ASSESSMENT OF JOINT FUNCTION IN ADHESIVE CAPSULITIS OF SHOULDER BEFORE AND AFTER REHABILITATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 83
Abstract
BACKGROUND Adhesive capsulitis of shoulder is defined as a clinical syndrome. It is a common problem in day-to-day practice. It is often selflimited but can persist for years and may never be fully resolved. This condition is often referred as “Frozen Shoulder”. The treatment of Adhesive capsulitis is challenging because initial treatment is painful and the mainstay of treatment is physical therapy regimen. There is no crystal-clear management protocol mentioned in available literature. The aim of the study is to assess the efficacy of different types of conservative management protocols in adhesive capsulitis MATERIALS AND METHODS This study was a randomised controlled trial. 105 patients with adhesive capsulitis of shoulder were selected who fulfilled the inclusion and exclusion criteria of this study. Randomly we classified all patients into three groups. All patients recruited in Group 1/2/3 received intra-articular Triamcinolone (40 mg) injection, Ultrasound therapy (UST) and exercises only treatment protocol respectively. RESULTS All groups showed significant improvement in pain, disability, SPADI score and Range of motion (ROM). Intra-articular steroid injection with exercises is the best conservative treatment protocol proved. Ultrasound therapy did not produce any significant change in outcome of patients. CONCLUSION Adhesive capsulitis of shoulder usually resolves spontaneously. Active, passive and assisted range-of-motion exercises are essential in the early stages of rehabilitation. When pain is still a major symptom, care must be taken to work the arm only in available range, while pain relieving modalities remain the treatment of choice. Intra-articular Triamcinolone injection acts as a best pain relieving modality
Authors and Affiliations
Yesh Veer Singh, Santhosh Kumar Mathangi, Anirudh Chirania, Vijay Gyanani
Keywords
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- EP ID EP276099
- DOI 10.14260/jemds/2017/1255
- Views 73
- Downloads 0
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