ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION

Objective: To determine outcomes of intra-articular corticosteroids injection versus physiotherapy for the treatment of adhesive capsulitis using mean pain score on the visual analogue scale. Study Design: Comparative prospective study. Place and Duration of Study: Orthopedic outpatient depart...

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Autores principales:	Muhammad Umair Hashmi, Babar Bakht Chughtai, Muhammad Nadeem Ahsan
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	adhesive capsulitis frozen shoulder intra-articular injection visual analogue pain scale Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/930bcb8a7c6248299b06f3c1fd5bb7a0
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spelling	oai:doaj.org-article:930bcb8a7c6248299b06f3c1fd5bb7a02021-11-24T02:59:51ZADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION0030-96482411-8842https://doaj.org/article/930bcb8a7c6248299b06f3c1fd5bb7a02021-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/5974/3630https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine outcomes of intra-articular corticosteroids injection versus physiotherapy for the treatment of adhesive capsulitis using mean pain score on the visual analogue scale. Study Design: Comparative prospective study. Place and Duration of Study: Orthopedic outpatient department, Bahawal Victoria Hospital Bahawalpur from Jan to Jun 2021. Methodology: A total of 120 cases having adhesive capsulitis (frozen shoulder) were included in the study according to inclusion criteria. Non-probability consecutive sampling technique was used for the selection of cases. Patients were divided into two groups, group-A and group B, each containing 60 cases. Patients in group-A were given intra-articular steroid injection (2ml triamcinolone 40mg ± 2ml of bupivacaine). Patients in group B received ten sessions of physiotherapy by a welltrained physiotherapist under the supervision of an orthopaedic surgeon on alternate days. After six weeks, outcomes were measured in terms of pain score using a visual analogue pain scale. Results: Significant improvement was seen among patients in group-A with mean pain score from 7.32 ± 0.89 measured initially to 5.44 ± 1.37 measured after six weeks (p<0.001). No significant improvement was found among patients in group B with a mean pain score of 7.58 ± 0.94 measured initially to 7.12 ± 0.88 measured after six weeks (p>0.05). Conclusion: Significant improvement in pain relief can be achieved using intra-articular steroid injection administered in the shoulder as compared to supervised sessions of physiotherapy among patients with adhesive capsulitis.Muhammad Umair HashmiBabar Bakht ChughtaiMuhammad Nadeem AhsanArmy Medical College Rawalpindiarticleadhesive capsulitisfrozen shoulderintra-articular injectionvisual analogue pain scaleMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 5, Pp 1824-1827 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adhesive capsulitis frozen shoulder intra-articular injection visual analogue pain scale Medicine R Medicine (General) R5-920
spellingShingle	adhesive capsulitis frozen shoulder intra-articular injection visual analogue pain scale Medicine R Medicine (General) R5-920 Muhammad Umair Hashmi Babar Bakht Chughtai Muhammad Nadeem Ahsan ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION
description	Objective: To determine outcomes of intra-articular corticosteroids injection versus physiotherapy for the treatment of adhesive capsulitis using mean pain score on the visual analogue scale. Study Design: Comparative prospective study. Place and Duration of Study: Orthopedic outpatient department, Bahawal Victoria Hospital Bahawalpur from Jan to Jun 2021. Methodology: A total of 120 cases having adhesive capsulitis (frozen shoulder) were included in the study according to inclusion criteria. Non-probability consecutive sampling technique was used for the selection of cases. Patients were divided into two groups, group-A and group B, each containing 60 cases. Patients in group-A were given intra-articular steroid injection (2ml triamcinolone 40mg ± 2ml of bupivacaine). Patients in group B received ten sessions of physiotherapy by a welltrained physiotherapist under the supervision of an orthopaedic surgeon on alternate days. After six weeks, outcomes were measured in terms of pain score using a visual analogue pain scale. Results: Significant improvement was seen among patients in group-A with mean pain score from 7.32 ± 0.89 measured initially to 5.44 ± 1.37 measured after six weeks (p<0.001). No significant improvement was found among patients in group B with a mean pain score of 7.58 ± 0.94 measured initially to 7.12 ± 0.88 measured after six weeks (p>0.05). Conclusion: Significant improvement in pain relief can be achieved using intra-articular steroid injection administered in the shoulder as compared to supervised sessions of physiotherapy among patients with adhesive capsulitis.
format	article
author	Muhammad Umair Hashmi Babar Bakht Chughtai Muhammad Nadeem Ahsan
author_facet	Muhammad Umair Hashmi Babar Bakht Chughtai Muhammad Nadeem Ahsan
author_sort	Muhammad Umair Hashmi
title	ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION
title_short	ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION
title_full	ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION
title_fullStr	ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION
title_full_unstemmed	ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION
title_sort	adhesive capsulitis; management by physiotherapy versus intra-articular corticosteroid injection
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/930bcb8a7c6248299b06f3c1fd5bb7a0
work_keys_str_mv	AT muhammadumairhashmi adhesivecapsulitismanagementbyphysiotherapyversusintraarticularcorticosteroidinjection AT babarbakhtchughtai adhesivecapsulitismanagementbyphysiotherapyversusintraarticularcorticosteroidinjection AT muhammadnadeemahsan adhesivecapsulitismanagementbyphysiotherapyversusintraarticularcorticosteroidinjection
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ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION

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