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

Study Overview
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Brief Summary
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To investigate the factors associated with improvement after intraarticular steroid injection for patients with Frozen shoulder

Detailed Description
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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

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

Conditions
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Adhesive Capsulitis

Intervention / Treatment
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* Drug: Steroid (shincort)


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

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: To investigate the factors associated with improvement after intraarticular steroid injection for patients with Frozen shoulder
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intraarticular steroid injection<br>intraarticular steroid hydrodilatation (shincort 40mg ) | Drug: Steroid (shincort)<br>* intraarticular shincort 40mg / 4ml mixed with 2% xylocaine and Normal saline<br>* Other names: shincort;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 0 and 8 wks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 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. | 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 | 0 and 8 wks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adhesive capsulitis