Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?
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Date
Authors
Kumar, Krishna
Thomas, Ancy
Tetsworth, Kevin
Hohmann, Erik
Journal Title
Journal ISSN
Volume Title
Publisher
SAGE
Abstract
INTRODUCTION : The purpose of this retrospective study was to investigate the possible short-term benefit of a single intraarticular
corticosteroid injection in those patients treated with physiotherapy when compared to a group of patients
undergoing physiotherapy only (PT only). METHODS : A retrospective chart review was conducted to identify eligible
patients treated over a 4-year period. All female patients between 40 years and 60 years with a confirmed clinical diagnosis
of idiopathic adhesive capsulitis who completed a prescribed physiotherapy program were considered eligible. Sixty-three
patients fulfilled the inclusion criteria, but 22 were excluded because of missing data in the medical record. The remaining
41 patients comprise the study cohort; an experienced musculoskeletal physiotherapist assessed these patients both at
initial presentation and at 12 weeks. Twenty patients with a mean age of 55.1 years underwent PT only and 21 patients
with a mean age of 52.4 years received a single intra-articular dose of 40 mg methylprednisolone followed by
physiotherapy. Outcome measures included the visual analogue scale (VAS) and measurement of range of motion.
RESULTS : At final assessment (12 weeks), significant between-group differences were identified for the ‘PT only’ group for
flexion (p ¼ 0.01) and abduction (p ¼ 0.008). When comparing the mean change from the initial assessment, a significant
between-group difference was observed for abduction (p ¼ 0.03). CONCLUSIONS : The results of this study suggest that the
intra-articular injection of a single dose of cortisone has no significant short-term benefit in female patients with idiopathic
adhesive capsulitis managed with physiotherapy.
Description
Keywords
Adhesive capsulitis, Corticosteroid injection, Physiotherapy, Range of motion, Visual analogue scale (VAS), Methylprednisolone, Treatment outcome, Cutaneous electrical nerve stimulation, Single drug dose, Physiotherapy, Muscle training, Joint mobility, Humeroscapular periarthritis, Electrostimulation
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Citation
Kumar, K., Thomas, A., Tetsworth, K. & Hohmann, E. 2017, 'Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?', Journal of Orthopaedic Surgery, vol. 25, no. 1, pp. 1-6.