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Randomized Controlled Trial
Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study.
- Rashid Anjum, Jatin Aggarwal, Rakesh Gautam, Subodh Pathak, and Aryan Sharma.
- ASCOMS & Hospital, Jammu, India, raashidanjum@gmail.com.
- Med Princ Pract. 2020 Jan 1; 29 (3): 225-230.
ObjectiveAdhesive 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.MethodsThis 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).ResultsA 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.ConclusionThe 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.© 2019 The Author(s) Published by S. Karger AG, Basel.
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