The Effect of Pain Level, Range of Motion and Myofunction on the Combined Treatment of Adhesive Capsulitis Patients

2021 ◽  
Vol 16 (1) ◽  
pp. 303-309
Author(s):  
Han-Su Cho ◽  
Won-Moon Kim
Keyword(s):  
Range Of Motion ◽  
Adhesive Capsulitis ◽  
Combined Treatment ◽  
Pain Level

scholarly journals Injeksi Sendi Gleno-Humeral dan Bursa Subacromial disertai Blok Saraf Suprascapularis dengan Pulsed Radiofrequency pada Pasien dengan Nyeri Bahu Akibat Adhesive Capsulitis

2020 ◽  
Vol 1 (1) ◽  
pp. 17-24
Author(s):  
Erwin Mulyawan ◽  
◽  
Antonius H Wijono ◽  
Keyword(s):  
Range Of Motion ◽  
Adhesive Capsulitis ◽  
Pulsed Radiofrequency ◽  
Anti Inflammatory

Adhesive capsulitis adalah kondisi bahu dimana terdapat pengurangan range-of-motion (ROM) aktif dan pasif secara bertahap dan sakit pada semua bidang pergerakan sendi glenohumeral yang disebabkan oleh adanya fibrosis dan kontraktur. Kondisi ini terjadi sekitar 2% hingga 5% dari populasi umum, sering terjadi pada wanita berusia antara 40 dan 60 tahun. Pengobatan awal nyeri dan disabilitas fungsional adhesive capsulitis bahu antara lain kombinasi obat nonsteroidal anti-inflammatory (NSAIDs) dan terapi fisik. Pasien yang tidak respon terhadap pengobatan tersebut, dapat diberikan teknik intervensi. Manajemen intervensi untuk adhesive capsulitis dapat berupa injeksi kortikosteroid intra-artikular, injeksi bursa subacromial, atau blok saraf suprascapularis dengan pulsed radiofrequency (PRF). Pada laporan kasus ini, akan dibahas pasien wanita berusia 60 tahun dengan adhesive capsulitis yang menjalani prosedur injeksi kortikosteroid sendi gleno-humeral dan bursa subacromial serta PRF saraf suprascapularis.

scholarly journals Restriction of Passive Glenohumeral Abduction Combined With Normal Passive External Rotation Is a Diagnostic Feature of Calcific Tendinitis

2018 ◽  
Vol 6 (2) ◽  
pp. 232596711775290 ◽  
Author(s):  
Anna Jungwirth-Weinberger ◽  
Christian Gerber ◽  
Glenn Boyce ◽  
Thorsten Jentzsch ◽  
Simon Roner ◽  
...  
Keyword(s):  
Range Of Motion ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Salient Feature ◽  
Supraspinatus Tendon ◽  
Calcific Tendinitis ◽  
Diagnostic Feature ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Standardized Protocol

Background: Passive glenohumeral range of motion may be characteristically limited to specific shoulder pathologies. While pain associated with loss of range of passive external glenohumeral rotation is recognized as a salient feature in adhesive capsulitis, restriction of glenohumeral range of motion in calcific tendinitis of the supraspinatus tendon has never been studied. Hypothesis: On the basis of clinical observation, we hypothesized that calcific tendinitis of the supraspinatus tendon is associated with loss of passive glenohumeral abduction without loss of external rotation. Study Design: Cohort study; Level of evidence, 3. Methods: Ranges of passive glenohumeral rotation and abduction, which are measured with a standardized protocol in our institution, were retrospectively reviewed and compared for patients diagnosed with either adhesive capsulitis or calcific tendinitis of the supraspinatus tendon. A total of 57 patients met the inclusion criteria for the calcific tendinitis, and 77 met the inclusion criteria for the adhesive capsulitis group. Results: When compared with the contralateral, unaffected shoulder, glenohumeral abduction in the calcific tendinitis group was restricted by a median of 10° (interquartile range [IQR], –20° to –5°) as opposed to glenohumeral external rotation, which was not restricted at all (median, 0°; IQR, 0° to 0°). The adhesive capsulitis group showed a median restriction of glenohumeral abduction of 40° (IQR, –50° to –30°) and a median restriction of passive glenohumeral external rotation of 40° (IQR, –60° to –30°). Conclusion: Calcific tendinitis of the supraspinatus does not typically cause loss of external rotation but is frequently associated with mild isolated restriction of abduction. This finding can be used to clinically differentiate adhesive capsulitis from calcific tendinitis.

No. 384 Adhesive Capsulitis of the Shoulder: Diagnostic Value of Active and Passive Range of Motion With Volume of the Gleno-Humeral Capsule as Reference

PM&R ◽  
2014 ◽  
Vol 6 (8) ◽  
pp. S168
Author(s):  
Alain Yelnik ◽  
Thomas Bardin ◽  
Philippe Orcel ◽  
Johann Beaudreuil
Keyword(s):  
Range Of Motion ◽  
Adhesive Capsulitis ◽  
Diagnostic Value

scholarly journals COMPARISON OF INTRA-ARTICULAR METHYLPREDNISOLONE AND KETOROLAC INJECTIONS IN IMPROVING RANGE OF MOTION FOR DIFFERENT SHOULDER JOINT DISORDERS

2021 ◽  
Vol 71 (3) ◽  
pp. 819-22
Author(s):  
Sumeera Matee ◽  
Wasif Anwar ◽  
Sami Wahid ◽  
Saeed Bin Ayaz ◽  
Rana Shahid ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Joint ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Military Hospital ◽  
Prednisolone Acetate ◽  
Methyl Prednisolone ◽  
Shoulder Range Of Motion ◽  
Significant Difference ◽  
Flexion Extension

Objective: To compare the efficacy of intra-articular injection of methyl prednisolone with ketorolac for improvement in range of motion in various shoulder joint disorders. Study Design: Quasi-experimental study. Place and Duration of Study: Departments of Internal and Rehabilitation Medicine, Combined Military Hospital Mangla, from Nov 2018 to May 2019. Methodology: Through non-probability consecutive sampling, patients with shoulder disorders were enrolled in the study and divided into two groups. Group A received intra articular corticosteroid injection and group B received intra-articular Ketorolac injection. Outcome was measured in terms of improvement in shoulder range of motion. Results: A total of 60 patients were selected, 40 (66.7%) male and 20 (33.3%) female. 30 (50%) patients had adhesive capsulitis, 24 (40%) had rotator cuff syndrome and 6 (10%) had impingement syndrome. 24 patients received methyl prednisolone acetate injection while 36 received ketorolac injection. There was no significant difference in the mean gain in flexion, extension, abduction, internal or external rotation between both groups (p=0.224, p=0.261, p=0.884, p=0.238, and p=0.584 respectively). Conclusion: There was no significant difference in efficacy of corticosteroid and ketorolac when injected intra-articularly in shoulder joint disorders.

scholarly journals A Novel Approach to New-Onset Hemiplegic Shoulder Pain With Decreased Range of Motion Using Targeted Diagnostic Nerve Blocks: The ViVe Algorithm

2021 ◽  
Vol 12 ◽  
Author(s):  
John W. Fitterer ◽  
Alessandro Picelli ◽  
Paul Winston
Keyword(s):  
Range Of Motion ◽  
Shoulder Pain ◽  
Adhesive Capsulitis ◽  
Treatment Algorithm ◽  
Diagnostic Algorithm ◽  
Nerve Blocks ◽  
Treatment Pathway ◽  
Painful Shoulder ◽  
Subacromial Injection ◽  
Budapest Criteria

Introduction: Hemiplegic shoulder pain (HSP) is the most common pain disorder after stroke with incidence estimates of 30–70% and associated with reductions in function, interference with rehabilitation, and a reduced quality of life. Onset may occur as soon as a week after stroke in 17% of patients. Management of HSP represents a complex treatment pathway with a lack of evidence to support one treatment. The pain has heterogeneous causes. In the acute setting, decreased range of motion in the shoulder can be due to early-onset spasticity, capsular pattern stiffness, glenohumeral pathology, or complex regional pain syndrome (CRPS). As contracture can form in up to 50% of patients after stroke, effective management of the painful shoulder and upper limb with decreased range of motion requires assessment of each possible contributor for effective treatment. The anesthetic diagnostic nerve block (DNB) is known to differentiate spasticity from contracture and other disorders of immobility and can be useful in determining an appropriate treatment pathway.Objective: To create a diagnostic algorithm to differentiate between the causes of HSP in the stiff, painful shoulder in the subacute setting using diagnostic techniques including the Budapest Criteria for CRPS and DNB for spasticity and pain generators.Results: Examination of each joint in the upper extremity with HSP may differentiate each diagnosis with the use of an algorithm. Pain and stiffness isolated to the shoulder may be differentiated as primary shoulder pathology; sensory suprascapular DNB or intra-articular/subacromial injection can assist in differentiating adhesive capsulitis, arthritis, or rotator cuff injury. CRPS may affect the shoulder, elbow, wrist, and hand and can be evaluated with the Budapest Criteria. Spasticity can be differentiated with the use of motor DNB. A combination of these disorders may cause HSP, and the proposed treatment algorithm may offer assistance in selecting a systematic treatment pathway.

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