Downloads: 2 | Views: 221 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2
Research Paper | Physical Medicine and Rehabilitation | India | Volume 12 Issue 10, October 2023 | Popularity: 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
DOI: https://www.doi.org/10.21275/SR23930124118
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Comparative Studies, Physical Medicine and Rehabilitation, India, Volume 13 Issue 10, October 2024
Pages: 1055 - 1060Comparison of Ultrasound Guided Intra - Articular Injection of Platelet Rich Plasma Versus High Molecular Weight Hyaluronic Acid in Improving Cartilage Thickness and Physical Functions in Patients with Primary Osteoarthritis of Knee: A Randomized Controlled Trial
Sumit Debnath, Romi Singh Nongmaithem, Dharshan Na, Sithara M, Yambem Hellena Devi, Jotin Yengkhom, Shahin Kannamthodi Erumbanottil
Downloads: 3 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Comparative Studies, Physical Medicine and Rehabilitation, India, Volume 12 Issue 5, May 2023
Pages: 1244 - 1248Effects of Dry Cupping versus Positional Release Technique in Plantar Fasciitis - A Comparative Study
Dr. Saloni Vyas, Dr. Vrushika Kanthariya, Drashti Gajera, Shweta Mayani
Downloads: 3 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Informative Article, Physical Medicine and Rehabilitation, Cameroon, Volume 13 Issue 3, March 2024
Pages: 1554 - 1554Optimizing Physiotherapy in Fibrodysplasia Ossificans Progressiva: Strategies for Improve Mobility and Quality of Life
Emile Fuh Amancho
Downloads: 6 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Comparative Studies, Physical Medicine and Rehabilitation, India, Volume 11 Issue 3, March 2022
Pages: 1171 - 1174A Study to Compare the Effectiveness of Maitland Mobilization Versus Proprioceptive Neuromuscular Facilitation with Wax Therapy in Shoulder Adhesive Capsulitis
Dhanasekar, Velpari, Balchandar