Comparison of Rotator Interval Injection Versus Intraarticular Hydrodilatation in Frozen Shoulder
- Conditions
- Adhesive Capsulitis
- Interventions
- Registration Number
- NCT03678038
- Lead Sponsor
- Taipei Veterans General Hospital, Taiwan
- Brief Summary
This study was conducted to compare the efficacy of hydrodilatation with steroid via posterior approach versus rotator interval approach for treating patients with adhesive capsulitis.
- Detailed Description
Adhesive capsulitis is a common cause of shoulder pain, and the efficacy of most interventions is limited. This study was conducted to compare the efficacy of rotator interval injection with steroid with that of steroid hydrodilatatoin for treating adhesive capsulitis.
Design: a prospective, single-blinded, randomized, clinical trial
Patient and methods:
Patients with adhesive capsulitis were enrolled and randomly allocated into group 1 ( ultrasound guided rotator interval injection ) and group 2 (ultrasound guided steroid hydrodilatation). The patients were evaluated before treatment and were reevaluated 0, 6, and 12 weeks after the beginning of the treatment. Outcomes measures included a pain scale (visual analog scale), range of motion, Constant shoulder score, and Shoulder Pain And Disability Index.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 64
- Diagnosis of frozen shoulder by physical examination and ultrasonography
- other conditions involving the shoulder ( rheumatoid arthritis, Hill-Sachs lesions,osteoporosis, or malignancies in the shoulder region)
- neurologic deficits affecting shoulder function in normal daily activities
- shoulder pain caused by cervical radiculopathy
- a history of drug allergy to xylocaine or corticosteroid
- pregnancy or lactation;
- received injection into the affected shoulder during the preceding 3 months
- history of surgeries on the affected shoulders
- Secondary frozen shoulder
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description rotator interval injection Triamcinolone (Shincort) injection to rotator interval patient received ultrasound-guided steroid injection via rotator interval posterior recess injection Triamcinolone (Shincort) injection to posterior glenuhumeral recess patient received ultrasound-guided steroid injection via posterior recess
- Primary Outcome Measures
Name Time Method Shoulder Pain And disability index Change of the score between 6 weeks and baseline, and change of the score between 12 weeks and baseline The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder.function. The score is divided into four sections: pain, activity of daily living, ROM and strength
- Secondary Outcome Measures
Name Time Method pain intensity Change of the score between 6 weeks and baseline, and change of the score between 12 weeks and baseline pain intensity was measured by visual analog scale. Each patient was asked to indicate his/her current level of pain by marking a point on a 100-mm VAS, for which 0 represented no pain and 100 represented unbearable pain.
glenohumeral joint range of motion Change at baseline, 6 weeks, 12 weeks Shoulder flexion, abduction, external rotation and internal rotation were measured with goniometer with patient in supine position
Trial Locations
- Locations (1)
Taipei Veterans General Hospital
🇨🇳Taipei, Taiwan