Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery
Objective To compare the biomechanical properties of the glenohumeral joint capsule between adhesive capsulitis (AC) after breast cancer surgery and idiopathic AC and demonstrate the effects of hydrodilatation (HD) with corticosteroid injection for AC after breast cancer surgery. Methods Twenty-thre...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2022-08-01
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| Series: | Annals of Rehabilitation Medicine |
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| Online Access: | http://e-arm.org/upload/pdf/arm-22059.pdf |
| _version_ | 1797709855322013696 |
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| author | Chang Won Lee In Soo Kim Jeong-Gil Kim Hyeoncheol Hwang Il Young Jung Shi-Uk Lee Kwan-Sik Seo |
| author_facet | Chang Won Lee In Soo Kim Jeong-Gil Kim Hyeoncheol Hwang Il Young Jung Shi-Uk Lee Kwan-Sik Seo |
| author_sort | Chang Won Lee |
| collection | DOAJ |
| description | Objective To compare the biomechanical properties of the glenohumeral joint capsule between adhesive capsulitis (AC) after breast cancer surgery and idiopathic AC and demonstrate the effects of hydrodilatation (HD) with corticosteroid injection for AC after breast cancer surgery. Methods Twenty-three prospective patients with AC after breast cancer surgery (BC group) and 44 retrospective patients with idiopathic AC without breast cancer (CON group) underwent HD with corticosteroid injection and home exercise training. We compared their biomechanical characteristics (capsular capacity, maximal pressure, and capsular stiffness). In the BC group, the passive range of motion (ROM) of the affected shoulder and a questionnaire (Shoulder Pain and Disability Index [SPADI]) were evaluated at baseline and 2 and 4 weeks after treatment. Results The BC group showed higher biomechanical characteristics (maximal pressure and capsular stiffness) than did the CON group. The mean maximal pressure and capsular stiffness were 519.67±120.90 mmHg and 19.69±10.58 mmHg/mL in the BC group and 424.78±104.42 mmHg and 11.55±7.77 mmHg/mL in the CON group (p=0.002 and p=0.001, respectively). And, the BC group showed significant improvements in all ROMs (abduction, flexion, and external rotation) and the SPADI pain and disability sub-scores following the treatment. Conclusion The glenohumeral joint capsular stiffness was greater in the patients with AC after breast cancer surgery than in those with idiopathic AC. HD with corticosteroid injection was effective in treating AC after breast cancer surgery. |
| first_indexed | 2024-03-12T06:43:52Z |
| format | Article |
| id | doaj.art-0efe1a0e461848d5bb3f1a5a4943c862 |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T06:43:52Z |
| publishDate | 2022-08-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-0efe1a0e461848d5bb3f1a5a4943c8622023-09-03T00:47:11ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532022-08-0146419220110.5535/arm.220594272Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer SurgeryChang Won Lee0In Soo Kim1Jeong-Gil Kim2Hyeoncheol Hwang3Il Young Jung4Shi-Uk Lee5Kwan-Sik Seo6 Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea Department of Rehabilitation medicine, Seosong Hospital, Incheon, Korea Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea Department of Rehabilitation, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea Department of Rehabilitation Medicine, Chungnam National University Sejong Hospital, Sejong, Korea Department of Rehabilitation Medicine, Seoul Metropolitan Government–Seoul National University Boramae Medical Center, Seoul, Korea Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, KoreaObjective To compare the biomechanical properties of the glenohumeral joint capsule between adhesive capsulitis (AC) after breast cancer surgery and idiopathic AC and demonstrate the effects of hydrodilatation (HD) with corticosteroid injection for AC after breast cancer surgery. Methods Twenty-three prospective patients with AC after breast cancer surgery (BC group) and 44 retrospective patients with idiopathic AC without breast cancer (CON group) underwent HD with corticosteroid injection and home exercise training. We compared their biomechanical characteristics (capsular capacity, maximal pressure, and capsular stiffness). In the BC group, the passive range of motion (ROM) of the affected shoulder and a questionnaire (Shoulder Pain and Disability Index [SPADI]) were evaluated at baseline and 2 and 4 weeks after treatment. Results The BC group showed higher biomechanical characteristics (maximal pressure and capsular stiffness) than did the CON group. The mean maximal pressure and capsular stiffness were 519.67±120.90 mmHg and 19.69±10.58 mmHg/mL in the BC group and 424.78±104.42 mmHg and 11.55±7.77 mmHg/mL in the CON group (p=0.002 and p=0.001, respectively). And, the BC group showed significant improvements in all ROMs (abduction, flexion, and external rotation) and the SPADI pain and disability sub-scores following the treatment. Conclusion The glenohumeral joint capsular stiffness was greater in the patients with AC after breast cancer surgery than in those with idiopathic AC. HD with corticosteroid injection was effective in treating AC after breast cancer surgery.http://e-arm.org/upload/pdf/arm-22059.pdfbreast neoplasmsadhesive capsulitishydrodilatationcapsular distentionshoulder joint |
| spellingShingle | Chang Won Lee In Soo Kim Jeong-Gil Kim Hyeoncheol Hwang Il Young Jung Shi-Uk Lee Kwan-Sik Seo Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery Annals of Rehabilitation Medicine breast neoplasms adhesive capsulitis hydrodilatation capsular distention shoulder joint |
| title | Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery |
| title_full | Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery |
| title_fullStr | Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery |
| title_full_unstemmed | Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery |
| title_short | Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery |
| title_sort | effects of hydrodilatation with corticosteroid injection and biomechanical properties in patients with adhesive capsulitis after breast cancer surgery |
| topic | breast neoplasms adhesive capsulitis hydrodilatation capsular distention shoulder joint |
| url | http://e-arm.org/upload/pdf/arm-22059.pdf |
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