Functional results of conservative therapy accompanied by interscalane brachial plexus block and patient-controlled analgesia in cases with frozen shoulder

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dc.contributor.buuauthorYılmazlar, Aysun
dc.contributor.buuauthorTürker, Gürkan
dc.contributor.buuauthorAtıcı, Teoman
dc.contributor.buuauthorBilgen, Sadık
dc.contributor.buuauthorBilgen, Ömer Faruk
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-3019-581Xtr_TR
dc.contributor.researcheridAAI-1638-2021tr_TR
dc.contributor.researcheridAAI-6642-2021tr_TR
dc.contributor.researcheridA-5095-2018tr_TR
dc.contributor.scopusid55899579900tr_TR
dc.contributor.scopusid7003400116tr_TR
dc.contributor.scopusid7801647288tr_TR
dc.contributor.scopusid15061239900tr_TR
dc.contributor.scopusid16933501900tr_TR
dc.date.accessioned2022-02-08T10:36:14Z
dc.date.available2022-02-08T10:36:14Z
dc.date.issued2010
dc.description.abstractObjectives: We evaluated the efficacy of simultaneous interscalene block and catheter analgesia applied as an aid to conservative treatment in improving shoulder functions in patients with frozen shoulder. Methods: Three patients (2 women, I man; mean age 47 years) with frozen shoulder underwent conservative treatment including manipulation under interscalene brachial plexus block and subsequent rehabilitation under catheter analgesia to improve shoulder range of motion and function. Following manipulation under interscalene block, the patients were hospitalized for 15 to 28 days (mean 21 days) for an exercise program performed by a physiotherapist and orthopedist at least twice a day under interscalene catheter analgesia. Thirty minutes before each rehabilitation session, patient-controlled analgesia was administered via a pain relief pump. Active and passive range of motion (ROM) were measured and the severity of pain was rated using a visual analog scale (VAS) prior to and following interscalene block, during the exercise program, and at the end of the treatment. Functional assessments were made before and after treatment using the University of California in Los Angeles (UCLA) Shoulder Scale. The exercise program under interscalene analgesia was performed until pain-free and sufficient active movements were obtained, with at least 80% improvement in active and passive motion, a VAS score of 0-2, and an UCLA score of >27. Results: Compared to pretreatment values, the ROM values showed remarkable increases at the end of the treatment. Active ROM reached at least 30 degrees external rotation, 40 degrees internal rotation, 150 degrees flexion, 45 degrees extension, and 100 degrees abduction in all cases. On presentation, the VAS scores of all cases were 10 for both active and passive movements, whereas they ranged from 0 to 2 on discharge. The mean UCLA score increased from 12.3 to 30.3 after treatment. Immediately after the interscalene block, two patients exhibited signs of Horner's syndrome which resolved spontaneously within an hour without the need for treatment. No complications or catheter-related problems such as infection, break-off, or displacement developed throughout the treatment period. There was no requirement for additional analgesia. Conclusion: In patients with frozen shoulder, interscalene block and continuous patient-controlled analgesia via an interscalene catheter provided sufficient analgesia and contributed to the recovery of shoulder functions through an effective and safe exercise program, with no side effects or complications. However, further studies are needed to assess the feasibility of home applications of interscalene patient-controlled analgesia to increase cost-effectiveness and patient satisfaction.en_US
dc.identifier.citationYılmazlar, A. vd. (2010). "Functional results of conservative therapy accompanied by interscalane brachial plexus block and patient-controlled analgesia in cases with frozen shoulder". Acta Orthopaedica et Traumatologica Turcica, 44(2), 105-110.tr_TR
dc.identifier.endpage110tr_TR
dc.identifier.issn1017-995X
dc.identifier.issue2tr_TR
dc.identifier.pubmed20676011tr_TR
dc.identifier.scopus2-s2.0-77957857698tr_TR
dc.identifier.startpage105tr_TR
dc.identifier.urihttps://doi.org/10.3944/AOTT.2010.2144
dc.identifier.urihttps://www.aott.org.tr/en/functional-results-of-conservative-therapy-accompanied-by-interscalane-brachial-plexus-block-and-patientcontrolled-analgesia-in-cases-with-frozen-shoulder-134464
dc.identifier.urihttp://hdl.handle.net/11452/24374
dc.identifier.volume44tr_TR
dc.identifier.wos000281137600004tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.trdizinTrDizintr_TR
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherTürk Ortopedi ve Travmatoloji Derneğitr_TR
dc.relation.journalActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnalgesia, patient-controlleden_US
dc.subjectBrachial plexusen_US
dc.subjectCatheterizationen_US
dc.subjectExercise therapyen_US
dc.subjectManipulation, orthopedicen_US
dc.subjectNerve blocken_US
dc.subjectPain/etiologyen_US
dc.subjectRange of motion, articularen_US
dc.subjectShoulder joint/pathology/therapyen_US
dc.subjectAdhesive capsulitisen_US
dc.subjectBupivacaineen_US
dc.subjectAnesthesiaen_US
dc.subjectSurgeryen_US
dc.subjectHomeen_US
dc.subjectPainen_US
dc.subjectOrthopedicsen_US
dc.subject.emtreeAnalgesic agenten_US
dc.subject.emtreeAnalgesiaen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBrachial plexusen_US
dc.subject.emtreeBursitisen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeJoint characteristics and functionsen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMethodologyen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.emtreeMultimodality cancer therapyen_US
dc.subject.emtreeNerve blocken_US
dc.subject.emtreePain assessmenten_US
dc.subject.emtreePathophysiologyen_US
dc.subject.emtreePatient controlled analgesiaen_US
dc.subject.emtreePatient satisfactionen_US
dc.subject.emtreePhysiologyen_US
dc.subject.meshAnalgesiaen_US
dc.subject.meshAnalgesia, patient-controlleden_US
dc.subject.meshAnalgesicsen_US
dc.subject.meshBrachial plexusen_US
dc.subject.meshBursitisen_US
dc.subject.meshCombined modality therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshNerve blocken_US
dc.subject.meshPain measurementen_US
dc.subject.meshPatient satisfactionen_US
dc.subject.meshRange of motion, articularen_US
dc.subject.scopusHumeroscapular Periarthritis; Shoulder Impingement Syndrome; Joint Capsule Releaseen_US
dc.subject.wosOrthopedicsen_US
dc.titleFunctional results of conservative therapy accompanied by interscalane brachial plexus block and patient-controlled analgesia in cases with frozen shoulderen_US
dc.typeArticle
dc.wos.quartileQ4en_US

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