Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection

Introduction: Adhesive capsulitis of shoulder is a condition characterized by painful and global restriction of active and passive glenohumeral range of motion in at least two directions, most notably shoulder abduction and external rotation. Platelet-rich plasma (PRP) is an emerging treatment optio...

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Main Authors: Alok Chandra Agrawal, Buddhadeb Nayak, Harshal Sakale
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
Subjects:
Online Access:http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=62;epage=65;aulast=Agrawal
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author Alok Chandra Agrawal
Buddhadeb Nayak
Harshal Sakale
author_facet Alok Chandra Agrawal
Buddhadeb Nayak
Harshal Sakale
author_sort Alok Chandra Agrawal
collection DOAJ
description Introduction: Adhesive capsulitis of shoulder is a condition characterized by painful and global restriction of active and passive glenohumeral range of motion in at least two directions, most notably shoulder abduction and external rotation. Platelet-rich plasma (PRP) is an emerging treatment option and its efficacy needs to be examined. Aim: The aim of the study is to assess the efficacy of PRP injection in the treatment of adhesive capsulitis of the shoulder joint. Materials and Methods: Patients with adhesive capsulitis received a single injection of PRP (4 ml) (n = 20). All participants were also advised to perform a home-based 10 min exercise therapy after injection. The outcome was measured using Constant and Murley shoulder score. Participants were evaluated at 0, 3rd day, and 1 month. Unpaired t-test tests were used to determine significant differences. Results: PRP treatment showed increase in pain for few participants at the 3rd day, causing decreased active range of motion. However, at 1 month, PRP treatment resulted in statistically significant improvements in constant score. No major adverse effect was seen in PRP injection. Conclusion: This study demonstrates that single injection of PRP improves both in pain and all range of motion of shoulder joint.
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spelling doaj.art-12fb66340c45421484e5c5080d9e2bd82022-12-22T01:19:05ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412019-01-01111626510.4103/jotr.jotr_28_19Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injectionAlok Chandra AgrawalBuddhadeb NayakHarshal SakaleIntroduction: Adhesive capsulitis of shoulder is a condition characterized by painful and global restriction of active and passive glenohumeral range of motion in at least two directions, most notably shoulder abduction and external rotation. Platelet-rich plasma (PRP) is an emerging treatment option and its efficacy needs to be examined. Aim: The aim of the study is to assess the efficacy of PRP injection in the treatment of adhesive capsulitis of the shoulder joint. Materials and Methods: Patients with adhesive capsulitis received a single injection of PRP (4 ml) (n = 20). All participants were also advised to perform a home-based 10 min exercise therapy after injection. The outcome was measured using Constant and Murley shoulder score. Participants were evaluated at 0, 3rd day, and 1 month. Unpaired t-test tests were used to determine significant differences. Results: PRP treatment showed increase in pain for few participants at the 3rd day, causing decreased active range of motion. However, at 1 month, PRP treatment resulted in statistically significant improvements in constant score. No major adverse effect was seen in PRP injection. Conclusion: This study demonstrates that single injection of PRP improves both in pain and all range of motion of shoulder joint.http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=62;epage=65;aulast=Agrawaladhesive capsulitisconstant scoreplatelet-rich plasma
spellingShingle Alok Chandra Agrawal
Buddhadeb Nayak
Harshal Sakale
Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection
Journal of Orthopedics, Traumatology and Rehabilitation
adhesive capsulitis
constant score
platelet-rich plasma
title Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection
title_full Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection
title_fullStr Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection
title_full_unstemmed Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection
title_short Management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection
title_sort management of adhesive capsulitis of shoulder joint by single platelet rich plasma injection
topic adhesive capsulitis
constant score
platelet-rich plasma
url http://www.jotr.in/article.asp?issn=0975-7341;year=2019;volume=11;issue=1;spage=62;epage=65;aulast=Agrawal
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AT harshalsakale managementofadhesivecapsulitisofshoulderjointbysingleplateletrichplasmainjection