Comparison of the clinical outcome between manipulation and hydrodilatation among patients with adhesive capsulitis of shoulder receiving intra-articular steroid injection - A Randomised controlled trial

This study will be carried out after getting approval from institutional research and ethical committee. 52 patients undergoing manipulation under anaesthesia who fulfils the inclusion and without any exclusion criteria will be randomized into two groups using computer generated random numbers. .A pre anaesthetic evaluation will be done for all the patients. The informed and written consent will be obtained after explaining the procedure to all patients. Patient were then divided into two groups using block randomization. Case assigned to group A will receive intra articular steroid and manipulation under anaesthesia whereas in group B will receive intra-articular steroid injection and hydrodilation using normal saline.  In both the group of patient the VAS and SPADI score were recorded at the time of presentation and post the intervention. Both the groups will undergo Physiotherapy and home exercise programme. And participants will be followed up by recommendation of usage of home diary for ensuring the adherence of physiotherapy exercises. Follow up of the case will be done post operatively, 3 weeks, 6 weeks and 12 weeks.