Bibliographies: 'Adhesive capsulitis' – Grafiati (2024)

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Thesis (M.A.)--Boston University
Objective: The objective of this thesis was to assess outcomes of glenohumeral corticosteroid injections for adhesive capsulitis.Design: The thesis was composed of two parts. First, a systematic literature review was conducted on glenohumeral corticosteroid injections on shoulder outcomes for adhesive capsulitis. Second, an original prospective study was conducted to measure the effect of ultrasound-guided injections on pain and function for adhesive capsulitis patients.Setting: All injections for the prospective injection study were conducted at Brigham and Women’s Hospital in Boston, MA.Patients: Inclusion criteria were patients receiving an ultrasound guided injection for adhesive capsulitis. 67 patients were included, 59 patients were available at first follow up, and 40 patients were available at final follow up.Methods: The literature review was conducted using the online databases PubMed (1966-present), Embase (1947-present), Web of Science (1900–present), and the Cochrane Central Register of Controlled Trials. Study criteria were limited to clinical trials that evaluated the application of corticosteroid injections, both alone and in combination with other treatment modalities, specifically for the condition of adhesive capsulitis in the shoulder. Studies involving non-corticosteroid injections or injections for conditions not specific to adhesive capsulitis were excluded. Results were limited to papers in the English language. A data table summarizing pain, function, and range of motion outcomes of each treatment was produced. A percent change from baseline was calculated to facilitate comparisons. For the injection study, the first follow-up took place after an average of 2.0 months and patients' improvement in pain and range of motion were assessed. During a final follow-up after an average of 10.4 months, patients’ pain and shoulder function scores were assessed over telephone. [TRUNCATED]

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Darbo tikslas: įvertinti kineziterapijos procedūrų eiliškumo įtaką peties sąnario funkcijoms po artroskopinės sąauginio kapsulito operacijos.Darbo uždaviniai yra šie:1.Įvertinti kineziterapijos įtaką pacientų po peties sąauginio kapsulito artroskopinės operacijos peties sąnario paslankumui ir jėgai priklausomai nuo kineziterapijos procedūrų eiliškumo.2.Įvertinti kineziterapijos įtaką pacientų po peties sąauginio kapsulito artroskopinės operacijos skausmo intensyvumui ir savarankiškumui kasdieniniame gyvenime priklausomai nuo kineziterapijos procedūrų eiliškumo.3.Paruošti rekomendacijas individualios kineziterapijos programos tobulinimui pacientams po peties sąauginio kapsulito artroskopinės operacijos. Hipotezė: ligonių po peties sąauginio kapsulito artroskopinės operacijos peties sąnario paslankumo, jėgos, skausmo ir savarankiškumo kasdieniniame gyvenime pokyčiai yra didesni kineziterapijos procedūras vykdant tokia seka: kineziterapija sausumoje atliekama po kineziterapijos vandenyje.Tyrimo metodika. Tyrimo kontingentą sudarė 36 tiriamieji, kurie buvo reabilituojami Palangos reabilitacijos ligoninėje 2005-2007 metais, po artroskopinės peties sąauginio kapsulito operacijos. Visiems pacientams taikyta ta pati reabilitacijos ir kineziterapijos programa, tik skyrėsi kineziterapijos procedūrų eiliškumas. Tiriamieji buvo suskirstyti į dvi grupes po 18 žmonių: I grupė – tiriamoji, kuriai kineziterapija sausumoje atliekama po kineziterapijos vandenyje, II grupė –... [toliau žr. visą tekstą]
The aim of this work: to evaluate the influence of the order of priority in physiotherapy procedures on treating adhesive shoulder function after arthroscopical release.The goals of this work are:1.To estimate efficiency of physical therapy impact of shoulder mobility and strength subject to succession after arthroscopic operation of capsule adhesion;2.To estimate of physical therapy impact of shoulder pain intensity and self-independence in daily life subject to succession after arthroscopic operation of capsule adhesion; 3.To prepare recommendation for individual physical therapy to accomplish program subject to succession after arthroscopic operation of capsule adhesion.Hypothesis: Shoulder mobility, strength, pain and self-independence alteration depends on physical therapy subject to succession after arthroscopic operation of shoulder capsule adhesion. Methodology of investigation: contingent of investigation consist of 36 patients after arthroscopic operation of shoulder capsule adhesion in Palanga rehabilitation hospital in 2005-2007. Each patient had the rehabilitation and physical therapy program. All investigative groups were divided in to groups of 18 patients. The first investigative group had overland physical therapy after physical therapy in swimming pool and the second control group had physical therapy in swimming pool after overland physical therapy. Analyzes of statistics was made with “SPSS” program and MS Excel.Conclusion. Established... [to full text]

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Introduction: The simultaneous assessment of quality of life and functional capacity from the patient's self perception with adhesive capsulitis may contribute to the improvement of health care of this population. Objectives: To describe the techniques and clinical indications of suprascapular nerve block, as well as their complications, based on literature data; to assess the quality of life and functional capacity of patients with adhesive capsulitis at the beginning and end of treatment with blocks and to analyze the factors associated with satisfactory quality of life and better functional capacity. Methods: Prospective clinical study in adults and elderly patients with adhesive capsulitis submitted to weekly treatment with suprascapular nerve blocks, users of a private orthopaedic hospital, located in the city of Goiânia-GO, in the period of august 2010 to february 2012. Quality of life was assessed by the WHOQOL-BREF and functional capacity by DASH at the beginning and end of treatment. The Constant score greater than or equal to 55 points was used for the end of the blocks and the Wilcoxon test to compare the initials and finals scores of the WHOQOL-BREF and DASH. Multiple regression analysis of Poisson was carried out using satisfactory quality of life and better functional capacity as outcomes. Significance level of 5%. Results: Forty-three patients with a mean age of 54,7 years were evaluated. Better scores of quality of life and functional capacity were obtained at the end of treatment, when compared to the initials scores. Patients with age greater than 50 years old were associated with higher scores of quality of life in the physical and psychological WHOQOL-BREF domains and those with better educational level in the physical and environmental domains. Age greater than 50 years old and higher schooling were also associated with better functional capacity of the affected shoulder. Conclusions: There are several techniques and clinical indications for the performance of the suprascapular nerve block. Although rare, complications may occur. Quality of life and shoulder functional capacity of patientswith adhesive capsulitis improved at the end of the treatment with suprascapular nerve blocks, being influenced by the higher age and better educational level.
Introdução: A avaliação simultânea da qualidade de vida e da capacidade funcional, a partir da percepção dos próprios pacientes portadores de capsulite adesiva, pode contribuir para a melhoria da atenção à saúde dessa população. Objetivos: Descrever as técnicas e indicações clínicas do bloqueio do nervo supraescapular, bem como suas complicações, a partir de dados da literatura; avaliar a qualidade de vida e a capacidade funcional de pacientes com capsulite adesiva no início e no final do tratamento com bloqueios e analisar os fatores associados à qualidade de vida satisfatória e à melhor capacidade funcional. Métodos: Estudo clínico prospectivo em pacientes adultos e idosos com capsulite adesiva submetidos a tratamento semanal com bloqueios do nervo supraescapular, usuários de um hospital ortopédico privado, localizado na cidade de Goiânia-GO, no período de agosto de 2010 a fevereiro de 2012. A qualidade de vida foi avaliada pelo WHOQOL-BREF e a capacidade funcional pelo DASH, tanto no início quanto no final do tratamento. O escore de Constant maior ou igual a 55 pontos foi utilizado para o término dos bloqueios e o teste de Wilcoxon para comparar os escores iniciais e finais do WHOQOL-BREF e DASH. Foi realizada análise de regressão multivariada de Poisson, utilizando como desfechos a qualidade de vida satisfatória e a melhor capacidade funcional. Nível de significância de 5%. Resultados: Foram avaliados 43 pacientes, com idade média de 54,7 anos. Foram obtidos melhores escores de qualidade de vida e capacidade funcional no final do tratamento, quando comparados aos escores iniciais. Pacientes com idade maior que 50 anos foram associados a escores mais elevados de qualidade de vida nos domínios físico e psicológico do WHOQOL-BREF e aqueles com melhor nível educacional nos domínios físico e ambiental. Idade maior que 50 anos e maior escolaridade também foram associados à melhor capacidade funcional do ombro acometido. Conclusões: Existem diversas técnicas e indicações clínicas para a realização do bloqueio donervo supraescapular. Apesar de raras, complicações podem ocorrer. A qualidade de vida e a capacidade funcional do ombro dos pacientes com capsulite adesiva melhoraram no final do tratamento com bloqueios do nervo supraescapular, sendo influenciadas pela maior idade e melhor nível educacional.

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The aim of this thesis was to study different aspects of the soft tissues of the shoulder joint. The variation in the quality of the tendons and ligaments can be explained by genetic factors. To test the hypothesis that collagen 1 α1 Sp1 polymorphism is related to the occurrence of cruciate ligament ruptures and shoulder dislocations, a total of 358 patients (233 patients with cruciate ligament ruptures and 126 with shoulder dislocations) were included in the study. We found a decreased risk of these injuries associated with collagen type 1 α1 Sp1 polymorphism. To study the mechanical properties of a better type of fixation of soft tissue to bone, 10 skeletally mature New Zealand white rabbits were operated bilaterally on the knees. The medial collateral ligaments were fixed by two types of plates one with a flat undersurface and the other with a pegged undersurface. After 4 weeks the force at failure, stiffness and energy uptake was almost double in the knees operated with the pegged plates. The prevalence and dysfunction of rotator cuff tears was investigated in 106 subjects who had never sought for their shoulder complaints, using Constant score, ultrasound and plain x-ray. The prevalence of full-thickness cuff tears was 30% (21% of all shoulders). The Constant score was lower in subjects with full-thickness tears. Partial-thickness tears and acromioclavicular joint osteoarthritis had no impact on shoulder complaints or Constant score. The subacromial index was lower for shoulders with full-thickness tears. Forty-eight patients with median age 56 years underwent subacromial decompression with or without acromioclavicular joint resection, investigated with MRI pre- and 3 months postoperatively. The Constant score and subjective shoulder value were measured preoperatively and at 3 and 6 months after surgery and even 2 years for subjective shoulder value. Two raters investigated the MRI. The results showed poor inter-rater reliability for MRI. However, both Constant score and subjective shoulder value improved over time. MRI is not a reliable method to study the capsular reaction after subacromial decompression due to high subjectivity of the radiologists.

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Objetivo: Describir las características clínico-epidemiológicas y su manejo rehabilitador de los pacientes con capsulitis adhesiva atendidos en el Instituto Nacional de Rehabilitación en el periodo comprendido del 2008- 2012.Material y método: Se realizó un estudio descriptivo, de corte transversal en 155 pacientes atendidos con el diagnóstico de capsulitis adhesiva, en el Departamento de Investigación, Docencia y Rehabilitación Integral de la Unidad Motora y de Dolor en el Instituto Nacional de Rehabilitación en el periodo comprendido del 2008- 2012.Resultados: Hay un predominio por el sexo femenino (71.3%), una edad promedio 55.61 años, un tiempo de enfermedad 6.01 meses, el tipo de capsulitis mas frecuente es la primaria (89.6%);la secundaria relacionada con diabetes mellitus; encontramos una intensidad del dolor promedio EVA de 6.28 y los rangos articulares más afectados son la rotación interna y externa; la Kinesioterapia(93%) es el más indicado, seguido del ultrasonido, el laser, lo que está en relación con la intensidad del dolor además de existir una diferencia significativa con la U de Mann Whitney, al igual que para el ultrasonido, electroterapia, bloqueo para vertebral e infiltración.Conclusiones: Es más frecuente en el sexo femenino entre los 38 a 70 años y probablemente la elección del tipo de tratamiento Rehabilitador es elegido e influenciado por la intensidad del dolor percibido por los pacientes, además en nuestro estudio la diabetes mellitus está relacionada con la presencia de capsulitis adhesiva y actividades repetitivas.
Trabajo académico

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Research Doctorate - Doctor of Philosophy (PhD)
Adhesive capsulitis is a shoulder disorder commonly encountered in musculoskeletal practice. It is recognised as consisting of three stages, and is characterized initially by pain followed by a gradual loss of active and passive ranges of movement. In its early stage, confusion with other shoulder disorders with the potential to cause pain and limited range of movement is common and may result in inappropriate or untimely treatment. Musculoskeletal medicine relies on clinical findings together with medical imaging to inform the diagnosis of many disorders. These findings may be useful in contributing to a diagnosis as well excluding other potential diagnoses. The overall aim of this thesis was to identify and investigate the clinical identifiers or diagnostic criteria that may facilitate recognition of the early stage of adhesive capsulitis. Four research studies and one literature review were undertaken to meet this aim. A correspondence-based Delphi study was initially undertaken to investigate whether consensus could be achieved among a group of experts on the diagnostic criteria/clinical identifiers that are associated with the early stage of adhesive capsulitis. This study established eight identifiers that clustered into two discrete domains of pain and movement. Secondly, a review of the diagnostic imaging literature was undertaken to determine the current and future contribution that this modality may make to the clinical diagnosis of adhesive capsulitis. As Doppler ultrasonography was identified as having potential to contribute to the early diagnosis of adhesive capsulitis, it was explored in a second study. This study demonstrated that it may be possible to visualise an area of increased vascularity in the rotator interval area of the shoulder in patients clinically diagnosed with early stage adhesive capsulitis. A third study aimed to evaluate patients diagnosed with early stage adhesive capsulitis to determine the existence of any pattern of movement loss and associated pain that may facilitate early recognition. The limiting factor to movement was also analysed. Although pain is reportedly a characteristic in the early stage, the results of this study suggested it may be less useful than percentage loss of active range of movement in identifying patients with primary/idiopathic adhesive capsulitis. Interestingly overall, external rotation in abduction emerged as the most painful active and passive movement and the movement most frequently limited by pain rather than resistance, which may provide valuable information to both the clinician and researcher. The aim of final study was to validate the clinical identifiers established in the earlier Delphi study. This study, unexpectedly suggested the identifiers from the earlier study may not be true predictors of early stage adhesive capsulitis. The study findings presented in this thesis provide a number of features that may facilitate identification of early stage adhesive capsulitis, as well as enable future researchers to determine more homogeneous samples. Importantly, the overall results of the studies challenge the commonly recognised clinical identifiers or diagnostic criteria for adhesive capsulitis and suggest they may not be able to adequately diagnose this disorder in its early stage. The findings also highlight the difficulty of rigorously investigating this stage of the disorder. Future directions for research and implications for clinical practice are discussed in relation to the findings of the studies in this thesis.

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Ultrasound-guided nerve blockade for chronic pain offers advantages over blind landmark-based and fluoroscopic techniques. It allows visualization of soft-tissue structures and spread of the injectate while limiting ionizing radiation exposure. Interventionalists must have both a clear understanding of the anatomy that is being visualized on the ultrasound image and the ability to safely place a needle to the desired target site. Neural blockade of the suprascapular nerve can be useful in the management of chronic shoulder pain such as adhesive capsulitis, frozen shoulder, rotator cuff tear, and glenohumeral arthritis. Intercostal nerve blocks can be helpful for painful conditions that affect the thorax or upper abdomen. The lateral femoral cutaneous nerve local anesthetic block may provide analgesia for procedures involving the region, such as skin harvesting. The pudendal nerve block may be useful for diagnostic or therapeutic purposes in certain cases of chronic pelvic pain involving pudendal neuralgia.

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Objetivo: Comparar la aplicación de técnicas de Terapia Manual con el tratamiento de Fisioterapia convencional en usuarios con Capsulitis Adhesiva de hombro de la Clínica MEDIAL para definir cuál es el tratamiento más efectivo en la disminución del dolor y el aumento del rango de movimiento. Sujetos: La población del estudio constó de 20 usuarios con una edad promedio de 56 años con Capsulitis Adhesiva de hombro que acudieron al área de rehabilitación de la Clínica MEDIAL Riobamba- Ecuador en el segundo semestre del año 2018. Métodos: Para el presente trabajo de investigación se realizaron dos protocolos de tratamiento, el primero a quien se denominará “grupo experimental” consistió en la aplicación de compresa química caliente, técnicas de deslizamiento superior/inferior, anterior/posterior de la articulación glenohumeral y masaje de fricción profunda Cyriax, siendo necesario prescribir ejercicios en casa. El segundo, grupo control se le aplicó compresa química caliente, ultrasonido ejercicios de Codman y de igual manera ejercicios en casa. Al inicio y al final de la aplicación del tratamiento se evaluó el dolor con la escala visual análoga a todos los movimientos de hombro según el patrón capsular y además se cuantificó el rango articular con un goniómetro digital. Resultados: Se realizaron tablas de comparación de la evaluación del dolor según la escala EVA de los movimientos de abducción, rotación interna, rotación externa y flexión evaluados a los usuarios del Grupo Control y Grupo Experimental antes y después del tratamiento tomando los valores de dolor máximo, donde se evidenció que en ambos grupos disminuye en promedio un valor de 2 puntos que equivale a un 25% de reducción del dolor, demostrando así que con los dos protocolos de tratamiento se logró disminuir el dolor equitativamente. En el rango de movimiento se evidenció una mejora significativa del grupo experimental sobre el grupo control donde se alcanzó un promedio de diferencia de 7 puntos en el Grupo Experimental que equivale al 15.25% y de 4 puntos en el Grupo Control que es el 8.03%. Evidenciando que el protocolo que incluía las técnicas de deslizamiento anterior, inferior y posterior de la cabeza humeral son más efectivas sobre la fisioterapia convencional en el tratamiento de Capsulitis Adhesiva Conclusiones: Se propuso la aplicación de dos protocolos de tratamiento, fisioterapia convencional y técnicas de deslizamiento de Terapia Manual, y se evaluaron variables como dolor y rango de movimiento antes y después del tratamiento para evidenciar la mejora de los usuarios, obteniendo que el dolor en ambos grupos se redujo en un 25%, y el rango de movimiento mejoro en un 15% para el grupo experimental y 8% para el grupo control, aportamos además para el trabajo de investigación que el tratamiento con Terapia Manual para los usuarios con Capsulitis Adhesiva significó que durante cada sesión sientan mejoría y alivio del dolor al realizar los movimientos del hombro mejorando las actividades de la vida diaria.

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This study aims to lineate the efficacy of the two treatment regimens (Group A: Codman’s Exercise with Therapeutic Ultrasound and Group B: Codman’s Exercise alone). The study had a Pre & Post experimental design. Each of the subjects were divided into two groups with two distinct interventions. After the treatment the VAS score in ultrasound and Codman’s exercise group was 5.86 and 1.18 respectively and in only Codman’s exercise group was 5 and 1.13 respectively. In context to SPADI score the mean and standard deviation after the treatment in ultrasound and Codman’s exercise group was 62.70 and 5.28 respectively and in only Codman’s exercise group was 56.01 and 4.75 respectively. Overall results show that, there is significant improvement in pain, disability and Movement (VAS, SPADI and ROM respectively) in both the treatment groups. However, as compared between two groups: Group A is supposed to have significant outcomes as compared to the Group B. In conclusion to the findings, Ultrasound with Codman’s exercise is expected to ameliorate pain and increase function if incorporated in the treatment regime of the cases with Adhesive Capsulitis.

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Review question / Objective: Which steroid injection approach is more effective, anterior or posterior, for adhesive capsulitis? The purpose of this review will be to compare the efficacy of anterior versus posterior steroid injection approach in adhesive capsulitis. Condition being studied: Adhesive capsulitis, or frozen shoulder, is a painful restriction of the glenohumeral joint, thought to be caused by inflammation of the synovial lining capsule and contracture of the glenohumeral joint. It is characterized by progressive shoulder pain with gradual loss of both passive and active range of motion. It is one of the most common musculoskeletal disorders treated by orthopedic surgeons with a prevalence of 25% in the general population, and risk factors include trauma, diabetes, stroke, and prolonged immobilization.

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Review question / Objective: Shoulder pain is a common musculoskeletal disorder prompting many patients to seek treatment. Thermotherapy is a common treatment for shoulder which has been widely used in hospitals. But its efficiency has not been scientifically and methodically evaluated. This protocol aims to evaluate the efficacy and safety of Thermotherapy for treating shoulder pain. Information sources: Eight databases will be searched from their inception to October 2021. They are as follows: PubMed, Embase, Cochrane Library, ClinicalTrials.gov, China Knowledge Resource Integrated Database (CNKI), Weipu Database for Chinese Technical Periodicals (VIP), Chinese Biomedical Literature Database (CBM), and Wanfang Database. There will be no limitation to study publication status or language. The search terms include shoulder impingement syndrome, rotator cuff, bursitis, adhesive capsulitis, frozen shoulder, shoulder pain, thermotherapy, diathermy, heat therapy, Moxibustion, and RCTs. The equivalent search words will be used in the Chinese databases.