Article

OBJECTIVE: To compare 2 different treatment approaches, physical therapy
modalities, and joint mobilization versus whole-body cryotherapy (WBC) combined
with physical therapy modalities and joint mobilization, for symptoms of adhesive
capsulitis (AC) of the shoulder. DESIGN: A randomized trial. SETTING: Hospital.
PARTICIPANTS: Patients with AC of the shoulder (N=30). INTERVENTION: Patients
were randomly assigned to 2 groups. The WBC group received physical therapy
modalities, passive joint mobilization of the shoulder, and WBC, whereas the
non-WBC group received only physical therapy modalities and passive joint
mobilization of the shoulder. MAIN OUTCOME MEASURES: Visual analog scale (VAS),
active range of motion (ROM) of flexion, abduction, internal and external
rotation of the shoulder, and the American Shoulder and Elbow Surgeons
Standardized Shoulder Assessment Form (ASES) were measured before and after the
intervention. RESULTS: A statistically significant difference between groups was
found for the VAS, active ROM of flexion, abduction, internal rotation, and
external rotation, and the ASES with greater improvements in the WBC group
(Ps<.01). Overall, both groups showed a significant improvement in all outcome
measures and ROM measures from pre to post at a level of P<.01. CONCLUSIONS:
There is significant improvement with the addition of WBC to treatment
interventions in this sample of patients.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS