Comparing Low Dose and High Dose Steroid Injection for Adhesive Capsulitis
试验速览
- 阶段
- 不适用
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- change in pain intensity
研究概览
简要总结
This study was conducted to compare the efficacy of hydrodilatation with low dose steroid with high dose steroid for treating adhesive capsulitis.
详细描述
Design: a prospective, double-blinded, randomized, clinical trial
Patient and methods:
Patients with adhesive capsulitis for at least 3 months were enrolled and randomly allocated into group 1 (hydrodilatation with low dose steroid ) and group 2 (hydrodilatation with high dose steroid). 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, Shoulder Pain And Disability Index
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 35 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clinical diagnosis of adhesive capsulitis
- •a duration of complaints more than 3 months
- •a reduction in passive range of motion in at least 2 of the following: forward flexion, abduction, or external rotation of the affected shoulder of more than 30 degree compared with the other side.
排除标准
- •prior manipulation of the affected shoulder under anesthesia;
- •other conditions involving the shoulder ( rheumatoid arthritis, Hill-Sachs lesions, osteoarthritis, damage to the glenohumeral cartilage,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 hyaluronic acid;
- •pregnancy or lactation;
- •received injection into the affected shoulder during the preceding 3 months
研究组 & 干预措施
low dose steroid
patient received ultrasound-guided 40mg triamcinolone + 4cc xylocaine + 12cc NS
干预措施: Triamcinolone Acetonide (Drug)
low dose steroid
patient received ultrasound-guided 40mg triamcinolone + 4cc xylocaine + 12cc NS
干预措施: lidocaine hydrochloride (Drug)
low dose steroid
patient received ultrasound-guided 40mg triamcinolone + 4cc xylocaine + 12cc NS
干预措施: Normal saline (Drug)
high dose steroid
patient received ultrasound-guided 10mg triamcinolone + 4cc xylocaine + 15cc NS
干预措施: Triamcinolone Acetonide (Drug)
high dose steroid
patient received ultrasound-guided 10mg triamcinolone + 4cc xylocaine + 15cc NS
干预措施: lidocaine hydrochloride (Drug)
high dose steroid
patient received ultrasound-guided 10mg triamcinolone + 4cc xylocaine + 15cc NS
干预措施: Normal saline (Drug)
结局指标
主要结局
change in pain intensity
时间窗: 0, 6, 12 wks.
pain intensity was measured by visual analog scale (0-10)
次要结局
- change in glenohumeral joint range of motion(0, 6, 12 wks.)
- change in Shoulder Pain And disability index(0, 6, 12 wks.)