Effectiveness of corticosteroid injection in adhesive capsulitis
Effectiveness of corticosteroid injection in adhesive capsulitis
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DOI：
10.1177/0269215508086179
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发表时间：
2008-06-01
影响因子：
3
通讯作者：
Cakci, Aytul
中科院分区：
文献类型：
--
作者：
Bal, Ajda;Eksioglu, Emel;Cakci, Aytul
目的：评估关节内注射皮质类固醇是否可以改善粘连性关节囊炎患者综合家庭锻炼计划的结果。地点：该研究在土耳其卫生部医院的物理治疗和康复科进行。受试者：80 名粘连性关节囊炎患者纳入研究。干预措施：将患者随机分为两组：第 1 组患者接受关节内注射皮质类固醇（1 mL，40 mg 醋酸甲泼尼龙），然后给予通过为期 12 周的综合家庭锻炼计划。第 2 组患者接受关节内血清生理检查（1 mL 0.9% 氯化钠溶液），然后进行为期 12 周的综合家庭锻炼计划。主要指标：结果参数为肩部疼痛和残疾指数以及加州大学洛杉矶分校最终结果评分、夜间疼痛和肩部被动活动范围。结果：外展活动范围的平均实际变化、肩部疼痛和残疾指数总分以及肩[lain 和残疾指数-疼痛评分]第2周时两组之间存在统计学差异，其中第1组得分较好。但第12周时各组之间没有显着差异。加州大学洛杉矶分校第二周成绩中位数两组差异显着（P=0.02），其中第1组成绩较好；然而，第 12 周评分的差异并不显着。结论：关节内注射皮质类固醇具有快速缓解疼痛的附加效果，主要是在运动治疗期的第一周。对于以疼痛症状为主的粘连性关节囊炎患者，可以建议在运动的同时进行关节内皮质类固醇治疗。
Objective: To assess whether intraarticular corticosteroids improve the outcome of a comprehensive home exercise programme in patients with adhesive capsulitis.Setting: The study was undertaken in the Physical Therapy and Rehabilitation Department of a Ministry of Health hospital in Turkey.Subjects: Eighty patients with adhesive capsulitis were enrolled in the study.Interventions: The patients were randomly assigned to two groups: Group 1 patients were given intraarticular corticosteroid (1 mL, 40 mg methylprednisolone acetate) followed by a 12-week comprehensive home exercise programme. Group 2 patients were given intraarticular serum physiologic (1 mL solution of 0.9% sodium chloride) followed by a 12-week comprehensive home exercise programme.Main measures: The outcome parameters were Shoulder Pain and Disability Index and University of California-Los Angeles end-result scores, night pain and shoulder passive range of motion.Results: Mean actual changes in abduction range of motion, Shoulder Pain and Disability Index-total score and Shoulder [lain and Disability Index-pain score were statistically different between the two groups at the second week, with the better scores determined in group 1. However, there were no significant differences between the groups at the 12th week. Medians of University of California-Los Angeles scores in the second week were significantly different between the two groups (P= 0.02), with better scores in group 1; however, the difference in 12th week scores was insignificant.Conclusions: Intraarticular corticosteroids have the additive effect of providing rapid pain relief, mainly in the first weeks of the exercise treatment period. In patients with adhesive capsulitis who have pain symptom predominantly, intraarticular corticosteroid therapy could be advised concomitantly with exercise.