Periarthritis of the shoulder. Trial of treatments investigated by multivariate analysis.

Lee, P N; Lee, M; Haq, A M; Longton, E.; Wright, Vonda J.

doi:10.1136/ard.33.2.116

Cited by 54 publications

(24 citation statements)

References 4 publications

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“…In fact, with respect to abduction, patients in the PT only group demonstrated a significantly greater mean improvement from the baseline range, 78.7 more range in the PT only group compared to only 60 in the PTþINJ group. Our results confirm the findings first noted by Lee et al in 1974. 25 They compared patients treated with intraarticular cortisone injections, cortisone injections to the biceps region and physiotherapy only and could not demonstrate a significant difference between the three groups at 6 weeks.…”

Section: Discussionsupporting

confidence: 92%

Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?

Kumar

Thomas

Tetsworth

et al. 2017

J Orthop Surg (Hong Kong)

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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.

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Section: Discussionsupporting

confidence: 92%

Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?

Kumar

Thomas

Tetsworth

et al. 2017

J Orthop Surg (Hong Kong)

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“…DW and AW excluded 24 trials: seven in which the results of patients who received physiotherapy for shoulder disorders were not presented separately, one in which similar physiotherapy was given as a cointervention to all patients, four on exercise therapy after mastectomy, four on physiotherapy for shoulder pain after fracture, seven on physiotherapy for shoulder pain in hemiplegic subjects, and one trial on rheumatoid arthritis. The methods of the remaining 23 trial reports were assessed 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41. Information was combined for three trials that were reported twice 23 33 23.…”

Section: Resultsmentioning

confidence: 99%

“…Data display and extraction criteria –In general the sample sizes of the studies were small: six trials compared groups of 25 or more patients25 26 29 33 35 39 and six trials compared groups of 15 to 25 patients 21 27 28 30 36 40. All other trials included smaller study populations.…”

Section: Resultsmentioning

confidence: 99%

“…In nine trials participation was restricted to narrowly defined diagnostic categories (for example, rotator cuff tendinitis),19 20 22 23 25 26 28 30 33 whereas other trials included a wide variety of soft tissue disorders (for example, painful shoulder, periarthritis humeroscapularis). In eight trials, duration of symptoms at baseline was not specified as an entry criterion 23 27 28 30 35 37 38 40. Another eight trials included patients who, at baseline, had had their symptoms for less than three months,19 21 22 29 31 32 33 36 whereas in the four remaining trials duration of symptoms at baseline exceeded three months.…”

Section: Resultsmentioning

confidence: 99%

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Physiotherapy for patients with soft tissue shoulder disorders: a systematic review of randomised clinical trials

Heijden¹,

Windt

Winter

1997

BMJ

200

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Objective: To investigate the association of dietary pattern and mortality in international data. Design: Cohort study with 20 years' follow up of mortality. Setting: Five cohorts in Finland, the Netherlands, and Italy. Subjects: Population based random sample of 3045 men aged 50-70 years in 1970. Main outcome measures: Food intake was estimated using a cross check dietary history. In this dietary survey method, the usual food consumption pattern in the 6-12 months is estimated. A healthy diet indicator was calculated for the dietary pattern, using the World Health Organisation's guidelines for the prevention of chronic diseases. Vital status was verified after 20 years of follow up, and death rates were calculated. Results: Dietary intake varied greatly in 1970 between the three countries. In Finland and the Netherlands the intake of saturated fatty acids and cholesterol was high and the intake of alcohol was low; in Italy the opposite was observed. In total 1796 men (59%) died during 20 years of follow up. The healthy diet indicator was inversely associated with mortality (P for trend < 0.05). After adjustment for age, smoking, and alcohol consumption, the relative risk in the group with the healthiest diet indicator compared with the group with the least healthy was 0.87 (95% confidence interval 0.77 to 0.98). Estimated relative risks were essentially similar within each country. Conclusions: Dietary intake of men aged 50-70 is associated with a 20 year, all cause mortality in different cultures. The healthy diet indicator is useful in evaluating the relation of mortality to dietary patterns.

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“…Lee et al 65 investigated the effect of exercise with and without steroid injection compared to the outcomes of patients who were just taking analgesics (n = 65) over a 6-week course of treatment. The criteria for patients to be included in this study were not specified.…”

Section: Stretching Exercisesmentioning

confidence: 99%

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Kelley¹,

Shaffer²,

Kuhn³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

284

222

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The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these clinical practice guidelines is to describe the peer-reviewed literature and make recommendations related to adhesive capsulitis. J Orthop Sports Phys Ther 2013;43(5):A1–A31. doi:10.2519/jospt.2013.0302

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Periarthritis of the shoulder. Trial of treatments investigated by multivariate analysis.

Cited by 54 publications

References 4 publications

Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?

Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?

Physiotherapy for patients with soft tissue shoulder disorders: a systematic review of randomised clinical trials

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

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