Periarthritis Shoulder Research Articles

Effectiveness of Maitland Mobilizations Along with Kinesio Taping on Reducing Pain and Disability in Subjects with Periarthritis Shoulder

Background: Frozen shoulder is a condition in which insidious and progressive pain and loss of active and passive mobility are manifested in the glenohumeral joint, presumably due to capsular contracture. Diabetes mellitus patients are more affected. Various methods were effective in treating frozen shoulder. The present study was done in frozen shoulder patients to determine the additional effect of Kinesio taping and Maitland mobilization in managing frozen shoulder. Frozen shoulder tends to develop in three phases, coming on slowly. Each stage may last several months. Method: The present study included 30 subjects with frozen shoulder. The individuals were randomly divided into 2 groups. GROUP A-experimental group, which received Maitland mobilization and Kinesiotaping treatment, while GROUP B is the control group that received only Maitland mobilization. Both groups first received hot moist packs for 20 minutes and an ultrasound for 5 minutes. Exercises were advised. Subjects received 4 weeks of intervention for 3 days/week. Before and after the intervention, SPADI outcome measures were measured. Result: There was a significant difference showing improvement in the mean of shoulder pain and disability index scale SPADI before and within the groups with p<0.0001. There was a statistical difference when post-intervention means were compared between the groups. Conclusion: Maitland mobilization with Kinesiotaping reduces pain and disability in subjects with peri-arthritis shoulder. KEYWORDS: Frozen shoulder, Maitland mobilization, Kinesiotaping, Shoulder pain and disability index scale (SPADI).

Assessing Initial Functional Outcomes Following Arthroscopic Release for Stiff Shoulder in Periarthritis Shoulder

Adhesive capsulitis can manifest as either primary/idiopathic or secondary, often linked to systemic illnesses. Primary adhesive capsulitis is characterized by limited range of motion without underlying systemic or precipitating shoulder conditions and lacks intrinsic pathology. In contrast, secondary frozen shoulder is associated with identifiable intrinsic factors such as diabetes, thyroid disorders, cardiac disease, stroke, prolonged immobilization, trauma, and rotator cuff disease. Our study aims to assess the initial functional outcomes, average recovery duration, and related comorbidities in arthroscopic release for adhesive capsulitis of the shoulder.The study was carried out at the Department of Orthopedics in Saveetha Medical College and Hospital, Thandalam, spanning from June 1, 2022, to June 31, 2023. It comprised 30 patients diagnosed with adhesive capsulitis who met specific criteria. The treatment regimen consisted of Arthroscopic Release followed by intensive physiotherapy and prescribed home exercises. Follow-up appointments were scheduled at regular intervals to track progress, using assessment tools like the UCLA Score and VAS score, and all data were meticulously recorded in a standardized proforma.30 individuals who met specific criteria were diagnosed with adhesive capsulitis. Of these, 12 out of 18 participants were female, and 16 patients experienced more frequent impairments on the left side. The average age of the patients was 65 years, ranging from 57 to 78 years old. Stage 2 was the most common among the approximately 19 patients. Prior to surgery, the UCLA score had a mean of 23, ranging from 18 to 26, while the mean preoperative VAS score was 8, with a range of 7 to 9. Following surgery, significant improvements were observed in the UCLA score, ranging from 26 to 35, and the post-operative VAS score ranged between 2 and 5. In our study, arthroscopic release appears as a safe procedure with favourable postoperative results. This consequently enables early mobilization of the shoulder joint and decreases complication rates.

Challenges and Practical Considerations in Applying Virtual Reality among Tamil Geriatric Patients with Periarthritis Shoulder – A Qualitative Study

Challenges and Practical Considerations in Applying Virtual Reality among Tamil Geriatric Patients with Periarthritis Shoulder – A Qualitative Study

Management of Periarthritis Shoulder by Intra-Articular Steroid Injection and Shoulder Joint Manipulation

Management of Periarthritis Shoulder by Intra-Articular Steroid Injection and Shoulder Joint Manipulation

Suprascapular nerve block versus intraarticular corticosteroid in the treatment of periarthritis shoulder

Periarthritis shoulder, Frozen shoulder or adhesive capsulitis, presents as a significant clinical challenge with various therapeutic strategies being explored. This study aimed to compare the efficacy of suprascapular nerve block (SSNB) and intraarticular steroids, both adjunctive to physical therapy, in managing periarthritis shoulder. : We conducted a comparative study involving 50 patients diagnosed with frozen shoulder. Patients were segregated into two groups: one received SSNB (n=25), and the other received intraarticular steroids, followed by physical therapy in both groups.: Patients undergoing SSNB showed a significant reduction in SPADI scores over a 12-week follow-up period, with a mean reduction of 64%. This group also recorded patient satisfaction scores of 8.5 ± 1.2 on a VAS (0-10) and a quality of life score of 85 ± 10 on the SF-36 scale. In contrast, the intraarticular steroids group, while also showing improvement, lagged behind the SSNB group in these metrics.: SSNB, when combined with physical therapy, emerges as a promising therapeutic strategy for periarthritis shoulder, demonstrating superior efficacy compared to intraarticular steroids in terms of pain reduction, function enhancement, and patient satisfaction. Further extensive studies are warranted to affirm these findings.

A Prospective Study to Evaluate the Outcome of Periarthritis Shoulder Treated with Platelet Rich Plasma

A Prospective Study to Evaluate the Outcome of Periarthritis Shoulder Treated with Platelet Rich Plasma

Effect of Mulligan Techniques on Pain Reduction and Improving Functional Activity of Shoulder Among Periarthritis Shoulder Individuals

Background: The background of the study is the incidence of Movement restriction among Periarthritis subjectswhich affects the Pressure pain threshold and Functional activity of the shoulder.Purpose: To compare the effectiveness of shoulder strengthening exercises in patients with Periarthritis Shoulder.To evaluate the effect of pain and functional activity by pressure algometer and SPADI.Materials and methods: The two groups; Group-A (Mulligan Mobilisation with Movement) and Group-B(Shoulder strengthening exercises) were randomly assigned. The pre-test assesses Pressure Pain Threshold byutilising a pressure algometer and Shoulder Pain and Disability Index (SPADI) Questionnaires to assess ShoulderFunctional Activity among periarthritis shoulder in both the groups. The Group-A(MWM) has received MulliganMobilisation with Movement for a period of 4 weeks. In contrast to Group-B,which has received shoulderstrengthening exercises for periarthritis shoulder.The same tests were measured after 4 weeks of treatment aspost-test values.Results: The pretest and post test values significant difference (p<0.0001)between groups A(MWM) and B(Shoulderstrengthening exercises).The study showed that MWM has a major impact on recovery of PPT and Functionalactivity affected in Periarthritis shoulder participants.Conclusion: The Mulligan mobilisation with movement was effective on improving the Functional activity andreduction in pressure pain threshold.

Comparison of Effectiveness of Maitland Mobilization and Muscle Energy Technique in Patients with Periarthritis Shoulder Using SPADI and NPRS

Background: Periarthritis shoulder is a shoulder ailment with no recognised cause. It gradually causes theshoulder’s range of motion to be restricted. Between 2% and 3% of the general population suffer from adhesiveshoulder capsulitis, which most frequently develops between the ages of 40-65 years. The region graduallythickens, leading to shoulder stiffness and increase in pain.Purpose: To compare the effectiveness of Maitland mobilization and Muscle energy technique in patients withperiarthritis shoulder using SPADI and NPRS.Materials and Methods: Subjects were randomly allocated into two groups. Maitland mobilization group (n =33) and Muscle Energy Technique group (n = 33). The subjects were assessed using SPADI and NPRS for pre andpost-test values. The one group treated with Maitland mobilization (grade 1 and 2) were given to the patientsalong with some exercises. The other group were treated with muscle energy technique along with some exercises.These interventions were given for 4 weeks.The entire process was conducted from November 2022 to April 2023.Result: There was a significant improvement from pre-treatment levels in pain and ROM in Maitland mobilizationgroup compared to muscle energy group.Conclusion: Hence the study concludes that there is a more significant increase in ROM and SPADI score, and asignificant decrease in pain on NPRS by Maitland mobilization as compared with Muscle energy technique

Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder

Comparative Analysis of Utility and Efficacy of Ozone Therapy versus Laser Therapy in Periarthritis Shoulder

Management of periarthritis shoulder – Current concept review

Adhesive capsulitis, also referred as frozen shoulder or periarthritis shoulder, is a condition marked by shoulder pain, stiffness, and functional restriction of both active and passive shoulder motion. Management of periarthritis shoulder is challenging for orthopaedic surgeons. This article aims at exploring the various treatment modalities for periarthritis shoulder.

Efficacy of Scapular Dyskinesis Exercises on Functional Improvement for the Patients with Periarthritis Shoulder

Efficacy of Scapular Dyskinesis Exercises on Functional Improvement for the Patients with Periarthritis Shoulder

To Study the Effect of Sleeper's Stretch with Mulligan and Maitland Mobilisations on Pain, Range of Motion and Quality of Life in Subjects with Periarthritis Shoulder

To Study the Effect of Sleeper's Stretch with Mulligan and Maitland Mobilisations on Pain, Range of Motion and Quality of Life in Subjects with Periarthritis Shoulder

Impact of PNF, Active Release Technique and Conventional Physiotherapy on the physical ability of subjects with Periarthritis Shoulder

Impact of PNF, Active Release Technique and Conventional Physiotherapy on the physical ability of subjects with Periarthritis Shoulder

Current Role of Intra-Articular Injections of Platelet-Rich Plasma in Adhesive Capsulitis of Shoulder: A Systematic Review.

Adhesive capsulitis shoulder is a common problem of patients presenting with shoulder pain and disability. The approach to such patients includes a variety of modalities. This systematic review evaluates the efficacy of intra-articular injections of platelet-rich plasma (PRP) in the treatment. A literature search was performed between January 2010 and 30 May 2022. MeSH terms used were 'Platelet-rich plasma' OR 'PRP' AND 'Frozen shoulder' OR 'Adhesive capsulitis shoulder' OR 'Periarthritis shoulder'. The search included published articles in the English language involving human subjects. Studies evaluating other types of shoulder disorders, in vitro studies, review articles, animal-model studies, and pre-clinical trials were excluded. The data regarding study characteristics, efficacy, and safety outcomes were analyzed. A total of 11 studies with 347 patients over 10 years were finally included in this review. Most publications were in 2019 and 2020, mostly from India. This review included seven comparative studies, three case series, and one case report. In seven studies, a single intra-articular PRP injection was administered, whereas in the rest of the studies two or multiple injections were given. Only one study demonstrated an equivocal efficacy of PRP and steroid intra-articular injection. The rest all depicted better clinical and functional outcomes with the PRP injection. Only one study compared the outcomes of hydro-dissection treatment in adhesive capsulitis with the intra-articular PRP injection. The rest all either examined PRP alone or compared it with the steroid intra-articular injection. None of the studies showed any major side effects. The intra-articular injections of PRP in the management of adhesive capsulitis of the shoulder provide a new treatment approach. Further studies are required to ascertain the efficacy and safety of the PRP intraarticular injection as a management alternative in adhesive capsulitis.

Comparison of the Efficacy of Platelet-Rich Plasma (PRP) and Local Corticosteroid Injection in Periarthritis Shoulder: A Prospective, Randomized, Open, Blinded End-Point (PROBE) Study.

BackgroundPeriarthritis or frozen shoulder, also called adhesive capsulitis, is characterized by stiffness and pain along with gradual loss of active and passive movement in the glenohumeral joint. More than 2-5% of the population suffers from periarthritis with a higher incidence in the age group of 40-60 years. The various treatment modalities used for its management include simple physiotherapy, short-wave therapy, ultrasonic therapy, transcutaneous electrical nerve stimulation, hydrotherapy, analgesics, intra-articular injections, manipulation under general anesthesia (MUA), and surgical management. The application of intra-articular steroid injection has been a common and efficacious option in rapidly diminishing shoulder pain and disability. Some recent studies reported a better outcome using platelet-rich plasma (PRP) injections in frozen shoulder cases. Hence, this randomized controlled trial was conducted to compare the efficacy of intra-articular injections of PRP and triamcinolone in patients of shoulder periarthritis in a population from the eastern region of IndiaMethodologyA total of 60 patients with periarthritis shoulder were allocated into two groups after randomization. Group A received 2 mL autologous PRP, and Group B received 2 mL of triamcinolone (40 mg/mL) intra-articular injection. Patients were followed up on the 4th week, 12th week, and 24th week. The assessment of pain and function using the visual analog scale (VAS) score and the Disabilities of Arm, Shoulder, and Hand (DASH) score, respectively, was done at each follow-up. The primary analyses of both primary and secondary outcomes were conducted in the intention-to-treat (ITT) population. SPSS version 24 (IBM Corp., Armonk, NY, USA) was used for data analysis.ResultsThe mean VAS score in the PRP and triamcinolone groups was 14.33 ± 3.79 and 31.63 ± 7.62, respectively (p = 0.0001) after 24 weeks. The mean DASH score in the PRP and triamcinolone groups was 18.08 ± 8.08 and 31.76 ± 3.63, respectively (p = 0.0001), which shows significant improvement in both pain and disability scores in the PRP group after 24 weeks.ConclusionsThe triamcinolone group showed better short-term outcomes whereas PRP showed better long-term outcomes in reducing pain and disability scores in terms of VAS and DASH scores.

EPIDEMIOLOGICAL PROFILE OF SHOULDER PAIN PATIENTS AT A TERTIARY CARE CENTRE IN CENTRAL INDIA

Background/Aim: Shoulder pain is a common yet etiologically diversified complaint amongst patients presenting to an orthopaedic facility. In present study we describe the epidemiology and profile of shoulder pain patients. Methodology: This study was carried out over a period of three months at a tertiary care facility in Central India and included a total of 72 adult patients (>18 years) presenting with shoulder pain. Demographic profile, mode of injury, comorbidities, duration of pain, side involved, pain intensity (VAS) and Disability level (DASH) scores were noted. All the patients underwent clinical evaluation followed by radiological/MRI evaluation. Final diagnosis was based on MRI with clinical correlation. Mean age of patients was 47.88±12.56 years (range 23-69 years), majority were womenResults: (51.4%) with involvement of right side (55.6%). Mean duration of pain was 9.49±5.74 months. A total of 31 (43.1%) patients had no history of injury, Trauma (27.8%) and occupational injury (25%) were the most common modes. Diabetic history was positive in 37.5% patients. Mean pain and DASH scores were 7.36±70.88 and 54.40±14.80 respectively. Periarthritis shoulder (40.3%), rotator cuff injury (25%) and subacromial impingement (15.3%) were the most common diagnoses followed by ACJ and glenohumeral arthritis (8.3% each). There was 1 (1.4%) case each of calcific tendinitis and instable shoulder respectively. Shoulder pain patients presented with moderate to severe pain and aConclusion: high level of disability. Periarthritis shoulder and rotator cuff injury were the most common diagnoses.

Comparison Of Scapular Proprioceptive Neuromuscular Facilitation and Myofascial Release Techniques on Pain and Function in Scapular Dyskinesia Associated with Adhesive Capsulitis

Adhesive capsulitis is frequently recognized as ‘Frozen Shoulder’, which is characterized by primarily painful joint range of motions and later progressively restricted range of motion of the glenohumeral joint. Other common names used for adhesive capsulitis includes ‘Periarthritis and Painful stiff shoulder’ and ‘Shoulder arthrofibrosis’. Objective: To compare the effects of scapular proprioceptive neuromuscular facilitation and Myofascial release techniques on pain and function in scapular dyskinesia associated with adhesive capsulitis. Methods: Quasi Experimental study was conducted on 34 patients of Scapular dyskinesia associated with Adhesive Capsulitis. Subjects were allocated to either to PNF technique group and Myofascial release technique groups. Both were treated for 12 sessions in 6 weeks. NPRS and SPADI scale were used to evaluate the treatment effects at baseline, 2 weeks, 4 weeks and 6 weeks. Results: The mean age of Group A was 43.12± 5.25. The mean age of Group B was 43.0±5.95. There was a significant difference between the mean value of baseline, 2 weeks, 4 week and 6-week NPRS score and baseline, 2-week, 4 week and 6-week SPADI score with P value <0.05 in both study groups. There was more significant mean difference of 6.23 between baseline and week 6 NPRS in Group A but there was less significant mean difference of 4.00 between baseline and week 6 NPRS in Group B. There was more significant mean difference of 70.70 between baseline and week 6 SPADI in Group A but there was less significant mean difference of 46.17 between baseline and week 6 SPADI in Group B. Conclusions: The study concluded that PNF technique and Myofascial release techniques were led to significant difference in NPRS and SPADI score, but PNF technique had shown more significant results than myofascial release technique to improve pain and function in scapular dyskinesia associated with Adhesive capsulitis.

Effectiveness of Gong’s mobilization on pain and functional ability in patient with Periarthritis shoulder

Periarthritis (PA) shoulder is a self-limiting condition with unknown etiology that is characterized by painful and limited active and passive range of motion (ROM). Mobilization technique have proven effective in reducing pain and improving ROM, thereby increasing functional ability of shoulder. However, there are very few literatures available suggesting the effectiveness of gong’s mobilization in the treatment of PA shoulder, so the present study was done to find out the effectiveness of gong’s mobilization on pain and functional ability in patient with Periarthritis shoulder. Thirty subjects were chosen at random and divided into two groups. Group A (N=15) was treated with gong’s mobilization technique, ultrasound and Codman’s pendulum exercise. Group B (N=15) was treated with ultrasound and Codman’s pendulum exercise. The initial evaluation of pain intensity by NPRS, shoulder ROM by universal goniometry, and functional disability were scored using constant score. The significant improvement in NPRS (t=12.13, p=0.001) and shoulder abduction (t=11.42, p=0.001) and shoulder medial rotation (t=10.98, p=0.001) and shoulder constant score (t=10.44, p=0.001) was observed in patients with Group A. The significant improvement in NPRS (t=11.50, p=0.001) and shoulder abduction (t=16.10, p=0.001) and shoulder medial rotation (t=12.93, p=0.001) and shoulder constant score (t=8.79, p=0.001) was observed in patients with Group B. The study result concludes that in patients with periarthritis shoulder, the Gong’s mobilization technique is effective in decreasing pain, improving ROM (medial rotation and abduction), and functional disability. However, the patients who received the gong’s mobilization technique showed better improvement than the control group.

Effectiveness of Sleeper and Cross Body Stretches and Muscle Energy Techniques for Periarthritis Shoulder: Comparative Study

Background: Periarthritis of shoulder typically is referred to as the spontaneous onset of gradually progressiveshoulder pain and severe limitation of movement. Recently Sleeper stretch and Cross body stretch are used tostretch the posterior shoulder tightness to improve internal rotation range of motion and they prove effective inimproving internal rotation range of motion of shoulder joint in posterior capsular tightness.Aim & objectives of the study: To compare the effect of sleeper and cross body stretch versus muscle energytechniques in subjects with Periarthritis of shoulder.Data analysis and results: Data analysis and result of this study shows that there was statistically significantimprovement in the variable of pain in VAS and Shoulder Abduction ROM in pre post analysis of data afterthe intervention of Sleeper, cross body stretches in control group and Muscle Energy Techniques (MET) afterintervention in both groups. After intervention of treatment, the experimental group is showing statistically betterimprovement in reduction of Pain in VAS but not Shoulder Abduction ROM when compared to control group.Conclusion: It was concluded that both sleeper, cross body stretches of shoulder and Muscle Energy Techniquesfor Shoulder have statistically significant better reduction in Pain in VAS and Shoulder Abduction ROM in thetreatment of Periarthritis, whereas Muscle Energy Techniques have statistically slightly better results of painreduction and range increase in Periarthritis shoulder ROM when compared to sleeper and cross body stretchesof shoulder.

Functional outcome of intra-articular platelet-rich plasma in periarthritis shoulder

BACKGROUND: The annual incidence of periarthritis shoulder is between 3% and 5% among general population and as high as 20% among individuals with diabetes. A variety of treatment modalities have been advised but best modality of treatment is subjected to debate. Intra-articular injection of platelet-rich plasma (PRP) is an emerging treatment option and its efficacy needs to be examined and hence the study was conducted. MATERIALS AND METHODS: This prospective analytical study on 46 cases with frozen shoulder was conducted in the Department of Orthopedics, R L Jalappa Hospital, Kolar. The patients were injected intraarticularly with PRP with posterior approach. Patients were assessed at 3, 6, and 12 weeks. Outcome measures, visual analog scale (VAS) score for pain, and QuickDASH for functional ability were measured. RESULTS: Of 46 patients, 21 were men and 25 were women. Mean age of patients was 51 years. Nondominant shoulder was affected in 27 and dominant shoulder in 19 patients. Eleven patients had diabetes mellitus. Mean active abduction improved from the baseline of 65.1° to 133.04°, mean active flexion improved from 82.6° to 147.28°, mean active external rotation improved from 25.3° to 70.02°, and mean active internal rotation improved from 18.91° to 68.58° at the end of 6 weeks’ follow-up. VAS score improved from 6.19 to 1.84 at 12 weeks post-procedure. Functional ability assessed with QuickDASH score showed improvement with successive follow-ups from 81.5 to 22.9. Approximately 52.2% of study patients had excellent results, and 43.5% and 4.3% of patients had good and fair results, respectively. CONCLUSION: In this study, single injection of PRP resulted in significant improvement in range of motion of shoulder, pain, and function with long-term effects. Under total aseptic precautions, when performed with a right technique it has no side effects. This study observes that PRP injection is a reliable, productive, efficient, and safe mode of treatment in periarthritis of shoulder.