Abstract | BACKGROUND: PURPOSE: STUDY DESIGN: Randomized controlled clinical trial; Level of evidence, 1. METHODS: Participants (n = 53) with primary adhesive capsulitis in the freezing stage were randomly assigned to receive ultrasound-guided intra-articular injections with 40 mg triamcinolone acetonide (high-dose group, n = 20), 20 mg triamcinolone acetonide (low-dose group, n = 20), or placebo (n = 13). After a single injection, participants were all instructed to carry out a home exercise program. The outcome measures included the Shoulder Pain and Disability Index (SPADI), visual analog scale (VAS) for average shoulder pain level, and passive range of motion including flexion, abduction, extension, external rotation, and internal rotation before treatment and at weeks 1, 3, 6, and 12 after treatment. RESULTS: There were no significant differences in demographic and clinical characteristics at baseline between the 3 groups. Repeated-measures analysis of variance and post hoc tests showed improvement in SPADI and VAS scores and in flexion, abduction, and internal rotation especially for the low- and high-dose groups compared with the placebo. Yet, no significant difference was found between the 2 different corticosteroid dose groups. CONCLUSION:
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Authors | Seung-Hyun Yoon, Hyun Young Lee, Hyun Jung Lee, Kyu-Sung Kwack |
Journal | The American journal of sports medicine
(Am J Sports Med)
Vol. 41
Issue 5
Pg. 1133-9
(May 2013)
ISSN: 1552-3365 [Electronic] United States |
PMID | 23507791
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Inflammatory Agents
- Triamcinolone Acetonide
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Topics |
- Analysis of Variance
- Anti-Inflammatory Agents
(administration & dosage)
- Bursitis
(complications, drug therapy, therapy)
- Exercise Therapy
- Female
- Humans
- Injections, Intra-Articular
- Male
- Middle Aged
- Pain
(etiology)
- Pain Measurement
- Range of Motion, Articular
- Rotation
- Severity of Illness Index
- Shoulder Joint
- Triamcinolone Acetonide
(administration & dosage)
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