Document Detail

Effects of repeated distension arthrographies combined with a home exercise program among adults with idiopathic adhesive capsulitis of the shoulder.
MedLine Citation:
PMID:  15213478     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to measure the effect of repeated distension arthrographies combined with a home exercise program on impairments and disability of the upper limb in subjects with adhesive capsulitis of the shoulder. DESIGN: A total of 15 subjects with idiopathic adhesive capsulitis participated in the study. Intervention consisted of three distension arthrographies with steroid, done at 3-wk intervals, and a home exercise program. The repeated-measures design included five clinical evaluations with disability, pain, range of motion, and pain-free static strength outcomes. Two evaluations done before the first arthrography verified the stability of the condition. RESULTS: There was a significant improvement of all outcomes at the end of intervention. The greatest effects occurred after the first distension arthrography. After the second, less marked, albeit significant, changes were observed in three motions of the shoulder and in the pain level. After the third distension arthrography, very small changes were noted. A comparison between sides revealed incomplete recovery of the range of motion on the affected side. CONCLUSIONS: These findings showed that two distension arthrographies with steroid combined with a home exercise program reduce shoulder disability and impairments. Adding a third distension arthrography does not seem to provide any further benefit.
France Piotte; Denis Gravel; Hélène Moffet; Evelyne Fliszar; André Roy; Sylvie Nadeau; Danielle Bédard; Guylaine Roy
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  83     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-06-23     Completed Date:  2004-07-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  537-46; quiz 547-9     Citation Subset:  AIM; IM    
Ecole de réadaptation, Faculté de Médecine, Université de Montréal and Centre interdisciplinaire de recherche en réadaptation du Montréal métropolitain, Montréal, Québec, Canada.
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MeSH Terms
Bursitis / radiography*,  therapy*
Combined Modality Therapy
Disability Evaluation
Exercise Therapy*
Manipulation, Orthopedic*
Middle Aged
Pain Measurement
Pilot Projects
Range of Motion, Articular / physiology
Shoulder Joint / physiopathology*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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