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Russo A, Arrighi A, Vignale L, et al. Conservative integrated treatment of adhesive capsulitis of the shoulder. Joints. 2014;2(1):15-9
Russo, A., Arrighi, A., Vignale, L., & Molfetta, L. (2014). Conservative integrated treatment of adhesive capsulitis of the shoulder. Joints, 2(1), 15-9.
Russo, Adriano, et al. "Conservative integrated treatment of adhesive capsulitis of the shoulder." Joints vol. 2,1 (2014): 15-9.
Russo A, Arrighi A, Vignale L, Molfetta L. Conservative integrated treatment of adhesive capsulitis of the shoulder. Joints. 2014 May 08;2(1):15-9. eCollection 2014. PMID: 25606536; PMCID: PMC4295661.
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Joints. 2014 May 08;2(1):15-9. eCollection 2014.

Conservative integrated treatment of adhesive capsulitis of the shoulder.

Joints

Adriano Russo, Annalisa Arrighi, Luigi Vignale, Luigi Molfetta

Affiliations

  1. IFCA Florence Institute of Care and Support, Florence, Italy.
  2. Orthopaedics-Rehabilitation Unit, Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal-Infantile Sciences (DINOGMI), University of Genoa, Italy.
  3. Alma Mater Clinic, La Spezia, Italy.

PMID: 25606536 PMCID: PMC4295661

Abstract

PURPOSE: the aim of this study was to present the results of a conservative treatment for adhesive capsulitis based on an original protocol of combined pharmacological and rehabilitation treatment.

METHODS: fifty-two patients with idiopathic adhesive capsulitis were enrolled in the present study. The treatment protocol included the use of hyaluronic acid and anaesthetic periarticular and intra-articular injections followed by a specific program of capsule and muscle stretching.

RESULTS: the results of this treatment showed complete recovery of range of motion (ROM) in 50 of the 52 cases. The mean pre-treatment ROM values were: 85° for forward elevation, 75° for abduction, 25° for external rotation, and 15° for internal rotation. The post-treatment mean ROM values showed marked improvements: 175° for forward elevation, 175° for abduction, 87.5° for external rotation and 75° for internal rotation.

CONCLUSIONS: conservative treatment of adhesive capsulitis based on a combined pharmacological and rehabilitation approach was found to be effective in resolving pain and stiffness in 96% of the patients.

LEVEL OF EVIDENCE: level IV, therapeutic case series.

Keywords: adhesive capsulitis; drug therapy; hyaluronic acid; rehabilitation; shoulder

References

  1. J Bone Joint Surg Br. 1995 Sep;77(5):677-83 - PubMed
  2. Acta Anaesthesiol Belg. 2006;57(2):137-43 - PubMed
  3. PLoS One. 2012;7(10):e47277 - PubMed
  4. Arch Phys Med Rehabil. 2012 Jun;93(6):957-64 - PubMed
  5. Health Technol Assess. 2012;16(11):1-264 - PubMed
  6. J Shoulder Elbow Surg. 2013 Jul;22(7):e24-9 - PubMed
  7. Int J Shoulder Surg. 2011 Apr;5(2):31-7 - PubMed
  8. J Shoulder Elbow Surg. 2006 Nov-Dec;15(6):679-85 - PubMed
  9. Exp Clin Endocrinol Diabetes. 2013 Feb;121(2):75-9 - PubMed
  10. Knee Surg Sports Traumatol Arthrosc. 2012 Oct;20(10):1947-52 - PubMed
  11. Arch Phys Med Rehabil. 2013 Feb;94(2):264-70 - PubMed
  12. J Bone Joint Surg Am. 2000 Oct;82-A(10):1398-407 - PubMed
  13. J Bone Joint Surg Am. 2013 Feb 20;95(4):e181-8 - PubMed
  14. J Bone Joint Surg Br. 2011 Oct;93(10):1377-81 - PubMed
  15. Clin Orthop Relat Res. 2007 Mar;456:79-84 - PubMed
  16. J Shoulder Elbow Surg. 2013 Aug;22(8):1053-62 - PubMed

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