Comparative evaluation of results of physiotherapy alone, periarticular injections followed by physical exercise and manipulation under anaesthesia followed by physical exercise in adhesive capsulitis of shoulder

Author(s): Dr. Manas Satpathy, Dr. Subhash Jain, Dr. Ramgopal Gupta and Dr. Shalini Agrawal

Abstract: Objectives:To compare and evaluate the safety, efficacy and results for the treatment of adhesive capsulitis by Physiotherapy, Peri-articular injections followed by physiotherapy and Manipulation under Anaesthesia (MUA) followed by physiotherapy. Results: Adhesive capsulitis was found to be more prevalent among males. 55% of the patient in our study were Males, peak incidence of adhesive capsulitis between age group of 40 to 70 year. Maximum number of cases were found between 41-50year (50%) and 51 to 60 year (38.33%). Highest no of patients were found as daily wage worker (33) 27.5% followed by house wife (32) 26.67%. Least patients were found in student class (2)1.67%. Side of affection was majorly left shoulder. Results were evaluated on the basis of clinical improvement of certain parameters such as Pain, Tenderness, Muscular Atrophy and Range of Movement Of Shoulder. Atrophy of muscle was seen in 71 patients. Atrophy of only Deltoid muscle was observed in 36 patients. Except in 4 patients all pts had tenderness over shoulder. All the treatment modalities were found to be significant with all p values less than 0.05. Good grade was observed nearly equivalent in MUA with PT (80.43%) and Injection with PT (78.57%) with a difference of 1.86%. Poor grade was found maximum in Physiotherapy (28.12%) and minimum in MUA with PT (4.35%). Conclusion: The study conclude MUA with PT and Inj with PT showed nearly equivalent good results. Physiotherapy alone showed maximum poor results. This study supports the use of Manipulation under Anaesthesia with PT and Peri-articular injection with PT over Physiotherapy alone.

DOI: https://doi.org/10.22271/ortho.2020.v6.i1c.1851