Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial

Background. Surgical treatment and conservative treatment is the options to improve pain, function, and range of motion following rotator cuff tear. In this study, we aimed to compare the effects of physiotherapy and corticosteroid injections on the function, pain, and range of motion in patients wi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Shaahin Hajivandi, Atousa Dachek, Amirhossein Salimi, Hesan Jelodari Mamaghani, Seyed Peyman Mirghaderi, Javad Dehghani, Roham Borazjani, Amirmohammad Babaniamansour, Rojin Sarallah, Salar Javanshir, Maryam Salimi
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/cf5fd6afe2064766a936eccbec965b2f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cf5fd6afe2064766a936eccbec965b2f
record_format	dspace
spelling	oai:doaj.org-article:cf5fd6afe2064766a936eccbec965b2f2021-11-08T02:37:28ZComparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial2090-347210.1155/2021/6789453https://doaj.org/article/cf5fd6afe2064766a936eccbec965b2f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6789453https://doaj.org/toc/2090-3472Background. Surgical treatment and conservative treatment is the options to improve pain, function, and range of motion following rotator cuff tear. In this study, we aimed to compare the effects of physiotherapy and corticosteroid injections on the function, pain, and range of motion in patients with full-thickness rotator cuff tearing separately and simultaneously. Methods. A total of 96 patients were randomly assigned to the study and divided into 3 groups of 32 patients. DASH questionnaire and VAS criterion were completed by all three groups, and the range of motions of all groups was measured by a goniometer. Then, the first group underwent 12 sessions of physiotherapy twice a week for 6 weeks; the second group received 80 mg of methylprednisolone and 1 ml of lidocaine 2% in two stages, 21 days apart; and the third group received 80 mg of methylprednisolone and 1 ml of lidocaine 2%, and after 2 days, 6 sessions of physiotherapy twice a week for 3 weeks were prescribed. In the end, the questionnaire was filled out by the patient, and the range of emotions was assessed with a goniometer. Results. More than 80% of patients in each group were female. There was no significant difference between the gender and age distribution of the groups. The mean age in physiotherapy, steroid, and physiotherapy + steroid groups was 51.78 ± 7.37, 52.37 ± 6.61, and 50.87 ± 5.65, respectively. The combination of physiotherapy + steroid intervention was more effective in reducing VAS and DASH scores than physiotherapy or steroid injection alone. Goniometric findings showed that treatments that included the steroid injection approach (steroid injection and steroid + physiotherapy) had a more dramatic effect on improving the patients’ range of motion than physiotherapy alone. Conclusions. Among the conservative approaches of treating full-thickness rotator cuff tear, a combination of steroid injection and physiotherapy is more effective significantly in comparison with either treatment alone. This trial is registered with IRCT20200102045987N1.Shaahin HajivandiAtousa DachekAmirhossein SalimiHesan Jelodari MamaghaniSeyed Peyman MirghaderiJavad DehghaniRoham BorazjaniAmirmohammad BabaniamansourRojin SarallahSalar JavanshirMaryam SalimiHindawi LimitedarticleOrthopedic surgeryRD701-811ENAdvances in Orthopedics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Shaahin Hajivandi Atousa Dachek Amirhossein Salimi Hesan Jelodari Mamaghani Seyed Peyman Mirghaderi Javad Dehghani Roham Borazjani Amirmohammad Babaniamansour Rojin Sarallah Salar Javanshir Maryam Salimi Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial
description	Background. Surgical treatment and conservative treatment is the options to improve pain, function, and range of motion following rotator cuff tear. In this study, we aimed to compare the effects of physiotherapy and corticosteroid injections on the function, pain, and range of motion in patients with full-thickness rotator cuff tearing separately and simultaneously. Methods. A total of 96 patients were randomly assigned to the study and divided into 3 groups of 32 patients. DASH questionnaire and VAS criterion were completed by all three groups, and the range of motions of all groups was measured by a goniometer. Then, the first group underwent 12 sessions of physiotherapy twice a week for 6 weeks; the second group received 80 mg of methylprednisolone and 1 ml of lidocaine 2% in two stages, 21 days apart; and the third group received 80 mg of methylprednisolone and 1 ml of lidocaine 2%, and after 2 days, 6 sessions of physiotherapy twice a week for 3 weeks were prescribed. In the end, the questionnaire was filled out by the patient, and the range of emotions was assessed with a goniometer. Results. More than 80% of patients in each group were female. There was no significant difference between the gender and age distribution of the groups. The mean age in physiotherapy, steroid, and physiotherapy + steroid groups was 51.78 ± 7.37, 52.37 ± 6.61, and 50.87 ± 5.65, respectively. The combination of physiotherapy + steroid intervention was more effective in reducing VAS and DASH scores than physiotherapy or steroid injection alone. Goniometric findings showed that treatments that included the steroid injection approach (steroid injection and steroid + physiotherapy) had a more dramatic effect on improving the patients’ range of motion than physiotherapy alone. Conclusions. Among the conservative approaches of treating full-thickness rotator cuff tear, a combination of steroid injection and physiotherapy is more effective significantly in comparison with either treatment alone. This trial is registered with IRCT20200102045987N1.
format	article
author	Shaahin Hajivandi Atousa Dachek Amirhossein Salimi Hesan Jelodari Mamaghani Seyed Peyman Mirghaderi Javad Dehghani Roham Borazjani Amirmohammad Babaniamansour Rojin Sarallah Salar Javanshir Maryam Salimi
author_facet	Shaahin Hajivandi Atousa Dachek Amirhossein Salimi Hesan Jelodari Mamaghani Seyed Peyman Mirghaderi Javad Dehghani Roham Borazjani Amirmohammad Babaniamansour Rojin Sarallah Salar Javanshir Maryam Salimi
author_sort	Shaahin Hajivandi
title	Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial
title_short	Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial
title_full	Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial
title_fullStr	Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial
title_full_unstemmed	Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial
title_sort	comparison of the separate and combined effects of physiotherapy treatment and corticosteroid injection on the range of motion and pain in nontraumatic rotator cuff tear: a randomized controlled trial
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/cf5fd6afe2064766a936eccbec965b2f
work_keys_str_mv	AT shaahinhajivandi comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT atousadachek comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT amirhosseinsalimi comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT hesanjelodarimamaghani comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT seyedpeymanmirghaderi comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT javaddehghani comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT rohamborazjani comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT amirmohammadbabaniamansour comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT rojinsarallah comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT salarjavanshir comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial AT maryamsalimi comparisonoftheseparateandcombinedeffectsofphysiotherapytreatmentandcorticosteroidinjectionontherangeofmotionandpaininnontraumaticrotatorcuffteararandomizedcontrolledtrial
_version_	1718443042975776768

Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial

Ejemplares similares