Arthrographic distension of the shoulder joint in the management of frozen shoulder.

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dc.contributor.authorKhan, A Aen_US
dc.contributor.authorMowla, Aen_US
dc.contributor.authorShakoor, M Aen_US
dc.contributor.authorRahman, M Ren_US
dc.date.accessioned2005-01-08en_US
dc.date.accessioned2009-05-27T03:52:52Z
dc.date.available2005-01-08en_US
dc.date.available2009-05-27T03:52:52Z
dc.date.issued2005-01-08en_US
dc.descriptionMymensingh Medical Journal.en_US
dc.description.abstractThe study was an open randomized controlled trial to compare the outcome at 8 weeks with two different modalities in the treatment of 'Frozen shoulder'. Clinical cases with painful limitation of movement of shoulder were randomized to receive physical therapies alone versus physical therapies and shoulder arthrography with intra-articular steroid in a sequential randomization process. Cases suspected of having a concomitant illness and has potential to cause secondary frozen shoulder were excluded, such as, history of trauma to shoulder over the last 6 months, symptomatic clinical cervical degenerative diseases, and causes in and around the shoulder (infective and non-infective). Physical Therapies provided to all patients were therapeutic exercises, transcutaneous electrical nerve stimulation (TENS) and infra-red radiation (IRR). Outcome measures were improvement of pain on a Visual Analogue Scale (VAS) score and range of motion measured by Goniometer at 8 weeks. Patients were followed weekly for 8 weeks and outcome parameters were recorded on every evaluation. The baseline range of motion in the two groups was comparable. At 8 weeks a statistically significant difference in outcome were observed in the two groups. The chi-square means difference of improvement in range of motion for abduction was p <0.00 and for external rotation was p <0. 00. The pain reduction on VAS score was not significant in the two groups (p <0. 40). In the present small series, the distension arthrography with intra-articular (IA) steroid plus physical therapy was superior over physical therapy alone in the functional improvement of the frozen shoulder. Further studies with larger sample size are required to confirm the observations.en_US
dc.description.affiliationDepartment of Physical Medicine, Chittagong Medical College, Chittagong 4000, Bangladesh. aakhan@bttb.net.bden_US
dc.identifier.citationKhan AA, Mowla A, Shakoor MA, Rahman MR. Arthrographic distension of the shoulder joint in the management of frozen shoulder. Mymensingh Medical Journal. 2005 Jan; 14(1): 67-70en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/1167
dc.language.isoengen_US
dc.subject.meshAdrenal Cortex Hormones --administration & dosageen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshArthrographyen_US
dc.subject.meshChi-Square Distributionen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInjections, Intra-Articularen_US
dc.subject.meshJoint Diseases --therapyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPain Measurementen_US
dc.subject.meshPhysical Therapy Modalitiesen_US
dc.subject.meshRange of Motion, Articularen_US
dc.subject.meshShoulder Joint --radiographyen_US
dc.subject.meshShoulder Pain --etiologyen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleArthrographic distension of the shoulder joint in the management of frozen shoulder.en_US
dc.typeClinical Trialen_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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