Adhesive Capsulitis, Shoulder
Conditions
Keywords
Adhesive capsulitis, Range of motion, Extracorporeal shockwave therapy
Brief summary
The investigators evaluated the therapeutic efficacy of different shockwave dosages for adhesive capsulitis and further examined the temporal effects and subgroup responses based on baseline range of motion
Detailed description
The study compares two different shockwave treatment doses, each delivered as a single session to patients with adhesive capsulitis of the shoulder. We will measure shoulder range of motion before and after treatment and assess functional improvement using the Constant-Murley score. Finally, we will analyze changes in joint mobility at various post-treatment time intervals to evaluate the therapeutic effectiveness of the two shockwave dosing protocols.
Interventions
DEVICEfocused extracoporeal sockwave
Focused ESWT energy was initiated at level 5 (0.034 mJ/mm²) with a 4-Hz frequency and subsequently adjusted based on patient tolerance. After the application of coupling gel, different pulses were applied one fingerbreadth inferior to the anterior acromion, lateral to the acromion, and posterior to the acromion.
Sponsors
National Taiwan University Hospital Hsin-Chu Branch
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
two different shockwave doses are performed to treat adhesive capsulitis
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patient age ≥ 20 years * first episode of adhesive capsulitis * persistent shoulder pain with restricted motion for ≥ 3 months * prior management limited to analgesic medications * active abduction in the scapular plane ≤ 135°
Exclusion criteria
* shoulder or cervical pathology * history of shoulder fracture, infection, or tumor * previous shoulder surgery * pacemaker presence * pregnancy * coagulopathy * inability to complete follow-up assessments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| We assessed changes in shoulder range of motion using a standard goniometer before and after treatment with varying shockwave dosages | Before treatment, immediately after treatment, and at 1, 2, 4, 8, and 12 weeks post-treatment | In patients receiving different doses of extracorporeal shockwave therapy for adhesive capsulitis, we assessed changes in shoulder range of motion before and after treatment using a standard goniometer. We will assess forward flexion, abduction, external rotation, and internal rotation. The better the range of motion, the better the treatment outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| We assessed changes in shoulder functional outcomes using the Constant-Murley questionnaire before and after treatment with varying shockwave dosages | before treatment and 12 weeks posttreatment | In patients receiving different doses of extracorporeal shockwave therapy for adhesive capsulitis, we evaluated changes in shoulder function by administering the Constant-Murley questionnaire both before and after treatment. The questionnaire includes four subcategories: pain score (maximum 15 points), activities of daily living (maximum 20 points), movement (maximum 40 points), and strength (maximum 25 points). The Constant-Murley Score has a maximum of 100 points, with higher scores indicating a better outcome. |
| The impact of changes over time before and after shockwave therapy on joint angle improvement | immediately after treatment and 1, 2, 4, 8, and 12 weeks posttreatment | We analyzed the magnitude of joint angle changes at multiple time points to compare the therapeutic effects of the various shockwaves doses. |
Countries
Taiwan
Outcome results
None listed