Intra-articular Corticosteroid with Physiotherapy Versus Physiotherapy alone for the Treatment of Frozen Shoulder: A Randomized Controlled Trial

Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 03

Abstract

Objective: To compare the treatment outcome of combination of corticosteroid injection with physiotherapy and physiotherapy alone in patients with adhesive capsulitis in term of shoulder pain and disability index (SPADI) score. Methods: This was a randomized controlled trail conducted using probability simple random sampling technique at the Department of Orthopedic Surgery, Fatima Jinnah Medical University, Sir Ganga Ram Hospital, and King Edward Medical University, Mayo Hospital Lahore from February 2106 to September 2018. All patients of frozen shoulder fulfilling the inclusion criteria were randomly divided into two groups as A & B by lottery method. Pre treatment shoulder pain and disability index (SPADI) was calculated. Group-A was given intra-articular corticosteroid and physiotherapy while group-B received only physiotherapy. Post intervention SPADI score of both groups were calculated 6-week after the treatment on follow-up in the out-patient department. Independent sample t-test was used to compare the SPADI score between two groups and p-value <0.05 was taken significant. Results: Out of the total 80 patients in both groups(40 in each group), the mean age of the patients in group-A was 45.18±7.29year while in group-B it was 43±7.43year. The mean duration of the symptoms in group-A was 3.29±1.62month while in group-B it was 3.25±1.69year. In group A, SPADI score at baseline was 71.68±7.67 while in group B it was 71.88±6.74 (p-value=0.902). After 6-week SPADI score in group A was 36.7±5.28 while it 39.78±5.89 in group B. It was found statistically significant in both group (p value 0.016). For age and gender stratification with SPADI score at baseline and 6-week we found statistically significant difference. Conclusion: Combination therapy of corticosteroid injection with physiotherapy was effective treatment in patients with adhesive capsulitis in pain relieve and reduction in disability index.

Authors and Affiliations

Tanveer Afzal, AsadAliChaudhry, Syed Faraz Ul Hassan Shah Gillani, Akkad Rafiq, Usman Zafar Dar, Nadia Sultan

Keywords

Related Articles

Intramedullary Fixation in Pediatric Femoral Fractures at Tertiary Care Hospital

To determine outcome of intramedullary fixation with rush rods in pediatric femoral fractures at tertiary care hospitals. Methods: This case series study was conducted from June 2009 to December 2010. Study included 4...

Ipsilateral Femoral Neck and Shaft Fracture

Fracture of the ipsilateral femoral neck and shaft are not uncommon, but challenging combination of injuries encountered by Orthopedic Surgeons. Objective: Objective of this study was to evaluate the devastating compl...

Comparative Analysis of Low Versus High Implant Density in Decreasing Cobb Angle in Lenke Type 1 Adolescents Idiopathic Scoliosis

Objective: To compare low versus high implant density in decreasing Cobb angle in Lenke Type 1 Adolescent Idiopathic Scoliosis(AIS) treated with segmental spinal instrumentation and pedicle screws. Methods: This retro...

A Five year Audit of Different Paediatric Bony Lesions presented to a Tertiary Care Hospital.

Objective: To determine the pattern of paediatric bony tumours or tumour like lesions presenting to the Department of Orthopaedics & Spine Surgery Ghurki Trust Teaching Hospital Lahore in the past five years. Methods:...

Evaluation of Pakistani Adult Handgrip Strength Reference Values Through Dynamometer

Objective: To investigate the normative handgrip strength of healthy adult male and female Pakistani population and to compare it with consolidated norm. Methodology: It was a survey-based study included 365 healthy Pa...

Download PDF file
  • EP ID EP741586
  • DOI -
  • Views 39
  • Downloads 0

How To Cite

Tanveer Afzal, AsadAliChaudhry, Syed Faraz Ul Hassan Shah Gillani, Akkad Rafiq, Usman Zafar Dar, Nadia Sultan (2019). Intra-articular Corticosteroid with Physiotherapy Versus Physiotherapy alone for the Treatment of Frozen Shoulder: A Randomized Controlled Trial. Journal of Pakistan Orthopaedic Association, 31(03), -. https://europub.co.uk/articles/-A-741586