |
| last_indexed | 2024-12-20T00:35:36Z |
| publishDate | 2014-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Rheumatology and Rehabilitation |
| spelling | doaj.art-182afa568a984340841334b834cd0e6f2022-12-21T19:59:46ZengSpringerOpenEgyptian Rheumatology and Rehabilitation1110-161X2090-32352014-01-0141417217810.4103/1110-161X.147360Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulderMohja A El-BadawyMahmoud Mohamed FathallaBackground Frozen shoulder is characterized by inflammation of the synovial lining and capsule, with subsequent generalized contracture of the glenohumeral joint causing shoulder pain and a gradual loss of both passive and active range of motion. Pain relief through suprascapular nerve block (SSNB) followed by manipulation and home exercises may be a suitable treatment option in such patients. Objective The aim of this study was to evaluate the role of SSNB followed by Codman′s shoulder manipulation and home exercises in the management of idiopathic frozen shoulder. Patients and methods Twenty patients with idiopathic unilateral frozen shoulder underwent SSNB followed by Codman′s manipulation of the glenohumeral joint and a home exercise program. Differences in range of motion, visual analog scale for pain, and Shoulder Disability Questionnaire were assessed before manipulation and at 1, 6, and 12 weeks after manipulation. Results The mean age of the patients was 52.1 years. Active range of motion increased significantly for flexion, abduction, internal rotation, and external rotation. Significant decrease in visual analog scale and Shoulder Disability Questionnaire scores between baseline and follow-up assessments was observed. Conclusion Manipulation under SSNB is a safe, effective, and minimally invasive procedure for relieving pain, improving range of motion, and decreasing disability in patients with idiopathic frozen shoulder.http://www.err.eg.net/article.asp?issn=1110-161X;year=2014;volume=41;issue=4;spage=172;epage=178;aulast=El-Badawyadhesive capsulitis, Codman′s manipulation, frozen shoulder, manipulation, suprascapular nerve block |
| spellingShingle | Mohja A El-Badawy Mahmoud Mohamed Fathalla Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder Egyptian Rheumatology and Rehabilitation adhesive capsulitis, Codman′s manipulation, frozen shoulder, manipulation, suprascapular nerve block |
| title | Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder |
| title_full | Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder |
| title_fullStr | Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder |
| title_full_unstemmed | Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder |
| title_short | Suprascapular nerve block followed by Codman′s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder |
| title_sort | suprascapular nerve block followed by codman s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder |
| topic | adhesive capsulitis, Codman′s manipulation, frozen shoulder, manipulation, suprascapular nerve block |
| url | http://www.err.eg.net/article.asp?issn=1110-161X;year=2014;volume=41;issue=4;spage=172;epage=178;aulast=El-Badawy |
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