Ann Rehabil Med.  2018 Feb;42(1):76-84. 10.5535/arm.2018.42.1.76.

Comparison of Therapeutic Effectiveness Between Shoulder Distention Arthrography With Translation Mobilization and Distention Arthrography Alone in Patients With Frozen Shoulder

• Park GY
• Kwon DR
• Kwon DG
• Rim JH

• KMID: 2440972
• DOI: http://doi.org/10.5535/arm.2018.42.1.76

Abstract

OBJECTIVE
To evaluate the efficacy of distention arthrography (DA) alone and in combination with translational mobilization (TM) for treatment of patients with frozen shoulder (FS).
METHODS
Eighty-five patients diagnosed with unilateral FS (freezing or frozen stage) were included. Forty-one patients were treated with DA and TM (group 1) and 44 patients with DA alone (group 2). Clinical assessments including visual analogue scale (VAS), Cyriax stage, and shoulder passive range of motion (PROM) including forward flexion, abduction, external rotation, and internal rotation were measured at baseline, 1 month, and 3 months following treatment.
RESULTS
There were no significant differences in gender, side affected, symptom duration, presence of diabetes mellitus, VAS score, Cyriax stage, or shoulder PROM between the two patient groups at baseline. Compared with baseline metrics, patients in both groups demonstrated significantly improved outcome parameters at two post-treatment time points. However, mean all shoulder PROMs were significantly greater, and mean VAS score and Cyriax stage were lower in patients treated with DA and TM than in those treated with DA alone group at two post-treatment time points. At these times, mean interval change of all outcome parameters was significantly greater with DA and TM than DA alone. No serious complications were observed following treatment in either patient group.
CONCLUSION
Compared with DA alone, DA combined with TM more effectively alleviates shoulder pain and increases PROM in patients with freezing or frozen stage FS.

Keyword

Frozen shoulder; Distention arthrography; Translational mobilization

MeSH Terms

Arthrography*
Bursitis*
Diabetes Mellitus
Freezing
Humans
Range of Motion, Articular
Shoulder Pain
Shoulder*

Figure

• 

  Fig. 1 Modified translational mobilization with capsular stretching. (A) Shoulder external rotation range at 90° of abduction was gradually increased with posterior translation of humeral head and lateral traction. (B) Shoulder internal rotation range at 90° of abduction was gradually increased with posterior translation of humeral head and lateral traction. (C) Cyriax's capsular stretching was performed using mobilization technique.

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