Adhesive capsulitis or Frozen shoulder. Adhesive capsulitis of shoulder
Conditions
Interventions
Intervention 1: Intervention group: Includes 30 patients who are treated with hyalase injection at the rate of 1500 units in 5 cc of normal saline along with 2 cc of 2% lidocaine. Intervention 2: Inte
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Age
25 Years to 70 Years
Inclusion criteria
Inclusion criteria: People aged 25 to 70 years have been diagnosed with adhesive capsulitis based on history and physical examination and did not respond to conservative treatments including non-steroidal pain relievers, exercise therapy and physical modalities. According to VAS criteria, they have scored 5 or higher. More than 30 degrees restriction of shoulder active range of motion in at least 2 of 4 directions of motion (abduction, flexion, external rotation and internal rotation) compared to the range of motion of the healthy shoulder (opposite side). Less than 6 months have passed since the onset of symptoms.
Exclusion criteria
Exclusion criteria: History of shoulder trauma in the last 6 months History of humerus bone fracture, supraspinatus tear, subacromial bursitis, calcific tendonitis and acromioclavicular joint osteoarthritis Pregnancy and breastfeeding. The presence of nerve injury or the presence of neurological disorders that cause dysfunction of the upper limbs, including brachial plexus plexopathy, hemiplegia and peripheral nerve injury Known allergy or sensitivity to hyalase, hyaluronic acid, or corticosteroids 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 shoulder intra-articular injection of corticosteroids and hyaluronic acid in the last 6 months Inflammatory systemic diseases, hypothyroidism, hyperthyroidism and diabetes Use of anticoagulants
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Active range of motion of shoulder. Timepoint: At the beginning of the study (before intervention) and 8 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 8 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 8 weeks and 24 weeks after the intervention. Method of measurement: Oxford Shoulder Score (OSS). | — |
Secondary
| Measure | Time frame |
|---|---|
| The degree of patient's satisfaction with the treatment. Timepoint: At the beginning of the study (before intervention) and 8 weeks and 24 weeks after the intervention. Method of measurement: 5-items questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAli Nazari Nodoushan
Shahid Beheshti University of Medical Sciences
Outcome results
None listed