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Randomized Controlled Trial
. 2020;29(3):225-230.
doi: 10.1159/000503317. Epub 2019 Sep 13.

Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study

Rashid Anjum  1 , Jatin Aggarwal  2 , Rakesh Gautam  2 , Subodh Pathak  2 , Aryan Sharma  2
Affiliations
Randomized Controlled Trial

Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study

Rashid Anjum et al. Med Princ Pract. 2020.

Abstract

Objective: Adhesive capsulitis or frozen shoulder is a painful condition affecting up to 5% of the general population. We conducted this study with the aim of evaluating the results of physiotherapy plus intra-articular methylprednisolone injection versus physiotherapy alone in idiopathic frozen shoulder.

Methods: This prospective clinical study was conducted in a tertiary care center between August 2016 and August 2018. Patients who were diagnosed with idiopathic frozen shoulder were included in the study, and each patient was randomly allocated to one of two groups: physiotherapy alone (group A) and physiotherapy plus intra-articular steroid injection (group B).

Results: A total of 52 cases diagnosed with idiopathic frozen shoulder were included and treated with the two modalities. There was a significant improvement in group B compared to group A at 6 weeks and 3 months in the range of flexion, abduction, and external rotation. The Shoulder Pain and Disability Index showed improvement in both pain and disability score in group B -compared to group A, and improvement was significant at 6 weeks and 3 months.

Conclusion: The results demonstrate the advantages of physiotherapy plus intra-articular steroid injection in idiopathic frozen shoulder. The predictability of results with physiotherapy plus intra-articular steroid injection in selected patients is excellent, and it is a better modality of treatment compared to physiotherapy alone.

Keywords: Adhesive capsulitis; Intra-articular steroid injection; Physiotherapy.

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Conflict of interest statement

The authors have no conflict of interest to disclose; no financial assistance was taken for any part of this study.

References

    1. Shah N, Lewis M. Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections. Br J Gen Pract. 2007 Aug;57((541)):662–7. - PMC - PubMed
    1. Bunker T. Time for a new name for frozen shoulder— contracture of the shoulder. Shoulder Elbow. 2009;1((1)):4–9.
    1. Codman EA. The Shoulder. Boston: Thomas Told; 1934.
    1. Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ. 2005 Dec;331((7530)):1453–6. - PMC - PubMed
    1. Ombregt L, Bisschop P, TerVeer HJ. A System of Orthopaedic Medicine. 2nd ed. London: Churchill Livingstone; 2003.

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