title: Manipulation under anaesthesia and early physiotherapy facilitate recovery of patients with frozen shoulder syndrome.
abstract: OBJECTIVE
  The aim of this study was to examine the efficacy of manipulation under anaesthesia (MUA) followed by early physiotherapy in treating frozen shoulder syndrome.
  
  
  METHODS
  In a prospective trial conducted between 26th August 2002 and 25th June 2004 in 86 patients with frozen shoulder syndrome, MUA was performed as a day procedure. Main outcomes were Disabilities of the Arm, Shoulder and Hand (DASH) score, a visual analogue score (VAS) for pain and range of movement, which were measured preoperatively and at six weeks postprocedure.
  
  
  RESULTS
  Fifty (58.1%) patients had complete data. The average age was 54.5 years. The mean duration of symptoms until MUA was 13 months. The mean DASH score decreased from 48.07 to 15.84 (p < 0.0005). The mean VAS reduced from 6.07 to 1.88 (p < 0.0005). Flexion improved from 104.18 to 157.56 (p < 0.0005); abduction from 70.48 to 150.00 (p < 0.0005); and external rotation from 13.88 to 45.62 (p < 0.0005).
  
  
  CONCLUSIONS
  MUA combined with early physiotherapy alleviates pain and facilitates recovery of function in patients with frozen shoulder syndrome.
authors.affiliation: Department of Orthopaedics, Queen Margaret Hospital, Dunfermline KY12 0SU. chyeng@gmail.com
authors.forename: C Y
authors.initials: CY
authors.lastname: Ng
authors.forename: A K
authors.initials: AK
authors.lastname: Amin
authors.forename: S
authors.initials: S
authors.lastname: Narborough
authors.forename: L
authors.initials: L
authors.lastname: McMullan
authors.forename: R
authors.initials: R
authors.lastname: Cook
authors.forename: I J
authors.initials: IJ
authors.lastname: Brenkel
mesh_terms: D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D002062:Bursitis / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery*; D015331:Cohort Studies; D003131:Combined Modality Therapy; D004434:Early Ambulation; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D052580:Muscle Stretching Exercises; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012785:Shoulder Joint; D016896:Treatment Outcome