Arthroscopy and manipulation versus home therapy program in treatment of adhesive capsulitis of the shoulder: a prospective randomized study.

Smitherman JA, Struk AM, Cricchio M, McFadden G, Dell RB, Horodyski M, Wright TW
Journal of surgical orthopaedic advances · 2015 · doi:10.3113/jsoa.2015.0069 · PMID:25830267
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⚙ AI-generated summary by claude@2026-07+body, 2026-07-05 ⓘ

This prospective randomized study compared arthroscopic capsular release and manipulation to a home therapy program for adhesive capsulitis, finding both treatments to be effective.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-05 · read from full text ⓘ

This prospective randomized study compared arthroscopic shoulder capsular release with manipulation versus a nonoperative home therapy program for adhesive capsulitis of the shoulder, assessing whether surgery would shorten the duration of symptoms. Both groups began an identical gentle stretching regimen immediately for 3 months, consisting of low-grade terminal range-of-motion stretches twice daily. Although 26 patients consented, final analyses included 10 in the operative group and 7 in the nonoperative group, and the study reported no statistical differences in treatment outcomes between groups. This 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

This study determined in a prospective manner if arthroscopic shoulder capsular release can decrease the duration of adhesive capsulitis symptoms when compared with a nonoperative home therapy program. Patients randomized to the operative group underwent arthroscopic capsular release and manipulation of the shoulder. Immediately after surgery they began the same stretching program as the nonoperative group, which consisted of terminal range of motion low-grade stretches twice daily for at least 15 minutes per session for 3 months. Twenty-six patients granted consent for the study (final analyses included 10 operative and 7 nonoperative). There were no statistical differences between the groups regarding gender, age (operative mean age, 51.5 ± 11.1 years; nonoperative mean age, 52.0 ± 6.8 years) or treatment outcome. This prospective, randomized study, which compared arthroscopic capsular release to a gentle home stretching program, demonstrated both treatment options to be effective treatment modalities.
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James Adam Smitherman, MD; Aimee M. Struk, MEd, ATC, LAT; Mike Cricchio, OTR/L; Ginny McFadden, OTR/L; Ruth B. Dell, OTR/L; MaryBeth Horodyski, EdD, ATC; and Thomas W. Wright, MD Arthroscopy and Manipulation Versus Home Therapy Program in Treatment of Adhesive Capsulitis of the Shoulder: A Prospective Randomized Study $25.00 This study determined in a prospective manner if arthroscopic shoulder capsular release can decrease the duration of adhesive capsulitis symptoms when compared with a nonoperative home therapy program. Patients randomized to the operative group underwent arthroscopic capsular release and manipulation of the shoulder. Immediately after surgery they began the same stretching program as the nonoperative group, which consisted of terminal range of motion low-grade stretches twice daily for at least 15 minutes per session for 3 months. Twenty-six patients granted consent for the study (final analyses included 10 operative and 7 nonoperative). There were no statistical differences between the groups regarding gender, age (operative mean age, 51.5 š 11.1 years; nonoperative mean age, 52.0 š 6.8 years) or treatment outcome. This prospective, randomized study, which compared arthroscopic capsular release to a gentle home stretching program, demonstrated both treatment options to be effective treatment modalities. (Journal of Surgical Orthopaedic Advances 24(1):69–74, 2015) Key words: adhesive capsulitis, physical therapy, shoulder, surgery

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