International Journal of Orthopaedics Sciences

Comparison of suprascapular block with physiotherapy for the treatment of adhesive capsulitis of shoulder

2023, Volume 9 Issue 2

Comparison of suprascapular block with physiotherapy for the treatment of adhesive capsulitis of shoulder

Author(s): Nadeem Tufail Raina, Arvinder Singh and Asif Bashir Thoker
Abstract: 
Frozen shoulder or adhesive capsulitis, is a common problem in general practice presenting as pain that may be severe, accompanied by a progressive loss of movements resulting in a loss of function.In 1934 Codman introduced the term “frozen shoulder”, stating that it was characterized by insidious onset, pain near the insertion of the deltoid, inability to sleep on the affected side, painful and restricted elevation and external rotation, but normal radiological appearance. Later in 1945, based upon his findings of synovial changes in the glenohumeral joint, Neviaser introduced the term “adhesive capsulitis”
Methodology: This present observational study was carried out in SKIMS Medical College Hospital, Bemina, Srinagar from November 2020 to June 2022. A total of 50 patients with adhesive capsulitis of shoulder were included in the study. Ethical clearance was obtained from Institutional Ethical Committee and proper informed consent was taken from all patients. Patients were explained in detail about the procedure and need for follow up. Diagnosis of adhesive capsulitis was made clinically and/or on imaging.Each participant in the research provided written informed permission. SPSS Version 20 was used to analyze the data.
Result: The present study was conducted on 50 patients equally distributed in two groups. Group A (SSNB, n=25) and Group B (Physiotherapy, n=25).Patients in Group A aged between 40-59 years with a mean age of 50.2+5.37 years while the age of the patients in Group B ranged between 40-58 years with a mean age of 49.9+5.31 years. The mean duration of illness was 4.79+2.041 months in Group A patients compared to 4.84+2.095 months in Group B patients with an insignificant statistical difference (p 0.946). Pre intervention range of motion (ROM) was compared and the relation was found to be statistically insignificant (p > 0.05). Mean abduction in Group A was 70.6+15.43 compared to Group B mean of 70.8+15.05. Mean internal rotation in Group A was 34.2+8.25 against 33.8+8.20 in Group B while mean external rotation in Group A was 23.1+8.28 as compared to 22.6+8.43 in Group B. Mean post intervention abduction at 1 week was 84.2+16.74 in Group A and 85.0+16.33 in Group B. At 4 weeks, mean abduction was 97.6+16.46 and 97.2+16.14 in Group, respectively while mean abduction at 12 weeks was 108.4+13.60 in Group A against 108.2+13.68 in Group B. Mean post intervention internal rotation at 1 week was 37.4+8.05 in Group A and 37.2+7.65 in Group B. At 4 weeks, mean internal rotation was 45.0+8.16 and 44.8+7.70 in Group, B respectively while mean internal rotation at 12 weeks was 53.6+9.30 in Group A against 53.0+8.90 in Group B.
Conclusion: The current study supports that suprascapular nerve block is a safe and well-tolerated method. Physiotherapy was found to be effective in reducing pain severity and functional disability, and the addition of suprascapular nerve block to physiotherapy improved functional status and pain levels in patients with adhesive capsulitis.

Pages: 62-65  |  327 Views  149 Downloads
How to cite this article:
Nadeem Tufail Raina, Arvinder Singh, Asif Bashir Thoker. Comparison of suprascapular block with physiotherapy for the treatment of adhesive capsulitis of shoulder. Int J Orthop Sci 2023;9(2):62-65. DOI: 10.22271/ortho.2023.v9.i2a.3355
 
International Journal of Orthopaedics Sciences
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