Adhesive shoulder capsulitis
Conditions
Interventions
Control:Manipulation Under Anesthesia (MUA) of the shoulder
Treated:Manipulation Under Anesthesia (MUA) of the shoulder and PRP injection
Sponsors
The Fourth People's Hospital of Guiyang
Eligibility
Sex/Gender
All
Age
50 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Clinically diagnosed with adhesive capsulitis (AC), presenting with shoulder pain and limited active and passive range of motion, particularly noticeable in abduction and external rotation. 2. Active range of motion (AROM) is moderately to severely restricted or nearly impossible to move independently (e.g., shoulder flexion <10°); passive range of motion (PROM) is moderately to severely restricted. 3. Imaging shows features consistent with adhesive capsulitis, with shoulder MRI graded I–II according to Neviaser. 4. Pain visual analog scale (VAS) score =5. 5. Oral nonsteroidal anti-inflammatory drugs (NSAIDs) provide insufficient pain relief, making effective self-directed rehabilitation difficult. 6. The participant voluntarily consents and signs an informed consent form, meeting ethical review requirements.
Exclusion criteria
Exclusion criteria: 1. History of previous shoulder trauma fracture or surgery, or previous intra-articular shoulder injection history. 2. Presence of obvious periarticular tendon calcification, making manual loosening inappropriate. 3. Combined active tuberculosis, tumors, hematological diseases, severe cardiovascular or cerebrovascular diseases, or coagulation disorders. 4. Confirmed history of thyroid disease (relative contraindication for brachial plexus anesthesia) or other anesthesia contraindications. 5. Imaging indicates rotator cuff tear (e.g., supraspinatus tendon). 6. Refusal to accept brachial plexus block anesthesia or refusal of related treatment and follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| visual amalogue scale,; | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxford Shoulder Score; | — |
Countries
China
Contacts
Public ContactYang Shuifen
The Fourth People's Hospital of Guiyang
Outcome results
None listed