Comparison of Ultrasonic Therapy, Sodium Hyaluronate Injection and Steroid Injection in the Treatment of Peri-arthritis Shoulder

Sonal, Chauhan; Kothari, SY; Laisram, Nonica

doi:10.5005/ijopmr-23-3-105

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Furthermore, 551 articles were excluded since they did not meet eligibility criteria for participant characteristics, intervention types, or clinical disease conditions. Ten trials were selected with our inclusion criteria, but three trials did not meet our quality assessment criteria [29][30][31]. A total of seven trials were finally included for this systematic review and meta-analysis [23,24,[32][33][34][35][36].…”

Section: Literature Inclusionmentioning

confidence: 99%

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The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis

Sung

Lee

Kim

2022

IJERPH

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Background: Adhesive capsulitis occurs with synovial inflammation and capsular fibrosis in the glenohumeral joint, leading to restriction of joint motion and pain. Heat therapy modalities, which aim at modifying dense collagenous tissues are commonly practiced interventions for patients with adhesive capsulitis; however, the effectiveness of ultrasound deep heat therapy (UST) on adhesive capsulitis is still unclear. Purpose: This systematic review and meta-analysis study was conducted to evaluate the effects of UST on the improvement of pain and glenohumeral joint function in adhesive capsulitis compared to (1) no treatment or placebo, and (2) any other therapeutic modalities. Methods: A literature search was carried out in January 2021 in Cochrane Central Register of Controlled Trials, PubMed, EMBASE, PEDro, Web of Science, and Google Scholar. The main outcomes of interest were self-reported pain scores, disability scores, and the range of motion. This study was conducted based on the guidelines of the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) protocols, using random-effects models. Results: Seven studies were included in the systematic review with five studies forming the basis for meta-analyses. The effects of UST in patients with adhesive capsulitis were compared with placebo, shockwave therapy, corticosteroid injection, platelet-rich plasma injection, or cryotherapy. The results indicated that UST significantly improved pain scores when performed together with exercise and/or other physical modalities compared to placebo; however, whether UST provides benefits for the improvement of disability and/or the range of motion was uncertain in the present results. Conclusions: The present findings suggest that UST as a co-intervention combined with other physical modalities is an effective means of improving the overall pain in patients with adhesive capsulitis.

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Section: Literature Inclusionmentioning

confidence: 99%

“…Seven studies [23,24,[29][30][31][32][33][34][35][36] were evaluated with a 27 question-modified Downs and Black checklist (Table 2). Fleiss's kappa value was 0.93 for inter-rater reliability between the three reviewers.…”

Section: Quality Assessmentmentioning

confidence: 99%

The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis

Sung

Lee

Kim

2022

IJERPH

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A prospective study to evaluate the outcome of periarthritis shoulder treated with platelet rich plasma

Yadav,

Ravindran,

Vardhan

et al. 2024

IJOS

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Periarthritis shoulder also called as Adhesive capsulitis or Frozen shoulder. The body creates excessive adhesion across the glenohumeral joint as a result of the idiopathic, chronic, and indolent degenerative process known as periarthritis shoulder, which causes discomfort, stiffness, and a reduction in range of motion. In the general population, the prevalence of adhesive capsulitis is 3-55%, and it is 20% in those with diabetes. Many types of treatment have been employed in the treatment of shoulder disorder such as simple analgesia, NSAIDS, intraarticular steroid, platelet rich plasma injection and surgery. PRP is more efficient and long-lasting than cortisone injection for the treatment of adhesive capsulitis, according to several research.To evaluate the outcome of Periarthritis shoulder treated with Platelet Rich Plasma by comparing the intensity of pain, degree of increase in angle of movements of shoulder.It is a randomized control trial with total of 30 patients between age group of 30–70 years old of both sex being diagnosed for the first time and not treated by any other modality are taken up for the study.Patients having chronic pain due to other causes like nerve damage or other neurological disorders, history of fracture around the shoulder joint, patients having local skin infection at the shoulder joint and patient not giving informed consent form to be a part of study were excluded from the study. Under sterile aseptic condition Autologous Platelet Rich Plasma of 4 ml was injected into the shoulder joint. It was a randomized single blinded controlled trial with 1 month, 3 months & 6 months follow up in which outcome was measures using visual analogue scale, ROM, SPADI.Using the paired t test, descriptive and inferential statistical analysis were performed inthe current study. The mean VAS score at 6 months was reduced from 6.66+2.499 to 3.4±1.473; Mean SPADI Score at 6 month increased from 50.53±14.811 to 76.76±10.926; At 6 month Flexion increased from 66 to 116.33, extension increased from 18.6 to 31.33 and abduction increased from 87.33 to 126.833 with p value of 0.0001 which is statistically significant.This study concluded that platelet rich plasma injection causes decrease in intensity of pain and increase in angle of movements of shoulder in patients of periarthritis shoulder.

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Functional outcome of intra-articular platelet-rich plasma in periarthritis shoulder

Kurahatti

Arun

et al. 2022

J Orthop Spine

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Comparison of Ultrasonic Therapy, Sodium Hyaluronate Injection and Steroid Injection in the Treatment of Peri-arthritis Shoulder

Cited by 4 publications

References 13 publications

The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis

The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis

A prospective study to evaluate the outcome of periarthritis shoulder treated with platelet rich plasma

Functional outcome of intra-articular platelet-rich plasma in periarthritis shoulder

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