Adhesive capsulitis or Frozen shoulder. Adhesive capsulitis of shoulder
Conditions
Interventions
Intervention 1: Intervention group: Includes 30 patients who are treated with 200 units of botulinum toxin (Masport, Masson Darou) and 1 cc of lidocaine intra-articularly. Intervention 2: Control grou
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Age
30 Years to 60 Years
Inclusion criteria
Inclusion criteria: People aged 30 to 60 years Diagnosed with adhesive capsulitis based on history and physical examination No response to conservative treatments, including non-steroidal anti-inflammatory drugs, opioids, exercise therapy, and physical therapy. A score of 5 or higher based on the intensity of the pain (according to the VAS criteria) Less than 6 months have passed since the onset of the symptoms Have more than 30 degree reduction in the range of motion in at least 2 of the 4 directions of motion (abduction, flexion, external rotation, and internal rotation) compared to the range of motion of the healthy shoulder (opposite side)
Exclusion criteria
Exclusion criteria: History of shoulder trauma in the last 6 months History of humerus fracture Pregnancy and breastfeeding The presence of nerve damage or neurological disorders that cause dysfunction of the upper limbs, including brachial plexopathy, hemiplegia, and peripheral nerve damage. Allergy or known sensitivity to botulinum toxin or corticosteroids Presence of psychological problems History of shoulder surgery A patient who is unable to cooperate to check the range of motion due to severe pain History of intra-articular injection in the last 6 months Inflammatory systemic diseases Use of anticoagulants The presence of diseases that involve the connection between nerve and muscle, such as myasthenia gravis and Eaton Lambert
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Active range of motion of shoulder. Timepoint: At the beginning of the study (before intervention) and 6 weeks and 24 weeks after the intervention. Method of measurement: Digital goniometer.;Assessment of shoulder pain. Timepoint: At the beginning of the study (before intervention) and 6 weeks and 24 weeks after the intervention. Method of measurement: Visual analogue scale (VAS).;Assessment of the patient's performance in daily tasks. Timepoint: At the beginning of the study (before intervention) and 6 weeks and 24 weeks after the intervention. Method of measurement: Oxford Shoulder Score (OSS). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAli Nazari Nodoushan
Shahid Beheshti University of Medical Sciences
Outcome results
None listed