Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome
Objective: To compare the outcome between manipulation under anaesthesia with intra-articular steroid injection in patients with shoulder adhesive capsulitis. Study Design: Retrospective longitudinal study Place and Duration of Study: Ziauddin Hospital, Karachi Pakistan, from Sep 2019 to Feb...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-08-01
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| Series: | Pakistan Armed Forces Medical Journal |
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| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/7290 |
| _version_ | 1797690174890573824 |
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| author | Naseem Munshi Muhammad Khalid Sobia Aziz Khadijah Abid |
| author_facet | Naseem Munshi Muhammad Khalid Sobia Aziz Khadijah Abid |
| author_sort | Naseem Munshi |
| collection | DOAJ |
| description |
Objective: To compare the outcome between manipulation under anaesthesia with intra-articular steroid injection in patients with shoulder adhesive capsulitis.
Study Design: Retrospective longitudinal study
Place and Duration of Study: Ziauddin Hospital, Karachi Pakistan, from Sep 2019 to Feb 2020.
Methodology: A total of 70 patients diagnosed with primary ACS were distributed into two groups, i.e., Group-M (35 in manipulation under anaesthesia only) and Group-MI (35 in manipulation under anaesthesia with an intra-articular steroid injection). All patients were assessed for shoulder pain and disability index along with the pain severity on the visual analogue scale at each subsequent visit on the first week, 1st, third and sixth months after the intervention.
Results: The results indicated a significant time effect (p=0.001) in both groups. The mean shoulder pain, disability index and pain on the visual analogue scale were lesser in the MI-Group than in the M-Group. Further, we found a statistically significant difference in mean shoulder pain (p=0.001) and disability index (p=0.016) between groups at six months.
Conclusion: In the initial post-procedure period and over six months of follow-up, MI showed improved outcomes than M. These patients require additional counselling and motivation for long-term physical therapy programs even after intervention for optimal results.
Keywords: Adhesive capsulitis of the shoulder, Intra-articular steroid injection, Manipulation under anaesthesia
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| first_indexed | 2024-03-12T01:55:47Z |
| format | Article |
| id | doaj.art-f9e461795b4b4e41a058fdd81bb14d90 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-12T01:55:47Z |
| publishDate | 2023-08-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-f9e461795b4b4e41a058fdd81bb14d902023-09-08T06:00:15ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-08-0173410.51253/pafmj.v73i4.7290Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional OutcomeNaseem Munshi0Muhammad Khalid1Sobia Aziz2Khadijah Abid3Department of Orthopedics, Ziauddin Medical University, Karachi PakistanDepartment of Orthopedics, National Medical Centre, Karachi PakistanDepartment of Orthopedics, Dr. Ziauddin Hospital, Karachi PakistanDepartment of Public Health, Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Karachi, Pakistan Objective: To compare the outcome between manipulation under anaesthesia with intra-articular steroid injection in patients with shoulder adhesive capsulitis. Study Design: Retrospective longitudinal study Place and Duration of Study: Ziauddin Hospital, Karachi Pakistan, from Sep 2019 to Feb 2020. Methodology: A total of 70 patients diagnosed with primary ACS were distributed into two groups, i.e., Group-M (35 in manipulation under anaesthesia only) and Group-MI (35 in manipulation under anaesthesia with an intra-articular steroid injection). All patients were assessed for shoulder pain and disability index along with the pain severity on the visual analogue scale at each subsequent visit on the first week, 1st, third and sixth months after the intervention. Results: The results indicated a significant time effect (p=0.001) in both groups. The mean shoulder pain, disability index and pain on the visual analogue scale were lesser in the MI-Group than in the M-Group. Further, we found a statistically significant difference in mean shoulder pain (p=0.001) and disability index (p=0.016) between groups at six months. Conclusion: In the initial post-procedure period and over six months of follow-up, MI showed improved outcomes than M. These patients require additional counselling and motivation for long-term physical therapy programs even after intervention for optimal results. Keywords: Adhesive capsulitis of the shoulder, Intra-articular steroid injection, Manipulation under anaesthesia https://www.pafmj.org/index.php/PAFMJ/article/view/7290Adhesive capsulitis of the shoulderIntra-articular steroid injectionManipulation under anaesthesia |
| spellingShingle | Naseem Munshi Muhammad Khalid Sobia Aziz Khadijah Abid Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome Pakistan Armed Forces Medical Journal Adhesive capsulitis of the shoulder Intra-articular steroid injection Manipulation under anaesthesia |
| title | Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome |
| title_full | Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome |
| title_fullStr | Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome |
| title_full_unstemmed | Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome |
| title_short | Manipulation Under Anesthesia with Intra-Articular Steroid Injection versus Manipulation under Anesthesia in Idiopathic Adhesive Capsulitis of the Shoulder in terms of Functional Outcome |
| title_sort | manipulation under anesthesia with intra articular steroid injection versus manipulation under anesthesia in idiopathic adhesive capsulitis of the shoulder in terms of functional outcome |
| topic | Adhesive capsulitis of the shoulder Intra-articular steroid injection Manipulation under anaesthesia |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/7290 |
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