Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?

Kumar, Krishna, Thomas, Ancy, Tetsworth, Kevin and Hohmann, Erik (2017) Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?. Journal of Orthopaedic Surgery, 25 1: 1-6. doi:10.1177/2309499017690463


Author Kumar, Krishna
Thomas, Ancy
Tetsworth, Kevin
Hohmann, Erik
Title Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?
Journal name Journal of Orthopaedic Surgery   Check publisher's open access policy
ISSN 2309-4990
1022-5536
Publication date 2017-02-16
Year available 2017
Sub-type Article (original research)
DOI 10.1177/2309499017690463
Open Access Status DOI
Volume 25
Issue 1
Start page 1
End page 6
Total pages 6
Place of publication London, United Kingdom
Publisher SAGE Publications
Language eng
Subject 2746 Surgery
Abstract Introduction: The purpose of this retrospective study was to investigate the possible short-term benefit of a single intraarticular corticosteroid injection in those patients treated with physiotherapy when compared to a group of patients undergoing physiotherapy only (PT only). Methods: A retrospective chart review was conducted to identify eligible patients treated over a 4-year period. All female patients between 40 years and 60 years with a confirmed clinical diagnosis of idiopathic adhesive capsulitis who completed a prescribed physiotherapy program were considered eligible. Sixty-three patients fulfilled the inclusion criteria, but 22 were excluded because of missing data in the medical record. The remaining 41 patients comprise the study cohort; an experienced musculoskeletal physiotherapist assessed these patients both at initial presentation and at 12 weeks. Twenty patients with a mean age of 55.1 years underwent PT only and 21 patients with a mean age of 52.4 years received a single intra-articular dose of 40 mg methylprednisolone followed by physiotherapy. Outcome measures included the visual analogue scale (VAS) and measurement of range of motion. Results: At final assessment (12 weeks), significant between-group differences were identified for the ‘PT only’ group for flexion (p = 0.01) and abduction (p = 0.008). When comparing the mean change from the initial assessment, a significant between-group difference was observed for abduction (p = 0.03). Conclusions: The results of this study suggest that the intra-articular injection of a single dose of cortisone has no significant short-term benefit in female patients with idiopathic adhesive capsulitis managed with physiotherapy.
Keyword Adhesive capsulitis
Corticosteroid injection
Physiotherapy
Range of motion
Visual analogue scale
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Sun, 24 Dec 2017, 09:18:16 EST