Conservative integrated treatment of adhesive capsulitis of the shoulder

Russo, Adriano and Arrichi, Annalisa and Vignale, Luigi and Molfetta, Luigi (2014) Conservative integrated treatment of adhesive capsulitis of the shoulder. Joints, 2 (1). pp. 15-19. ISSN 2282-4324

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Abstract

Purpose: the aim of this study was to present the results of a conservative treatment for adhesive capsulitis based on an original protocol of combined pharmacological and rehabilitation treatment. Methods: fifty-two patients with idiopathic adhesive capsulitis were enrolled in the present study. The treatment protocol included the use of hyaluronic acid and anaesthetic periarticular and intra-articular injections followed by a specific program of capsule and muscle stretching. Results: the results of this treatment showed complete recovery of range of motion (ROM) in 50 of the 52 cases. The mean pre-treatment ROM values were: 85° for forward elevation, 75° for abduction, 25° for external rotation, and 15° for internal rotation. The posttreatment mean ROM values showed marked improvements: 175° for forward elevation, 175° for abduction, 87.5° for external rotation and 75° for internal rotation. Conclusions: conservative treatment of adhesive capsulitis based on a combined pharmacological and rehabilitation approach was found to be effective in resolving pain and stiffness in 96% of the patients. Level of evidence: level IV, therapeutic case series.

Item Type:	Article
Uncontrolled Keywords:	Adhesive capsulitis, drug therapy, hyaluronic acid, rehabilitation, shoulder
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.5 Medicina regionale; Chirurgia regionale
Depositing User:	Chiara D'Arpa
Date Deposited:	10 Nov 2014 10:47
Last Modified:	10 Nov 2014 10:47
URI:	http://eprints.bice.rm.cnr.it/id/eprint/10066

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