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Management of "frozen shoulder" made easy; critical evaluation on myofascial pain syndrome and conventional orthopedic approaches

Abdul Jalil, Nizar and Prateepavanich, Pradit and Mohamed, Rozilah @ Abdul Hadi (2010) Management of "frozen shoulder" made easy; critical evaluation on myofascial pain syndrome and conventional orthopedic approaches. International Medical Journal, 17 (3). pp. 197-204. ISSN 1341-2051

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Abstract

Objective: To evaluate the various coexisting soft tissue pathology that made up "frozen shoulder" and the treatment outcomes. Design: Prospective case series report Methods: All patients with "frozen shoulder"from soft tissue origin were included in this study. A new assessment tool for "frozen shoulder" was performed integrating the conventional orthopaedic approaches with myofascial pain syndrome by performing only three simple range of movement tests; abduction of shoulder joint (Painful Arch Test), external rotation with abducted shoulder joint and Hand On Scapular Blade Test. Results: Fifty percent (50%) of the patients presented with multiple pathology and sixty six percent (66%) of them revealed multiple structures involvement. Prevalence of MPS and tendinitis were equally high in "frozen shoulder" (75%). Seventy five percents (75%) of the patients were successfully managed based on this three steps clinical evaluation. Conclusion: The key success of the "frozen shoulder" management depends on the ability to identify the accurate diagnosis/pathology that made up this complex disorder.

Item Type: Article (Journal)
Additional Information: 3439/11847
Uncontrolled Keywords: Adhesive capsulitis; Frozen shoulder; Myofascial pain syndrome; Myofascial trigger point; Range of motion; Tendinitis
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User: Nor Hazirah Mat Saad
Date Deposited: 24 Feb 2012 08:49
Last Modified: 24 Feb 2012 08:50
URI: http://irep.iium.edu.my/id/eprint/11847

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