Abstract | UNLABELLED: OBJECTIVE: DESIGN: Randomized controlled trial. SETTING: Outpatient rehabilitation clinic. PARTICIPANTS: Patients (N=43) diagnosed as having adhesive capsulitis after clinical examinations and radiologic and ultrasonographic study. INTERVENTION: MAIN OUTCOME MEASURES: A visual analog scale for pain intensity, range of motion (ROM) of the shoulder (flexion, abduction, external rotation, and internal rotation), and general shoulder function during daily activities at preinjection as a baseline and then every week after injection for 6 weeks for each patient. RESULTS: Twenty patients out of 22 in the blind injection group and 20 out of 21 in the US-guided group finished the entire 6-week study period. The improvement in pain intensity, ROM, and shoulder function score was significantly greater in the US-guided injection group than in the blind injection group by the second week postinjection (P<.05). However, there were no further significant differences in the improvement between the 2 groups beyond the third week. CONCLUSIONS: US-guided intra-articular injections may offer advantages over a blind technique for the treatment of adhesive capsulitis and may deliver clinical benefits during the first few weeks of treatment. This finding suggests that the improved targeting to the intra-articular space by using US can result in better treatment of adhesive capsulitis.
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Authors | Hong-Jae Lee, Kil-Byung Lim, Dug-Young Kim, Kyung-Tae Lee |
Journal | Archives of physical medicine and rehabilitation
(Arch Phys Med Rehabil)
Vol. 90
Issue 12
Pg. 1997-2002
(Dec 2009)
ISSN: 1532-821X [Electronic] United States |
PMID | 19969160
(Publication Type: Journal Article, Randomized Controlled Trial)
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Chemical References |
- Anesthetics, Local
- Anti-Inflammatory Agents
- Viscosupplements
- Triamcinolone
- Hyaluronic Acid
- Lidocaine
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Topics |
- Anesthetics, Local
(administration & dosage)
- Anti-Inflammatory Agents
(administration & dosage)
- Bursitis
(drug therapy)
- Female
- Humans
- Hyaluronic Acid
(administration & dosage)
- Injections, Intra-Articular
(methods)
- Lidocaine
(administration & dosage)
- Male
- Middle Aged
- Pain Measurement
- Range of Motion, Articular
- Triamcinolone
(administration & dosage)
- Ultrasonography, Interventional
- Viscosupplements
(administration & dosage)
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