Is tube training effective in improving frozen shoulder?5 answersTube training, specifically utilizing brachial plexus block through a tube, has shown effectiveness in improving frozen shoulder. Research by Xu et al. demonstrated satisfactory outcomes in 48 patients with frozen shoulder treated using this method. Additionally, studies by Lee et al. and Huang et al. highlighted the effectiveness of innovative rehabilitation systems incorporating technology like virtual reality (VR) and interactive treatments to enhance shoulder joint mobility and muscle strength in frozen shoulder patients. These findings suggest that a combination of manual therapy with tube training and advanced technological interventions can be beneficial for frozen shoulder rehabilitation. Therefore, incorporating tube training techniques within a comprehensive rehabilitation program may offer significant improvements in frozen shoulder conditions.
What rehabilitation is effective for frozen shoulder?5 answersPhysiotherapy rehabilitation, including the Spencer technique and the Pune Shoulder Rehabilitation Programme (PSRP), has been found to be effective for frozen shoulder. These rehabilitation techniques have shown significant improvement in range of motion, reduction in pain, and functional disability in patients with frozen shoulder. The PSRP exercise protocol specifically has been found to increase range of motion and decrease pain in the shoulder caused by frozen shoulder. In addition to physiotherapy, acupuncture has also been found to be effective in relieving pain and decreasing disability in frozen shoulder patients. Auricular acupuncture, in particular, has shown to be more effective in pain reduction and improving functional abilities compared to physiotherapy. Overall, a combination of physiotherapy techniques such as the Spencer technique and PSRP, along with acupuncture, can be effective in the rehabilitation of frozen shoulder.
Is neuromuscular training helpful for patients with frozen shoulder?5 answersNeuromuscular exercise (NME) has been found to be effective in improving pain and active range of motion (AROM) in individuals with frozen shoulder (FS) compared to strengthening exercises. Muscle Energy Technique (MET) has also been shown to effectively improve range of motion and functional ability, relieving pain in frozen shoulder patients in the early stage of rehabilitation. Additionally, a study comparing the effectiveness of MET and Interferential therapy (IFT) with Conventional therapeutic exercises and IFT found that MET and IFT led to better clinical outcomes in reducing pain and improving range of motion and functional ability in frozen shoulder management. Furthermore, proprioceptive neuromuscular facilitation (PNF) has been shown to improve the shoulder joint structure and is an effective treatment strategy for frozen shoulder. Combined exercise using PNF and deep breathing exercise has also been found to increase range of motion and decrease pain in acute frozen shoulder patients. Therefore, neuromuscular training, including NME, MET, and PNF, appears to be helpful for patients with frozen shoulder.
What is the role of physical therapy in the rehabilitation of patients who have undergone shoulder decompression surgery?5 answersPhysical therapy plays a crucial role in the rehabilitation of patients who have undergone shoulder decompression surgery. It helps in achieving optimal patient outcomes and improving postoperative recovery. PT sessions are important for patients to understand the goals of therapy, practice rehab exercises, and address immediate postoperative issues. PT sessions also contribute to reducing postoperative symptoms, increasing range of motion, and improving the functional activity level of the shoulder. Patients have a positive perception of PT, including the therapist's education, cost, number of sessions, and utility in impacting improvements after shoulder surgery. However, access to PT can be limited due to factors such as insurance type, coverage, and cost. Further investigations are necessary to better understand the relationship between copayment and different insurance types and develop effective strategies to increase access to physical therapy for postoperative shoulder patients.
What is the optimal treatment for frozen shoulder?5 answersThe optimal treatment for frozen shoulder includes various modalities such as physiotherapy, corticosteroid injections, and capsular distension. Physiotherapists recommend early, frequent, and prolonged treatment delivered in a 1:1 setting, including education and advice, range of movement exercises, stretching, and strengthening. Multisite corticosteroid injection therapy has been found to be more effective than single intra-articular injection in terms of pain relief, restoration of motion, and functional status. Capsular distension with a large volume of normal saline under local anesthesia has also shown effectiveness in improving shoulder abduction and adduction. Arthroscopic pancapsular release with complete coracohumeral ligament (CHL) release has been recommended for recalcitrant frozen shoulder, providing full range of motion restoration and better pain relief and functional recovery compared to arthroscopic pancapsular release without CHL. Further research is needed to establish high-value treatment pathways for patients with frozen shoulder.
What is better for frozen shoulder? injection or scapular stabilization exercise?4 answersIn the treatment of frozen shoulder, both corticosteroid injections and scapular stabilization exercises have shown effectiveness. Corticosteroid injections, whether given as a glenohumeral joint (GHJ) injection or suprascapular nerve block (SSNB), have been shown to significantly improve shoulder pain and range of motion. Scapular stabilization exercises, on the other hand, have been recommended as a first-line treatment for frozen shoulder and have been reported to resolve the condition effectively. However, when comparing the two treatment options, there is limited direct evidence available. Meta-analyses have shown that corticosteroid injections provide short-term pain relief, improved range of motion, and shoulder function. It is important to note that the choice of treatment may depend on individual patient characteristics and preferences.