Comparison of sono-guided capsular distension with fluoroscopically capsular distension in adhesive capsulitis of shoulder
- Authors
- Park, K.D.; Nam, H.S.; Kim, T.K.; Kang, S.H.; Lim, M.H.; Park, Y.
- Issue Date
- 2012
- Keywords
- Adhesive capsulitis; Capsular distension; Fluoroscopically; Sono-guided
- Citation
- Annals of Rehabilitation Medicine, v.36, no.1, pp.88 - 97
- Journal Title
- Annals of Rehabilitation Medicine
- Volume
- 36
- Number
- 1
- Start Page
- 88
- End Page
- 97
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/17431
- DOI
- 10.5535/arm.2012.36.1.88
- ISSN
- 2234-0645
- Abstract
- Objective: To investigate the short-term effects and advantages of sono-guided capsular distension, compared with fluoroscopically guided capsular distension in adhesive capsulitis of shoulder. Method: In this prospective, randomized, and controlled trial, 23 patients (group A) were given an intra-articular injection of a mixture of 0.5% lidocaine (9 ml), contrast dye (10 ml), and triamcinolone (20 mg); they received the injection once every 2 weeks, for a total of 6 weeks, under sono-guidance. Twenty-five patients (group B) were treated similarly, under fluoroscopic guidance. Instructions for the self-exercise program were given to all subjects, without physiotherapy and medication. Effects were then assessed using a visual numeric scale (VNS), and the shoulder pain and disability index (SPADI), as well as a range of shoulder motion examinations which took place at the beginning of the study and 2 and 6 weeks after the last injection. Incremental cost-effective ratio (ICER), effectiveness, preference, and procedure duration were evaluated 6 weeks post-injection. Results: The VNS, SPADI, and shoulder motion range improved 2 weeks after the last injection and continued to improve until 6 weeks, in both groups. However, no statistical differences in changes of VNS, SPADI, ROM, and effectiveness were found between these groups. Patients preferred sono-guided capsular distension to fluoroscopically guided capsular distension due to differences in radiation hazards and positional convenience. Procedure time was shorter for sono-guided capsular distension than for fluoroscopically guided capsular distension. Conclusion: Sono-guided capsular distension has comparable effects with fluoroscopically guided capsular distension for treatment of adhesive capsulitis of the shoulder. Sono-guided capsular distension can be substituted for fluoroscopic capsular distension and can be advantageous from the viewpoint of radiation hazard mitigation, time, cost-effectiveness and convenience. © 2012 by Korean Academy of Rehabilitation Medicine.
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