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

Rashid, Abdur; Aggarwal, Jatin; Gautam, Rakesh Kumar; Pathak, Subodh Kumar; Sharma, Aman

doi:10.1159/000503317

Cited by 14 publications

(16 citation statements)

References 19 publications

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“…However, the procedure can create pain due to the overdistention of the glenohumeral joint capsule. The pain that follows will prevent early shoulder manual exercise from achieving functional shoulder ROM [11,[16][17][18]. One rationale for using a nerve block in frozen shoulder treatment was to give early pain relief from the affected shoulder [1,19].…”

Section: Discussionmentioning

confidence: 99%

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The role of suprascapular nerve block in hydrodilatation for frozen shoulder

Albana

Prasetia

Primadhi

et al. 2022

SICOT-J

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Introduction: Frozen shoulder is a debilitating problem that requires comprehensive diagnosis and management. Patients usually recover, but the possibility of not reobtaining a full range of motion exists. Thus, early shoulder exercises are necessary to achieve their full range of motion. This study aims to understand the effects of suprascapular nerve block (SSNB) augmentation at the spinoglenoid notch in hydrodilatation to treat frozen shoulder to facilitate early shoulder exercises. Methods: The current study retrospectively observed 31 patients, including 40–60-year-old patients diagnosed and treated with primary frozen shoulder. The participants were divided into groups A (hydrodilatation) and B (hydrodilatation and the augmentation of an SSNB). Shoulder function and pain scores were assessed before, during, and after the intervention (at months 1 and 6). Results: The result of this study shows that suprascapular nerve block plays a role in decreasing pain in intraintervention (0.69 vs. 5.73; p < 0.05), month 1 of follow-up (3.44 vs. 6.40; p < 0.05), but not significant on month 6 of group A and B after intervention (5.88 vs. 7.20; p > 0.05). Better delta functional scores were noted in the therapy group during month 1 of the follow-up (delta American shoulder and elbow surgeons [ASES]: 19.29 vs. 34.40, p < 0.05; delta disabilities of the arm, shoulder, and hand [DASH]: 17.88 vs. 38.15, p < 0.05). The difference in functional score on month 6 between both groups was not significantly different (delta ASES: 31.97 vs. 30.31, p > 0.05; delta DASH: 36.63 vs. 38.92, p > 0.05). Discussion: One rationale for using an SSNB augmentation at spinoglenoid notch in hydrodilatation for treating frozen shoulder was to obtain pain relief immediately to facilitate early manual exercise. SSNB has positive effects on short-term evaluation of shoulder pain and function after glenohumeral hydrodilatation, but not in the long term.

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Section: Discussionmentioning

confidence: 99%

“…The suprascapular nerve innervated ~70% of the shoulder [13,20]. Previous studies correlated earlier mobilizations with better outcomes in patients with frozen shoulders [17,18]. The hydrodilatation of the shoulder capsule with saline and corticosteroids was the mainstay treatment for patients suffering from symptomatic frozen shoulders.…”

Section: Discussionmentioning

confidence: 99%

The role of suprascapular nerve block in hydrodilatation for frozen shoulder

Albana

Prasetia

Primadhi

et al. 2022

SICOT-J

View full text Add to dashboard Cite

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“…In light of these results, increased IGHL signal intensity in patients with AC can be considered as a maker for an early inflammatory disease stage, and is associated with inflammatory-type pain and limited ROM. Thus, the treatment of patients with such finding should be aimed at reducing (e.g., intra-articular corticosteroid injection, cryotherapy) or limiting (e.g., gentle physiotherapy) the capsular inflammatory process [33][34][35][36][37]. Previous studies demonstrated that MRI could not predict AC prognosis [21] or the outcome after capsular distension [38].…”

Section: Discussionmentioning

confidence: 99%

MR Imaging Biomarkers for Clinical Impairment and Disease Progression in Patients with Shoulder Adhesive Capsulitis: A Prospective Study

Gillet¹,

Zhu²,

Padoin³

et al. 2021

JCM

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Background: MRI diagnostic criteria of shoulder adhesive capsulitis (AC) are nowadays widely used, but there is little information available on the association between MRI findings and clinical impairment. Purpose: To determine the correlation of MRI findings with the Constant–Murley Score (CMS), pain duration and symptoms at the one-year follow-up in AC patients. Materials and methods: This monocentric prospective study included 132 patients with a clinical diagnosis of shoulder AC who underwent shoulder MRI. Mean patient age was 54.1 ± 9.3 years, and there were 55 men and 77 women. A radiologist examined all patients and completed the CMS just prior to MRI. Pain duration was assessed along with the signal intensity and measured the maximal thickness of the inferior glenohumeral ligament (IGHL) by two radiologists. Medical record analysis was performed in a sub-group of 49 patients to assess prognosis approximately one year after the MRI examination. Linear regression analysis with the Pearson test and the Fisher exact test were used to determine the association between MRI findings and clinical impairment. Results: There was a significant difference in mean pain duration score (3.8 ± 1.2 versus 3.2 ± 0.9 and 3.8 ± 1.2 versus 3.2 ± 0.9, respectively, for readers 1 and 2) and in mean mobility scores (15.7 ± 8 points versus 19.6 ± 10.1 points and 15.8 ± 8.2 points versus 19.4 ± 10 points, respectively, for readers 1 and 2) in patients with a high IGHL signal compared to those with a low IGHL signal (p < 0.05). IGHL was thicker in patients with clinical improvement at one-year follow-up compared to those presenting clinical stability or worsening (p < 0.05). Conclusions: In patients with shoulder AC, the degree of signal intensity at the IGHL was inversely related to shoulder pain duration and range of motion, and a thickened IGHL indicated a favorable outcome at one-year follow-up.

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“…57,59,65,68,70,75,82,85 Four studies compared a multimodal program including exercises, with a multimodal program without exercises, 66, 78, 79, 86 and 24 studies compared two multimodal programs (identical PT modalities) including different exercises with each other. 56, 58-64, 66, 67, 69, 71-74, 76-78, 80, 81, 83, 84, 87, 88 Treatment period varied from 1 session 66 to 2 years 85 , with 4 weeks 61,63,72,73,75,84,86,88,89 as most common period. Other treatment durations were 2 weeks, 57,74,77,78,80 3 weeks, 59,64,79,87 5 weeks, 56, 65 6 weeks, 68, 69, 82 8 weeks 58, 62 and 12 weeks.…”

Section: Study Characteristicsmentioning

confidence: 99%