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Translational manipulation under anesthesia for patients with frozen shoulder: a case series study with five-year health care utilization and post-manipulative arthroscopic findings.

Publication ,  Journal Article
Hando, BR; Rhon, DI; Boyles, RE; Whitman, JM; English, JL
Published in: J Man Manip Ther
December 2017

STUDY DESIGN: Case series study. OBJECTIVES: Although there have been no reported complications from translational manipulation under anesthesia (tMUA) for individuals with adhesive capsulitis (AC) there are no cases reporting surgical findings post tMUA. Also, there are no studies evaluating health care utilization following tMUA. The purpose of this study was to: (1) report clinical outcomes following tMUA, (2) describe relevant health care costs and utilization following tMUA, and (3) summarize findings from two cases receiving joint arthroscopy following tMUA. METHODS: Fourteen Individuals with AC underwent tMUA. Range of motion (ROM) and Shoulder Pain and Disability Index (SPADI) values were collected at baseline and six weeks follow-up. Shoulder-related health care cost and utilization were analyzed for a five-year period following tMUA. Two additional patients with AC underwent tMUA followed by arthroscopic assessment for evidence of iatrogenic injury. RESULTS: Thirteen patients completed the six-week follow-up. Mean change scores for ROM and SPADI values were flexion; +38.5°, abduction; +71.1°, external rotation (shoulder abducted); +49.8°, internal rotation (shoulder abducted); +26.6°, SPADI scores; +44.4. 13 patient records were analyzed for health care utilization. Ten of the 13 patients utilized no additional shoulder-related health care. Surgical evaluation revealed no evidence of iatrogenic injury. DISCUSSION: Clinical outcomes were similar to previous studies. Utilization data indicated that for the majority of patients, little shoulder-related health care was utilized. Surgical evaluation provided further evidence that tMUA performed by a physical therapist is safe. Future research will be required to establish a causal relationship between tMUA and the results observed in this study. LEVEL OF EVIDENCE: Therapy, Level 4.

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Published In

J Man Manip Ther

DOI

ISSN

1066-9817

Publication Date

December 2017

Volume

25

Issue

5

Start / End Page

270 / 278

Location

England

Related Subject Headings

  • Orthopedics
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

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Hando, B. R., Rhon, D. I., Boyles, R. E., Whitman, J. M., & English, J. L. (2017). Translational manipulation under anesthesia for patients with frozen shoulder: a case series study with five-year health care utilization and post-manipulative arthroscopic findings. J Man Manip Ther, 25(5), 270–278. https://doi.org/10.1080/10669817.2017.1292615
Hando, Ben R., Daniel I. Rhon, Robert E. Boyles, Julie M. Whitman, and Jenny L. English. “Translational manipulation under anesthesia for patients with frozen shoulder: a case series study with five-year health care utilization and post-manipulative arthroscopic findings.J Man Manip Ther 25, no. 5 (December 2017): 270–78. https://doi.org/10.1080/10669817.2017.1292615.
Hando, Ben R., et al. “Translational manipulation under anesthesia for patients with frozen shoulder: a case series study with five-year health care utilization and post-manipulative arthroscopic findings.J Man Manip Ther, vol. 25, no. 5, Dec. 2017, pp. 270–78. Pubmed, doi:10.1080/10669817.2017.1292615.
Journal cover image

Published In

J Man Manip Ther

DOI

ISSN

1066-9817

Publication Date

December 2017

Volume

25

Issue

5

Start / End Page

270 / 278

Location

England

Related Subject Headings

  • Orthopedics
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences