Adhesive capsulitis; Anesthesia; Frozen shoulder; Range of motion; Rehabilitation; Suprascapular nerve block; Orthopedics and Sports Medicine; Surgery
Abstract :
[en] [en] PURPOSE: Evaluating the short- and long-term efficacy of a continuous ten day suprascapular nerve block combined with daily multidisciplinary rehabilitation on shoulder range of motion (ROM), pain, and function in patients with refractory adhesive capsulitis (AC).
METHODS: In this retrospective cohort study, patients admitted to a specialized pain clinic for refractory AC for more than 6 months underwent continuous suprascapular nerve blockade for ten days and received 2 hours of physiotherapy and occupational therapy daily. Standardized assessments were performed at baseline, at days three, six, ten, 30, 90, and 180, and included active and passive ROM measurements, the visual analog scale (VAS) for pain and the disabilities of the arm, shoulder and hand (DASH) questionnaire to assess pain, disability, and quality of life. Improvements over time were assessed using ANOVAs.
RESULTS: Thirty-two patients were followed (age: 52 ± 8 years, 25 females, mean symptoms duration of two years). There was a significant improvement in ROM for all amplitudes at day ten (short-term; range: 20-35°, p < 0.001) and at day 180 (long-term; range: 18-47°, p < 0.001). The pain and disability scores significantly reduced by day 180 (mean VAS reduction: 2.6 units, p < 0.001; mean DASH reduction: 9.5 points, p < 0.001).
CONCLUSION: Continuous SSNB combined with intensive multidisciplinary rehabilitation represents an efficient therapeutic option for patients with chronic AC who did not respond to conventional treatments.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Martens, Géraldine ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
Fontaine, Robert; Anesthesia & Intensive Care Department, University Hospital of Liège, Liège, Belgium
Goffin, Pierre ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation ; Anesthesia & Intensive Care Department, MontLegia Hospital, Groupe Santé CHC, Liège, Belgium ; Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
Raaf, Mélissa; Anesthesia & Intensive Care Department, University Hospital of Liège, Liège, Belgium ; Anesthesia & Intensive Care Department, MontLegia Hospital, Groupe Santé CHC, Liège, Belgium
TASSET, Hadrien ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'anesthésie - réanimation
LECOQ, Jean-Pierre ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'anesthésie - réanimation
Benmouna, Karim ; Université de Liège - ULiège > Département des sciences de la motricité
Kaux, Jean-François ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
Forthomme, Bénédicte ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
Language :
English
Title :
Continuous suprascapular nerve blockade to potentiate intensive rehabilitation for refractory adhesive shoulder capsulitis: a cohort study.
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