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Research Paper | Physical Medicine and Rehabilitation | India | Volume 12 Issue 10, October 2023 | Rating: 5.2 / 10
Comparative Analysis of Extra Corporeal Shock Wave Therapy and Steroid Injection for the Treatment of Shoulder Joint Adhesive Capsulitis: A Prospective Clinical Study
Dr. Subhash Chand Jat | Dr. Sunil Goenka | Dr. Madan Lal Moond | Dr. Ashok Kumar Saini
Abstract: Introduction: Shoulder adhesive capsulitis (AC), also known as ??frozen shoulder,?? is a common shoulder disorder characterized by a progressive and painful restriction in range of motion (ROM) that results in functional disability. To compare the efficacy of radial extracorporeal shock-wave therapy (ESWT) vs. an intra-articular steroid injection in pain reduction and functional improvement in patients with shoulder adhesive capsulitis (AC). Methods: We randomized 53 patients with shoulder AC to receive either 4 sessions of ESWT, 1 week apart (ESWT group, n=27), or a single intra-articular steroid injection of 40 mg/ml of triamcinolone acetonide (steroid group, n=26). The outcome measure was functional improvement evaluated by Pain severity by visual analogue scale (VAS) score, the Quick Disabilities of the Arm, Shoulder and Hand (qDASH) score. Follow up done at 4-week, 8 week and 12 weeks. Results: By 12 weeks, both groups demonstrated a significant reduction in the qDASH score and pain severity. However, significantly improved function (qDASH score, 28.86 +_11.23 vs. 20.9+_10.6; P < .05) and shoulder pain reduction (visual analog scale score, 3.2+_0.73 vs. 2.46 +_0.71; P <.05) were found in the ESWT group vs. the steroid group. Conclusion: At 12 Weeks follow-up an intra-articular steroid injection is the main stay in improving ROM, function and pain in patients with shoulder AC. EWST can be consider as an alternate treatment modality in patients with shoulder AC but it has a lower efficacy.
Keywords: Shoulder Adhesive capsulitis, Physical medicine, Extracorporeal shockwave therapy, Diabetic patients, Pain severity, Visual analogue scale, Quick Disabilities of the Arm, Shoulder and Hand (qDASH) score, Range of motion, Standard conservative management, Steroid therapy
Edition: Volume 12 Issue 10, October 2023,
Pages: 67 - 70