{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T09:26:45Z","timestamp":1778232405212,"version":"3.51.4"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: 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.\\r\\nMethods: Three patients (2 women, 1 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 &gt;27.\\r\\nResults: Compared to pretreatment values, the ROM values showed remarkable increases at the end of the treatment. Active ROM reached at least 30\u00b0 external rotation, 40\u00b0 internal rotation, 150\u00b0 flexion, 45\u00b0 extension, and 100\u00b0 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\u2019s 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.\\r\\nConclusion: 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.\n\n\u00d6zet\n\nAma\u00e7: Donmu\u015f omuz tan\u0131s\u0131 konan olgularda omuz fonksiyonlar\u0131n\u0131n yeniden kazand\u0131r\u0131lmas\u0131na y\u00f6nelik uygulanan interskalen blok ve kateter ile kesintisiz analjezi e\u015fli\u011findeki konservatif tedavinin sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Donmu\u015f omuz tan\u0131s\u0131 konan \u00fc\u00e7 hastaya (2 kad\u0131n, 1 erkek; ort. ya\u015f 47) omuz ekleminin hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131 ve fonksiyonunu d\u00fczeltmek i\u00e7in interskalen brakiyal pleksus blo\u011fu deste\u011finde manip\u00fclasyon ve sonras\u0131nda kateter analjezisi deste\u011finde rehabilitasyon uyguland\u0131. \u0130nterskalen blok ve manip\u00fclasyon sonras\u0131nda, olgular 15-28 g\u00fcn aras\u0131nda (ort. 21 g\u00fcn) hastanede yat\u0131r\u0131larak, g\u00fcnde en az iki kez olmak \u00fczere, fizyoterapist ve ortopedist e\u015fli\u011finde interskalen kateter analjezisi alt\u0131nda egzersiz program\u0131na al\u0131nd\u0131. Her egzersiz program\u0131ndan yakla\u015f\u0131k 30 dakika \u00f6nce analjezi pompas\u0131yla interskalen kateterden hasta kontroll\u00fc analjezi uyguland\u0131. \u0130nterskalen blok \u00f6ncesinde, bloktan sonra, tedavi s\u0131ras\u0131nda ve tedavi sonunda eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 (EHA) ve g\u00f6rsel analog skala (GAS) ile a\u011fr\u0131 \u015fiddeti \u00f6l\u00e7\u00fcld\u00fc. Ayr\u0131ca, omuz fonksiyonlar\u0131 tedavi \u00f6ncesi ve sonras\u0131nda UCLA (University of California in Los Angeles) skalas\u0131 ile de\u011ferlendirildi. Kesintisiz blok analjezisi e\u015fli\u011finde etkin rehabilitasyon program\u0131 a\u011fr\u0131s\u0131z, yeterli, aktif eklem hareketleri elde edilene kadar uyguland\u0131 (eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131nda aktif ve pasif harekette en az %80 iyile\u015fme, GAS skoru 0-2 ve UCLA skoru &gt;27).\\r\\nSonu\u00e7lar: Tedavi sonundaki EHA de\u011ferlerinde tedavi \u00f6ncesi de\u011ferlerle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda belirgin d\u00fczelme elde edildi. Aktif olarak eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 d\u0131\u015f rotasyonda en az 30\u00b0, i\u00e7 rotasyonda 40\u00b0, fleksiyonda 150\u00b0, ekstansiyonda 45\u00b0 ve abd\u00fcksiyonda 100 dereceye ula\u015ft\u0131. Olgular\u0131n hepsinde hastaneye ba\u015fvurdu\u011funda aktif ve pasif harekette a\u011fr\u0131 puanlar\u0131 10 iken, taburcu olduklar\u0131nda 0-2 aras\u0131nda idi. UCLA skoru ise ortalama 12.3\u2019ten 30.3\u2019e y\u00fckseldi. \u0130nterskalen blok uygulamalar\u0131n\u0131n hemen sonras\u0131nda iki hastada Horner sendromu g\u00f6r\u00fcld\u00fc. Bu durum tedaviye gerek duyulmadan yakla\u015f\u0131k bir saat i\u00e7inde geriledi. Tedavi program\u0131 s\u00fcresince komplikasyon geli\u015fmedi, kateter ile ilgili enfeksiyon, kopma ve yer de\u011fi\u015ftirme gibi sorunlar ya\u015fanmad\u0131. Ek analjezik gereksinimi olmad\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: Donmu\u015f omuzlu olgularda interskalen blok ve interskalen kateter ile kesintisiz analjezi uygulamas\u0131, yeterli analjezi sa\u011flayarak eklem fonksiyonlar\u0131n\u0131n iyile\u015fmesine katk\u0131da bulunmu\u015f, uygulama ile yan etki ve komplikasyon g\u00f6zlenmemi\u015ftir. Ancak, hasta kontroll\u00fc analjezi uygulamas\u0131 e\u015fli\u011findeki egzersiz program\u0131n\u0131n maliyet ve hasta memnuniyeti a\u00e7\u0131s\u0131ndan evde uygulanabilirli\u011finin ara\u015ft\u0131r\u0131lmas\u0131na gerek vard\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2010.2144","type":"journal-article","created":{"date-parts":[[2010,11,28]],"date-time":"2010-11-28T10:22:18Z","timestamp":1290939738000},"page":"105-110","source":"Crossref","is-referenced-by-count":9,"title":["Functional results of conservative therapy accompanied by interscalane brachial plexus block and patientcontrolled analgesia in cases with frozen shoulder"],"prefix":"10.5152","volume":"44","author":[{"given":"Aysun","family":"Yilmazlar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurkan","family":"Turker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teoman","family":"Atici","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadik","family":"Bilgen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer","family":"Faruk Bilgen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2366\/2323","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:40Z","timestamp":1763463400000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2010,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2144","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}