Abstract | OBJECTIVE: METHOD: a prospective open study of patients with adhesive capsulitis. Clinical and radiological criteria was used for diagnosis. Clinical evaluation was realized before treatment, at the end of the treatment, after 1 month, 3 months and 6 months. It carried on: the measure of pain and handicap intensity by an Visual Analogue Scale, the algo-functional score of Constant, the measure of passive articular mobilities. We ended in a success of the treatment when the visual analogue scale of handicap < 30, the score of Constant >70, the passive abduction >90 and the external rotation (RE) >45 degrees. RESULTS: 19 patients were included, mean aged 56 years with capsular retraction evolving on average for 8.5 months. The parameters of evaluation of pain function and handicap improved significantly since the end of treatment. This improvement continued until 6 months after the treatment. Earning in articular amplitudes was significant since the end of treatment for forward extension and internal rotation. However, the improvement in abduction and internal rotation was significant only at 3 months. In spite of this early significant improvement in external rotation, 6 patients had an important limitation of the RE (<20 degrees). A subacromial bursography with steroid injection was proposed to them because subacromial bursa is almost consistently involved by retraction. Only, 4 patients among them accepted it. Out come was favorable in every case with a external rotation >45 degrees at I month of the treatment. The rate of success which was only 47.3% at the end of the treatment, is crossed in 73.6% at 1 month and reaches 89.4% at 6 months. CONCLUSION:
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Authors | Sonia Koubâa, Fatma Z Ben Salah, Sonia Lebib, Imen Miri, Cathrine Dziri, Mohamed Ben Hammouda, Mohamed F Ladeb |
Journal | La Tunisie medicale
(Tunis Med)
Vol. 84
Issue 10
Pg. 621-5
(Oct 2006)
ISSN: 0041-4131 [Print] Tunisia |
Vernacular Title | Association distension capsulaire et rééducation immediate dans la prise en charge de la rétraction capsulaire de l'épaule. |
PMID | 17193853
(Publication Type: Comparative Study, Evaluation Study, Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Bursitis
(diagnosis, drug therapy, physiopathology, therapy)
- Female
- Follow-Up Studies
- Glucocorticoids
(administration & dosage, therapeutic use)
- Humans
- Injections, Intra-Articular
- Male
- Middle Aged
- Pain Measurement
- Physical Therapy Modalities
- Prospective Studies
- Shoulder Joint
(physiology, physiopathology)
- Shoulder Pain
(diagnosis, etiology)
- Time Factors
- Treatment Outcome
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