Health Condition 1: M60-M63- Disorders of muscles
Conditions
Interventions
Intervention1: Glenohumeral joint hydrodilatation: All participants with idiopathic adhesive capsulitis who have not responded to
conservative management, undergo ultrasound guided suprascapular nerv
Sponsors
All India Institute Of Medical Sciences Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 18 and 65 years. 2. Clinical diagnosis of adhesive capsulitis with Significant restriction in passive ROM of the shoulder joint. 3. Shoulder pain VAS score greater than or equal to 5 that exacerbated by movement. 4. Symptoms persisted for at least three months. 5. Diagnosis of breast cancer and completed definitive treatment
Exclusion criteria
Exclusion criteria: 1.Systemic or structural disorders that could result in limited ROM or pain, such as major trauma, shoulder surgical history, rotator cuff tear, or inflammatory joint disease. 2.Male patients and patients with stage IV breast cancer 3.Neurological conditions affecting the upper limb (e.g., stroke, brachial plexopathy, Radiculopathy). 4.Radiographically significant pathology in shoulder except mild osteopenia 5.Known allergy to local anaesthetics or steroids. 6.Coagulopathy, current anticoagulant therapy, or local skin infection at injection site. 7. Inability to comply with rehabilitation protocol due to physical or cognitive limitation. 8.Active breast cancer under current treatment. 9.Severe cognitive impairment or psychiatric illness interfering with consent or follow-up 10. Refusal to provide informed consent or non-compliance with follow-up schedule
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| evaluate the effectiveness of glenohumeral joint hydrodilatation in improving SPADI scores in patients with treatment-resistant primary adhesive capsulitis and secondary adhesive capsulitis following breast cancer treatment, both after failure of conservative management.Timepoint: baseline, 1, 3, and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess changes in pain (Visual analogue scale).Timepoint: baseline, 1, 3, and 6 months;To assess changes in Range of motionTimepoint: baseline, 1, 3, and 6 months;To assess the change in quality of life using SF-12Timepoint: baseline, 1, 3, and 6 months;To compare recovery timelines between groupsTimepoint: baseline, 1, 3, and 6 months;To determine the prevalence and characteristics of ipsilateral shoulder dyskinesia.Timepoint: baseline, 1, 3, and 6 months;To compare the effect of postsurgical scar length on change shoulder ROMTimepoint: baseline, 1, 3, and 6 months;To evaluate rehabilitation participation post-intervention. STUDYTimepoint: baseline, 1, 3, and 6 months | — |
Countries
India
Contacts
Public ContactDr Ravi Gaur
All India Institute Of Medical Sciences, Jodhpur
Outcome results
None listed