Effects of repeated distension arthrographies combined with a home exercise program among adults with idiopathic adhesive capsulitis of the shoulder

France Piotte, Piotte F, Gravel D, Denis Gravel, Moffet H, Hélène Moffet, Evelyne Fliszar, Fliszar E, Roy A, André Roy, Sylvie Nadeau, Nadeau S, Danielle Bédard, Bédard D, Guylaine Roy, Roy G
American journal of physical medicine & rehabilitation · 2004 · vol. 83(7) , pp. 537–46; quiz 547-9 · doi:10.1097/01.phm.0000130030.73449.60 · PMID:15213478
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This study on idiopathic adhesive capsulitis of the shoulder found that two distension arthrographies with steroid combined with a home exercise program significantly reduced disability and impairments, while a third injection provided no further benefit.

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This study evaluated the efficacy of combining repeated distension arthrographies with steroid injections and a home exercise program for treating idiopathic adhesive capsulitis in fifteen adults. The researchers conducted five clinical evaluations to assess changes in disability, pain, range of motion, and strength over time. Results indicated significant improvements across all measured outcomes following the first injection, with diminishing returns after the second procedure and no additional benefit from a third session. While incomplete recovery of range of motion persisted on the affected side compared to the unaffected side, two treatments were found sufficient to reduce impairments. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

OBJECTIVE: The purpose of this study was to measure the effect of repeated distension arthrographies combined with a home exercise program on impairments and disability of the upper limb in subjects with adhesive capsulitis of the shoulder. DESIGN: A total of 15 subjects with idiopathic adhesive capsulitis participated in the study. Intervention consisted of three distension arthrographies with steroid, done at 3-wk intervals, and a home exercise program. The repeated-measures design included five clinical evaluations with disability, pain, range of motion, and pain-free static strength outcomes. Two evaluations done before the first arthrography verified the stability of the condition. RESULTS: There was a significant improvement of all outcomes at the end of intervention. The greatest effects occurred after the first distension arthrography. After the second, less marked, albeit significant, changes were observed in three motions of the shoulder and in the pain level. After the third distension arthrography, very small changes were noted. A comparison between sides revealed incomplete recovery of the range of motion on the affected side. CONCLUSIONS: These findings showed that two distension arthrographies with steroid combined with a home exercise program reduce shoulder disability and impairments. Adding a third distension arthrography does not seem to provide any further benefit.
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Objective

The purpose of this study was to measure the effect of repeated distension arthrographies combined with a home exercise program on impairments and disability of the upper limb in subjects with adhesive capsulitis of the shoulder. Design: A total of 15 subjects with idiopathic adhesive capsulitis participated in the study. Intervention consisted of three distension arthrographies with steroid, done at 3-wk intervals, and a home exercise program. The repeated-measures design included five clinical evaluations with disability, pain, range of motion, and pain-free static strength outcomes. Two evaluations done before the first arthrography verified the stability of the condition.

Results

There was a significant improvement of all outcomes at the end of intervention. The greatest effects occurred after the first distension arthrography. After the second, less marked, albeit significant, changes were observed in three motions of the shoulder and in the pain level. After the third distension arthrography, very small changes were noted. A comparison between sides revealed incomplete recovery of the range of motion on the affected side.

Conclusions

These findings showed that two distension arthrographies with steroid combined with a home exercise program reduce shoulder disability and impairments. Adding a third distension arthrography does not seem to provide any further benefit.

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MeSH descriptors

Arthrography Bursitis Bursitis Exercise Therapy Manipulation, Orthopedic Shoulder Joint Adult Aged Bursitis Combined Modality Therapy Disability Evaluation Female Humans Male Middle Aged Pain Measurement Pilot Projects Range of Motion, Articular Range of Motion, Articular Retreatment

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