Article

OBJECTIVE: To investigate the efficacy of ultrasound-guided intra-articular (IA)
hyaluronic acid injection with capsular distension compared with steroid
injection alone in patients with adhesive capsulitis of the shoulder by assessing
pain relief, functional improvements, and range of motion at 2 and 6 weeks after
final injections. DESIGN: Prospective randomized controlled trial.
SETTING : University hospital. PARTICIPANTS: Patients (N=100) with adhesive capsulitis of
shoulder. INTERVENTIONS: Subjects were randomly assigned to 2 groups: 45 patients
in group A were treated with 0.5% lidocaine plus triamcinolone 40mg IA injection
and 45 patients in group B were treated with 0.5% lidocaine plus hyaluronic acid
20mg and capsular distension. All injections were performed every 2 weeks for a
total of 3 times. MAIN OUTCOME MEASURES: Treatment effects were assessed using
the Shoulder Pain and Disability Index (SPADI), Verbal Numeric Scale (VNS), and
passive range of motion (ROM) of the shoulder (flexion, abduction, external
rotation) before injections and at 2 and 6 weeks after the last injections.
RESULTS: SPADI, VNS, and passive ROM were improved at 2 and 6 weeks in both
groups. The statistical differences were not observed in SPADI and VNS between
groups (P<.05), and shoulder passive external rotation was more improved in group
B than in group A (P<.05). CONCLUSIONS: Capsular distension with IA hyaluronic
acid injection was shown to be a treatment method as effective as the steroid
injection alone in pain relief and functional improvement; additionally, it was
more effective in passive external rotation improvement than steroid injection
alone.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS