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Comparative Study
. 2009 Sep 7:10:111.
doi: 10.1186/1471-2474-10-111.

Adhesive capsulitis and dynamic splinting: a controlled, cohort study

Paul D Gaspar  1 , F Buck Willis
Affiliations
Comparative Study

Adhesive capsulitis and dynamic splinting: a controlled, cohort study

Paul D Gaspar et al. BMC Musculoskelet Disord. .

Abstract

Background: Adhesive Capsulitis (AC) affects patient of all ages, and stretching protocols are commonly prescribed for this condition. Dynamic splinting has been shown effective in contracture reduction from pathologies including Trismus to plantar fasciitis. The purpose of this study was to examine the efficacy of dynamic splinting on patients with AC.

Methods: This controlled, cohort study, was conducted at four physical therapy, sports medicine clinics in Texas and California. Sixty-two patients diagnosed with Stage II Adhesive Capsulitis were grouped by intervention. The intervention categories were as follows: Group I (Control); Group II (Physical Therapy exclusively with standardized protocols); Group III; (Shoulder Dynasplint system exclusively); Group IV (Combined treatment with Shoulder Dynasplint and standardized Physical Therapy). The duration of this study was 90 days for all groups, and the main outcome measures were change in active, external rotation.

Results: Significant difference was found for all treatment groups (p < 0.001) following a one-way ANOVA. The greatest change with the smallest standard deviation was for the combined treatment group IV, (mean change of 29 degrees ).

Conclusion: The difference for the combined treatment group was attributed to patients' receiving the best PT combined with structured "home therapy" that contributed an additional 90 hours of end-range stretching. This adjunct should be included in the standard of care for adhesive Capsulitis.

Trial number: NCT00873158.

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Figures

Figure 1
Figure 1
Dynasplint Shoulder System in External Rotation.
Figure 2
Figure 2
Graph displaying the results of the study.
See this image and copyright information in PMC

References

    1. Baums MH, Spahn G, Nozaki M, Steckel H, Schultz W, Klinger HM. Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis. Knee Surg Sports Traumatol Arthrosc. 2007;15:638–44. doi: 10.1007/s00167-006-0203-x. - DOI - PubMed
    1. Castellarin G, Ricci M, Vedovi E, Vecchini E, Sembenini P, Marangon A, Vangelista A. Manipulation and arthroscopy under general anesthesia and early rehabilitative treatment for frozen shoulders. Arch Phys Med Rehabil. 2004;85:1236–40. doi: 10.1016/j.apmr.2003.12.032. - DOI - PubMed
    1. Farrell CM, Sperling JW, Cofield RH. Manipulation for frozen shoulder: long-term results. J Shoulder Elbow Surg. 2005;14:480–4. doi: 10.1016/j.jse.2005.02.012. - DOI - PubMed
    1. Hsu AT, Hedman T, Chang JH. Changes in abduction and rotation range of motion in response to simulated dorsal and ventral translational mobilization of the glenohumeral joint. Phys Ther. 2002;82:544–56. - PubMed
    1. Rundquist PJ, Anderson DD, Guanche CA, Ludewig PM. Shoulder kinematics in subjects with frozen shoulder. Arch Phys Med Rehabil. 2003;84:1473–9. doi: 10.1016/S0003-9993(03)00359-9. - DOI - PubMed

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