Communication
Treatment Strategy for Shoulder Periarthritis in Painful Phase and Frozen Phase
Issue:
Volume 1, Issue 2, June 2025
Pages:
34-37
Received:
2 July 2025
Accepted:
19 July 2025
Published:
7 August 2025
Abstract: Scapulohumeral periarthritis, more commonly known as “frozen shoulder (FS)”, is a painful shoulder condition with significant decrease of active and passive range of motion. The illness progresses through three phases: freezing (painful phase), frozen and thawing. The goal of any treatment is to reduce pain and restore shoulder movement. oral anti-inflammatory and analgesic medications and steroid injections in trigger point has been successful in improving pain relief, reducing disability, and increasing range of motion in subjects with stage 1 and 2 periarthritis. Nonsteroidal anti-inflammatory and analgesic medications should be administered throughout whole treatment process. COX-2 inhibitors such as Etoricoxib and Celecoxib should be first chosen. Manipulation under anesthesia (MUA) should be performed during the frozen phase. MUA is performed under brachial plexus anesthesia or intravenous general anesthesia. SSNB (suprascapular nerve block) is superior to IACI (intra-articular corticosteroid injections) for FS. The use of steroids is limited to inject at trigger points, and the dosage should not be excessive to reduce side effects. ACR（Arthroscopic capsular release）has now replaced open surgery with joint capsule release. ACR is a relatively new technique that allows partial or complete release of the joint capsule under arthroscopic visualization. ACR should be performed for refractory or recurrence FS after MUA during the frozen phase. Only when the inflammation around the shoulder is suppressed by oral administration of nonsteroidal anti-inflammatory and analgesic drugs and injection of targeted corticosteroids, shoulder exercises will be effective.
Abstract: Scapulohumeral periarthritis, more commonly known as “frozen shoulder (FS)”, is a painful shoulder condition with significant decrease of active and passive range of motion. The illness progresses through three phases: freezing (painful phase), frozen and thawing. The goal of any treatment is to reduce pain and restore shoulder movement. oral anti-...
Show More
Research Article
The Design and Verification of Chinese Standard Scale for Discharging from the Postanesthesia Care Unit
Issue:
Volume 1, Issue 2, June 2025
Pages:
38-43
Received:
14 August 2025
Accepted:
26 August 2025
Published:
11 September 2025
DOI:
10.11648/j.ijpr.20250102.12
Downloads:
Views:
Abstract: Objective: To design a Chinese scale for discharging from the Postanesthesia Care Unit (PACU), and to validate its stability and reliability. Methods: According to the evaluation methods of post-anesthesia recovery and the currently commonly used international anesthesia recovery scale, combined with the clinical situation of post-anesthesia care unit in our country, a multi-dimensional post-anesthesia recovery scale was formulated. The revised version of the scale was formed after the relevant experts discussed. One hundred and three patients undergoing general anesthesia were selected and evaluated by the revised scale. Item analysis, exploratory factor analysis, and reliability test were conducted to verify the reliability and stability of the scale. Results: The item analysis results of the revised scale showed that each item of the scale had high homogeneity with the total score of the scale. The results of critical ratio method and correlation coefficient method showed that the difference between the high score group and the low score group was statistically significant (P<0.05). The correlation coefficient between each item score and the total score of the scale was statistically significant (P<0.05), and each item of the revised scale had good discrimination. The Cronbach's α coefficient of the revised scale was 0.647, indicating that the detection effect of each item was reliable. After excluding any item, Cronbach's α was above 0.5, indicating good internal consistency, high stability and satisfactory reliability of the scale. Conclusion: The standard scale for discharging from the Postanesthesia Care Unit developed in this study can evaluate the recovery quality of post-anesthesia patients from multiple dimensions with high discrimination, reliability and stability.
Abstract: Objective: To design a Chinese scale for discharging from the Postanesthesia Care Unit (PACU), and to validate its stability and reliability. Methods: According to the evaluation methods of post-anesthesia recovery and the currently commonly used international anesthesia recovery scale, combined with the clinical situation of post-anesthesia care u...
Show More
,
Ying Wang
