What Factors Area Associated With Prognosis After Steroid Hydrodilatation for Adhesive Capsulitis

Taipei Veterans General Hospital, Taiwan100 enrolled

Overview

To investigate the factors associated with improvement after intraarticular steroid injection for patients with Frozen shoulder

Objective: To investigate the factors associated with improvement after intraarticular steroid injection for patients with Frozen shoulder Design: Prospective study. Participants: Patients with Frozen shoulder were recorded the demographic data, associated disease, ultrasound findings at baselines. Intervention: One shot intraarticular steroid hydrodilatation Main Outcome Measures: Visual analog scale (VAS) of the shoulder pain, Constant score, SPADI score, and angles of active and passive shoulder range of motion (flexion, abduction, external rotation, and internal rotation) at pre-treatment, post-treatment at week 8

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

100

Conditions

Adhesive Capsulitis

Interventions

Steroid (shincort)DRUG

intraarticular shincort 40mg / 4ml mixed with 2% xylocaine and Normal saline

Eligibility

Sex: ALLMin age: 35 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of frozen shoulder by physical examination and ultrasonography Exclusion Criteria: 1. other conditions involving the shoulder ( rheumatoid arthritis, Hill-Sachs lesions,osteoporosis, or malignancies in the shoulder region); 2. neurologic deficits affecting shoulder function in normal daily activities; 3. shoulder pain caused by cervical radiculopathy 4. a history of drug allergy to xylocaine 5. pregnancy or lactation; 6. received injection into the affected shoulder during the preceding 3 months

Locations (1)

Taipei Veterans General Hospital

Taipei, Taiwan

RECRUITING

Outcomes

Primary Outcomes

The change of constant shoulder score between week 0 and week 8

the total constant score ranges from 0 to 100 points, with higher scores indicative of better function. The score is divided into four sections: pain, activity of daily living, ROM and strength

Time frame: 0 and 8 wks

Secondary Outcomes

pain intensity

pain intensity was measured by visual analog scale. Each patient was asked to indicate his/her current level of pain by marking a point on a 100-mm VAS, for which 0 represented no pain and 100 represented unbearable pain.

Time frame: 0 and 8 wks

Shoulder Pain And disability index

The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder.

Time frame: 0 and 8 wks

glenohumeral joint range of motion

Shoulder flexion, abduction, external rotation and internal rotation were measured with goniometer with patient in supine position

Time frame: 0 and 8 wks

Central Contacts

Jia chi c Wang, MD

CONTACT

919527693 jcwang0726@gmail.com

Data from ClinicalTrials.gov

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