Unpublished conference/Abstract (Scientific congresses and symposiums)
Evaluation of intensive rehabilitation under continuous suprascapular nerve blockade for the treatment of refractory adhesive shoulder capsulitis: case series
[en] Objective: Treatment of refractory adhesive shoulder capsulitis is a challenge. This observational retrospective study evaluated the long-term effectiveness of intensive physiotherapy protocol under a continuous peripheral blockade of the suprascapular nerve (cSSNB).
Methods: We reviewed 29 medical records of patients suffering from adhesive capsulitis and treated with intensive physiotherapy under cSSNB during 10 days. The “disabilities of the arm, shoulder and hand” outcome questionnaire (DASH score) and shoulder movements were recorded at the beginning, 10 days after local anesthetic infusion and three months after.
Results: Twenty-six patients significant improved shoulder movements after 10 days of treatment. Sixteen patients were followed completely until 3 months after rehabilitation program. Range of four shoulder motion compatible with a normal daily life was acquired in nine patients at three months. There is no significant difference in shoulder motion between the end of LA infusion and at three months. At the end of infusion, DASH score is significantly decreased to 59.3 (n=26), and persists three months 42.1 (n=16). At three months, 33% of the initial population objectively reach the 4 goals, compatible with a correct quality of life.
Conclusion: Rehabilitation under cSSNB is associated with a significant long term improvement in shoulder motion and quality of life in patients with adhesive capsulitis. Randomized controlled trials will be necessary to demonstrate our encouraging results.
LECOQ, Jean-Pierre ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'anesthésie - réanimation
BENMOUNA, Karim ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
KAUX, Jean-François ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA) ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur ; Université de Liège - ULiège > Département des sciences de la motricité > Médecine physique, réadaptation et traumatologie du sport
Martens, Géraldine ; Université de Liège - ULiège > Département des sciences de la motricité ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA) ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation
Forthomme, Bénédicte; Université de Liège - ULiège
Language :
English
Title :
Evaluation of intensive rehabilitation under continuous suprascapular nerve blockade for the treatment of refractory adhesive shoulder capsulitis: case series
Publication date :
24 March 2022
Event name :
World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases