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
- EP ID EP741586
- DOI -
- Views 62
- Downloads 0
Frequency of Vitamin D Deficiency in Pediatric Fractures Presenting to A Tertiary Care Hospital
Introduction: Majority of childhood fractures occur due to high impact trauma and immediate fracture management is crucial for future healing process. While treating fractures in children it is often a missed opportuni...
Comparative Study of Treatment of Adhesive Capsulitis of Shoulder: Corticosteroid Versus Corticosteroid with Hydro Distension
Objective: To compare the effectiveness of Intra-articular corticosteroid versus intra-articular corticosteroid with hydro-distension. Methods: This randomized control trial study was conducted January 2014 to Decembe...
Reamed Versus Unreamed Intramedullary Interlocking Nail for Gustilo & Anderson Type II and IIIA in Open Fractures of Shaft of Tibia in Terms of Union and Infection Rate, A Prospective Comparative Study
Objective: To compare the rate of infection and fracture union in reamed versus unreamed interlocked IM nailing in patients with open tibia fractures. Methods: It was prospective comparative study done at Departm...
The Great Hidden Risk.
Fluoroscopy or C-arm imaging is frequently used in Orthopaedic surgery and Orthopaedic surgeons are exposed to excessive ionizing radiation and they can be considered as high risk health care workers for occupational ra...
Functional Outcome of Open Relocation of the Congenital Dislocated Knee with and without Distal Arthrogryposis
To evaluate the functional outcome of surgical relocation of congenital knee dislocation with or without arthrogryposis in age group over six months age. Methods: A descriptive study conducted in Paediatric Orthopaed...