Manipulation under anesthesia with home exercises versus home exercises alone in the treatment of frozen shoulder: a randomized, controlled trial with 125 patients.
We aimed to determine the effect of manipulation under anesthesia in frozen shoulder patients. A blinded randomized trial with a 1-year follow-up was performed at 3 referral hospitals in Southern Finland. We randomly assigned 125 patients with clinically verified frozen shoulder to the manipulation group (n = 65) or control group (n = 60). Both the intervention group and the control group were instructed in specific therapeutic exercises by physiotherapists. Clinical data were gathered at baseline and at 6 weeks and 3, 6, and 12 months after randomization. The 2 groups did not differ at any time of the follow-up in terms of shoulder pain or working ability. Small differences in the range of movement were detected in favor of the manipulation group. Perceived shoulder pain decreased during follow-up equally in the 2 groups, and at 1 year after randomization, only slight pain remained. Manipulation under anesthesia does not add effectiveness to an exercise program carried out by the patient after instruction.
Kivimäki
Jorma
J
Jorvi Hospital (Helsinki University Central Hospital), Espoo, Finland. jorma.kivimaki@elisanet.fi
Pohjolainen
Timo
T
Malmivaara
Antti
A
Kannisto
Mikko
M
Guillaume
Jacques
J
Seitsalo
Seppo
S
Nissinen
Maunu
M
D000368:Aged; D000768:Anesthesia, General; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000628:therapy*; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008875:Middle Aged; D010349:Patient Compliance; D016059:Range of Motion, Articular; D012785:Shoulder Joint / Q000473:pathology*; D016896:Treatment Outcome