Adhesive Capsulitis: A New Management Protocol to Improve Passive Range of Motion

Mitra, Raj; Harris, Alex H. S.; Umphrey, Chainey; Smuck, Matthew; Fredericson, Michael

doi:10.1016/j.pmrj.2009.10.005

Cited by 17 publications

(18 citation statements)

References 26 publications

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“…Only eight studies in this review reported an image-guided injection technique that ensured intra-articular placement of all corticosteroid injections - five used fluoroscopy and three used ultrasound 17,18,32,36,38,40,41,44 . Studies have shown low accuracy of glenohumeral injections performed without image guidance.…”

Section: Discussionmentioning

confidence: 99%

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Song

Higgins

Newman

et al. 2014

PM&R

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OBJECTIVES To assess the literature on outcomes of corticosteroid injections for adhesive capsulitis, and in particular, image-guided corticosteroid injections. TYPE Systematic search and review LITERATURE SURVEY The databases used were PubMed (1966-present), Embase (1947-present), Web of Science (1900–present), and the Cochrane Central Register of Controlled Trials. Upon reviewing full text articles of these studies, a total of 25 studies were identified for inclusion. The final yield included 7 prospective studies, 16 randomized trials, and 2 retrospective studies. METHODOLOGY This systematic review was formatted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study criteria were limited to clinical trials, prospective studies, and retrospective studies that specifically evaluated intra-articular corticosteroid injections, both alone and in combination with other treatment modalities, for shoulder adhesive capsulitis. We included studies that were not randomized control trials because our review was not a meta-analysis. Data items extracted from each study included: study design, study population, mean patient age, duration of study, duration of symptoms, intervention, single or multiple injections, location of injections, control population, follow up duration, and outcome measurements. A percent change in outcome measures was calculated when corresponding data was available. Risk of bias in individual studies was assessed when appropriate. SYNTHESIS All studies involved at least one corticosteroid injection intended for placement in the glenohumeral joint but only eight studies used image-guidance for all injections. Seven of these studies reported statistically significant improvements in ROM at 12 weeks of follow-up or earlier. Ninety-two percent of all studies documented a greater improvement in either visual analog pain scores or range of motion after corticosteroid injections in the first 1–6 weeks as compared with the control or comparison group. CONCLUSIONS Corticosteroid injections offer rapid pain relief in the short-term (particularly in the first 6 weeks) for adhesive capsulitis. Long-term outcomes seem to be similar to other treatments including placebo. The added benefit of image-guided corticosteroid injections in improving shoulder outcomes needs further assessment.

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Section: Discussionmentioning

confidence: 99%

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Song

Higgins

Newman

et al. 2014

PM&R

View full text Add to dashboard Cite

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“…Despite improvement in shoulder function, the authors were unable to say which fraction of the protocol was most effective. 21 Shanahan et al carried out SSNB without the aid of a nerve stimulator or imaging techniques, as in our study, but used 1 mL of 40 mg methylprednisolone, associated with bupivacaine 0.5%. 22 Neither Mitra nor Shanahan assessed QoL as the outcome.…”

Section: Discussionmentioning

confidence: 98%

Patient-reported measures of quality of life and functional capacity in adhesive capsulitis

Fernandes

2017

Rev. Assoc. Med. Bras.

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Objective: To evaluate patient-reported measures of quality of life and functional capacity in adhesive capsulitis before and after suprascapular nerve block treatment; to analyze the influence of clinical and sociodemographic variables on both the outcome and correlation between the respective instruments. Method: A prospective clinical study was performed with adhesive capsulitis patients. Inclusion criteria were clinical diagnosis of adhesive capsulitis and a shoulder imaging test. The WHOQOL-BREF and DASH instruments were administered before and after treatment. A Constant test score of 55 points was used as a cutoff point for discontinuation of treatment. Mean values were compared using paired t-test and Wilcoxon. The Pearson or Spearman coefficients were used for correlation analysis. Multiple linear regression analysis was carried out using variables with p<0.20 as predictors in univariate analysis and WHOQOL domains and DASH as outcomes. The significance level was 5%. Results: Forty-three patients were evaluated. The comparison between WHOQOL-BREF and DASH mean values before and after the blocks, p<0.05. DASH correlated negatively with the physical, psychological and environmental WHOQOL-BREF domains. Older patients and those with higher levels of education influenced the improvement in patients' quality of life and functional capacity. Conclusion:The improvement of adhesive capsulitis with treatment involves an improvement in quality of life and functional capacity. The greater functional capacity of the shoulder matches a better quality of life for patients. Age and education level are the variables that most influence improvement in quality of life and functional capacity.

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“…Barbotage 58 Repeated injection and aspiration of fluid to break up and remove calcification, usually within a tendon Brisement [59][60][61] The injection of fluid into the space between a tendon and its paratenon or sheath; brisement has also been used to refer to injection of saline or other fluid into a joint to break down adhesions (eg, in treatment of adhesive capsulitis).…”

Section: Aspirationmentioning

confidence: 99%

Recommended musculoskeletal and sports ultrasound terminology: a Delphi-based consensus statement

et al. 2022

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The current lack of agreement regarding standardised terminology in musculoskeletal and sports ultrasound presents challenges in education, clinical practice and research. This consensus was developed to provide a reference to improve clarity and consistency in communication. A multidisciplinary expert panel was convened consisting of 18 members representing multiple specialty societies identified as key stakeholders in musculoskeletal and sports ultrasound. A Delphi process was used to reach consensus, which was defined as group level agreement of >80%. Content was organised into seven general topics including: (1) general definitions, (2) equipment and transducer manipulation, (3) anatomical and descriptive terminology, (4) pathology, (5) procedural terminology, (6) image labelling and (7) documentation. Terms and definitions which reached consensus agreement are presented herein. The historic use of multiple similar terms in the absence of precise definitions has led to confusion when conveying information between colleagues, patients and third-party payers. This multidisciplinary expert consensus addresses multiple areas of variability in diagnostic ultrasound imaging and ultrasound-guided procedures related to musculoskeletal and sports medicine.

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Adhesive Capsulitis: A New Management Protocol to Improve Passive Range of Motion

Abstract: This study suggests that this adhesive capsulitis management protocol is effective and produces a significant improvement in the passive range of motion immediately after the procedure.

Cited by 17 publications

References 26 publications

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Glenohumeral Corticosteroid Injections in Adhesive Capsulitis: A Systematic Search and Review

Patient-reported measures of quality of life and functional capacity in adhesive capsulitis

Recommended musculoskeletal and sports ultrasound terminology: a Delphi-based consensus statement

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