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1.
Artrosc. (B. Aires) ; 28(2): 192-196, 2021.
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1282688

RESUMO

La capsulitis adhesiva de hombro se caracteriza por la inflamación crónica de la capa subsinovial de la cápsula articular que produce fibrosis, contractura y adherencia de la cápsula a sí misma y al cuello anatómico del húmero. La rehabilitación enfocada en optimizar el rango de movilidad en forma activa y pasiva es la base del tratamiento, independientemente de la etapa. Sobre la base de la historia natural de la enfermedad, la inyección con corticoides en forma precoz tiene utilidad en acortar la duración general de los síntomas, y permite a los pacientes trabajar el rango de movilidad en las etapas de rehabilitación y así volver a sus actividades cotidianas más rápidamente. La mayoría de los pacientes tratados con terapia física logran la resolución completa de síntomas. En casos con rigidez refractaria, puede estar indicada la manipulación bajo anestesia o la liberación capsular artroscópica; debido a varios riesgos potenciales de complicaciones con las manipulaciones, se prefiere esta última. Existen escasos estudios con alto nivel de evidencia que comparen diferentes técnicas para la liberación capsular: tanto la liberación circunferencial como la capsular anteroinferior han demostrado ser efectivas como técnica quirúrgica. La cirugía debe ser seguida de forma temprana por una terapia física diligente y dirigida a prevenir la rigidez recurrente


Adhesive capsulitis is characterized by chronic inflammation of the capsular subsynovial layer, which produces capsular fibrosis, contracture, and adherence of the capsule to itself and to the anatomic neck of the humerus. Physical therapy is the mainstay of treatment, regardless of stage. Based on the natural history of the disease, early corticosteroid injection has a role in shortening the overall duration of symptoms allowing patients to move faster in the stages of rehabilitation and thus return to their daily life activities more rapidly. Most patients will see complete resolution of symptoms with nonsurgical management. In cases with refractory stiffness, manipulation under anesthesia or arthroscopic capsular release may be indicated. Because of various potential risks of complications with manipulations, arthroscopic capsular release is preferred. There is a lack of high-level studies comparing different techniques for capsular release. Both circumferential and anteroinferior release have proven to be effective. Surgery should be followed by early, diligent and directed therapy to prevent recurrent stiffness


Assuntos
Articulação do Ombro , Bursite/cirurgia , Bursite/diagnóstico , Bursite/fisiopatologia , Bursite/terapia , Dor de Ombro
2.
Rev Assoc Med Bras (1992) ; 66(2): 166-173, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32428151

RESUMO

OBJECTIVE: We investigated the associations between adhesive capsulitis (AC) and a specific psychological profile. METHODS: We assessed 72 patients with phase-II AC. In our study, 36 patients were affected by primary disease and 36 by secondary disease. The inclusion criteria were as follows: unilateral AC and pain in the shoulder for at least two months. The exclusion criteria were: psychiatric and neurological manifestations with a previous diagnosis and inability to comprehend the instruments. Outcomes were determined at 52 weeks. Shoulder pain severity was assessed with the Visual Analog Scale. We also measured the range of motion with a universal goniometer and the strength with the Medical Research Council. We assessed the personality traits of our patients with the Cloninger's Temperament and Character Inventory and the Multidimensional Perfectionism Scale. RESULTS: Patients with primary AC needed more time to improve the symptomatology compared to the group with the secondary disease (p<0.01). Patients with primary AC complained of severe and lasting pain more frequently than patients with the secondary disease (p< 0.01). In patients with primary disease, the prevalence of perfectionism, low levels of novelty seeking, and high levels of harm avoidance were 88.2 and 86.2%, and 80.4, respectively, and below 20 percent in patients with secondary AC disease. CONCLUSION: We found a significant correlation between primary AC and particular personality traits, indicating an interaction between psychological and somatic factors.


Assuntos
Bursite/psicologia , Personalidade , Transtornos Psicofisiológicos/psicologia , Adulto , Idoso , Bursite/fisiopatologia , Bursite/reabilitação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Inventário de Personalidade , Amplitude de Movimento Articular , Estudos Retrospectivos , Dor de Ombro/fisiopatologia , Dor de Ombro/psicologia , Dor de Ombro/reabilitação , Fatores de Tempo , Resultado do Tratamento
3.
Rev. Assoc. Med. Bras. (1992, Impr.) ; 66(2): 166-173, Feb. 2020. tab, graf
Artigo em Inglês | Sec. Est. Saúde SP, LILACS | ID: biblio-1136180

RESUMO

SUMMARY OBJECTIVE We investigated the associations between adhesive capsulitis (AC) and a specific psychological profile. METHODS We assessed 72 patients with phase-II AC. In our study, 36 patients were affected by primary disease and 36 by secondary disease. The inclusion criteria were as follows: unilateral AC and pain in the shoulder for at least two months. The exclusion criteria were: psychiatric and neurological manifestations with a previous diagnosis and inability to comprehend the instruments. Outcomes were determined at 52 weeks. Shoulder pain severity was assessed with the Visual Analog Scale. We also measured the range of motion with a universal goniometer and the strength with the Medical Research Council. We assessed the personality traits of our patients with the Cloninger's Temperament and Character Inventory and the Multidimensional Perfectionism Scale. RESULTS Patients with primary AC needed more time to improve the symptomatology compared to the group with the secondary disease (p<0.01). Patients with primary AC complained of severe and lasting pain more frequently than patients with the secondary disease (p< 0.01). In patients with primary disease, the prevalence of perfectionism, low levels of novelty seeking, and high levels of harm avoidance were 88.2 and 86.2%, and 80.4, respectively, and below 20 percent in patients with secondary AC disease. CONCLUSION We found a significant correlation between primary AC and particular personality traits, indicating an interaction between psychological and somatic factors.


RESUMO OBJETIVO Investigar as associações entre a capsulite adesiva (CA) e um perfil psicológico específico. METODOLOGIA Foram avaliados 72 pacientes com CA fase II. Em nosso estudo, 36 pacientes foram afetados pela doença primária e 36 pela secundária. Os critérios de inclusão foram os seguintes: CA unilateral e dor no ombro durante por pelo menos dois meses. Os critérios de exclusão foram: manifestações neurológicas e psiquiátricas com um diagnóstico prévio e incapacidade de compreender os instrumentos de medição utilizados. Os resultados foram determinados após 52 semanas. A intensidade da dor no ombro foi avaliada usando a Escala Visual Analógica. Também medimos a amplitude de movimento com um goniômetro universal e a força com a escala do Conselho de Pesquisa Médica. Avaliamos os traços da personalidade dos nossos pacientes através do Inventário de Temperamento e Caráter de Cloninger e da Escala Multidimensional de Perfeccionismo. RESULTADOS Pacientes com CA primária precisaram de mais tempo para melhorar a sintomatologia quando comparados ao grupo secundário (p<0,01). Pacientes com CA primária apresentaram mais queixas de dor intensa e duradoura do que pacientes secundários (p< 0,01). Em pacientes com a doença primária, a prevalência de perfeccionismo, baixos níveis de procura por novidade, e altos níveis de prevenção de danos foram 88,2, 86,2% e 80,4, respectivamente, e abaixo de 20% em pacientes secundários. CONCLUSÃO Encontramos uma correlação significativa entre CA primária e traços de personalidade específicos, indicando uma interação entre fatores psicológicos e somáticos.


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso , Personalidade , Transtornos Psicofisiológicos/psicologia , Bursite/psicologia , Inventário de Personalidade , Fatores de Tempo , Medição da Dor , Bursite/fisiopatologia , Bursite/reabilitação , Estudos Retrospectivos , Amplitude de Movimento Articular , Resultado do Tratamento , Dor de Ombro/fisiopatologia , Dor de Ombro/psicologia , Dor de Ombro/reabilitação , Pessoa de Meia-Idade
4.
Rev. bras. reumatol ; 57(5): 445-451, Sept.-Oct. 2017. tab
Artigo em Inglês | LILACS | ID: biblio-899440

RESUMO

Abstract Introduction: The objectives of this study were to assess the quality of life and functional capacity of adhesive capsulitis patients at the beginning and end of procedure and to identify risk factors associated to better outcomes after treatment with nerve blocking. Methods: A prospective cohort study was performed. Inclusion criteria were clinical signs of adhesive capsulitis and disease changes on shoulder imaging exams. The short form of World Health Organization Quality of life and Disabilities of the Arm, Shoulder and Hand questionnaires were administered at the beginning and end of treatment. A score of 55 points or more on the Constant index was used for discontinuation of treatment. We used the Wilcoxon test for paired samples. Multiple regression analysis of Poisson was carried out using exposure variables with p < 0.20 in the univariate analysis and the satisfactory quality of life and better functional capability as outcomes. The significance level was 5%. Results: 43 patients were evaluated. For the comparison between medians values at the beginning and end of treatment (physical domain: 46.43-67.86; psychologic domain: 66.67-79.17; social domain: 66.67-75; environment domain: 62.5-68.75; DASH: 64.16-38.33), p was <0.05. Aging (physical/psychologic/DASH), higher educational level (physical/environment/DASH), less severity (only physical) and fewer nerve blocking (only psychologic) were these independent risk factors. Conclusions: Quality of life and functional capacity of the patients improve at the end of procedure. Older patients and higher education levels are the risk factors most associated to satisfactory quality of life and better functional capacity after treatment with nerve blocking.


Resumo Introdução: Os objetivos deste estudo foram avaliar a qualidade de vida e a capacidade funcional de pacientes com capsulite adesiva no início e no fim do procedimento de bloqueio de nervo e identificar fatores de risco associados a melhores desfechos após o tratamento. Métodos: Fez-se um estudo de coorte prospectiva. Os critérios de inclusão foram sinais clínicos de capsulite adesiva e alterações da doença nos exames de imagem do ombro. Administrou-se a forma abreviada do questionário World Health Organization Quality of Life e o questionário Disabilities of the Arm, Shoulder and Hand no início e no fim do tratamento. Foi usada uma pontuação de 55 pontos ou mais no índice de Constant para descontinuar o tratamento. Usou-se o teste de Wilcoxon para amostras pareadas. Aplicou-se a análise de regressão múltipla de Poisson com variáveis de exposição com p < 0,20 na análise univariada. Usou-se a qualidade de vida satisfatória e a melhor capacidade funcional como desfechos. O nível de significância foi de 5%. Resultados: Avaliaram-se 43 pacientes. Na comparação entre os valores medianos no início e no fim do tratamento (Domínio Físico: 46,43 a 67,86; Domínio Psicológico: 66,67 a 79,17; Domínio Social: 66,67 a 75; Domínio Ambiental: 62,5 a 68,75; DASH: 64,16 a 38,33), o p foi < 0,05. O envelhecimento (Físico/Psicológico/DASH), a maior escolaridade (Físico/Ambiental/DASH), a menor gravidade (apenas Físico) e a menor quantidade de bloqueios de nervo (apenas Psicológico) foram fatores de risco independentes. Conclusões: A qualidade de vida e a capacidade funcional dos pacientes melhoram no fim do procedimento. Pacientes mais idosos e uma maior escolaridade são os fatores de risco associados à qualidade de vida satisfatória e à melhor capacidade funcional depois do tratamento com bloqueio de nervo


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso , Qualidade de Vida , Bursite/terapia , Recuperação de Função Fisiológica , Bursite/fisiopatologia , Estudos Prospectivos , Fatores de Risco , Indicadores Básicos de Saúde , Resultado do Tratamento , Avaliação da Deficiência , Pessoa de Meia-Idade , Bloqueio Nervoso
5.
Rev Assoc Med Bras (1992) ; 63(4): 347-354, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28614538

RESUMO

OBJECTIVE:: To evaluate patient-reported measures of quality of life and functional capacity in adhesive capsulitis before and after suprascapular nerve block treatment; to analyze the influence of clinical and sociodemographic variables on both the outcome and correlation between the respective instruments. METHOD:: A prospective clinical study was performed with adhesive capsulitis patients. Inclusion criteria were clinical diagnosis of adhesive capsulitis and a shoulder imaging test. The WHOQOL-BREF and DASH instruments were administered before and after treatment. A Constant test score of 55 points was used as a cutoff point for discontinuation of treatment. Mean values were compared using paired t-test and Wilcoxon. The Pearson or Spearman coefficients were used for correlation analysis. Multiple linear regression analysis was carried out using variables with p<0.20 as predictors in univariate analysis and WHOQOL domains and DASH as outcomes. The significance level was 5%. RESULTS:: Forty-three patients were evaluated. The comparison between WHOQOL-BREF and DASH mean values before and after the blocks, p<0.05. DASH correlated negatively with the physical, psychological and environmental WHOQOL-BREF domains. Older patients and those with higher levels of education influenced the improvement in patients' quality of life and functional capacity. CONCLUSION:: The improvement of adhesive capsulitis with treatment involves an improvement in quality of life and functional capacity. The greater functional capacity of the shoulder matches a better quality of life for patients. Age and education level are the variables that most influence improvement in quality of life and functional capacity.


Assuntos
Bursite/fisiopatologia , Bursite/terapia , Atividade Motora/fisiologia , Bloqueio Nervoso/métodos , Medidas de Resultados Relatados pelo Paciente , Qualidade de Vida , Autorrelato , Adulto , Fatores Etários , Idoso , Análise de Variância , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Estudos Prospectivos , Amplitude de Movimento Articular , Valores de Referência , Índice de Gravidade de Doença , Dor de Ombro/fisiopatologia , Dor de Ombro/terapia , Perfil de Impacto da Doença , Fatores Socioeconômicos , Estatísticas não Paramétricas , Fatores de Tempo , Resultado do Tratamento
6.
Rev Bras Reumatol Engl Ed ; 57(5): 445-451, 2017.
Artigo em Inglês, Português | MEDLINE | ID: mdl-28619680

RESUMO

INTRODUCTION: The objectives of this study were to assess the quality of life and functional capacity of adhesive capsulitis patients at the beginning and end of procedure and to identify risk factors associated to better outcomes after treatment with nerve blocking. METHODS: A prospective cohort study was performed. Inclusion criteria were clinical signs of adhesive capsulitis and disease changes on shoulder imaging exams. The short form of World Health Organization Quality of life and Disabilities of the Arm, Shoulder and Hand questionnaires were administered at the beginning and end of treatment. A score of 55 points or more on the Constant index was used for discontinuation of treatment. We used the Wilcoxon test for paired samples. Multiple regression analysis of Poisson was carried out using exposure variables with p<0.20 in the univariate analysis and the satisfactory quality of life and better functional capability as outcomes. The significance level was 5%. RESULTS: 43 patients were evaluated. For the comparison between medians values at the beginning and end of treatment (physical domain: 46.43-67.86; psychologic domain: 66.67-79.17; social domain: 66.67-75; environment domain: 62.5-68.75; DASH: 64.16-38.33), p was <0.05. Aging (physical/psychologic/DASH), higher educational level (physical/environment/DASH), less severity (only physical) and fewer nerve blocking (only psychologic) were these independent risk factors. CONCLUSIONS: Quality of life and functional capacity of the patients improve at the end of procedure. Older patients and higher education levels are the risk factors most associated to satisfactory quality of life and better functional capacity after treatment with nerve blocking.


Assuntos
Bursite/terapia , Qualidade de Vida , Recuperação de Função Fisiológica , Adulto , Idoso , Bursite/fisiopatologia , Avaliação da Deficiência , Feminino , Indicadores Básicos de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Bloqueio Nervoso , Estudos Prospectivos , Fatores de Risco , Resultado do Tratamento
7.
Rev. Assoc. Med. Bras. (1992, Impr.) ; 63(4): 347-354, Apr. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-842554

RESUMO

Summary Objective: To evaluate patient-reported measures of quality of life and functional capacity in adhesive capsulitis before and after suprascapular nerve block treatment; to analyze the influence of clinical and sociodemographic variables on both the outcome and correlation between the respective instruments. Method: A prospective clinical study was performed with adhesive capsulitis patients. Inclusion criteria were clinical diagnosis of adhesive capsulitis and a shoulder imaging test. The WHOQOL-BREF and DASH instruments were administered before and after treatment. A Constant test score of 55 points was used as a cutoff point for discontinuation of treatment. Mean values were compared using paired t-test and Wilcoxon. The Pearson or Spearman coefficients were used for correlation analysis. Multiple linear regression analysis was carried out using variables with p<0.20 as predictors in univariate analysis and WHOQOL domains and DASH as outcomes. The significance level was 5%. Results: Forty-three patients were evaluated. The comparison between WHOQOL-BREF and DASH mean values before and after the blocks, p<0.05. DASH correlated negatively with the physical, psychological and environmental WHOQOL-BREF domains. Older patients and those with higher levels of education influenced the improvement in patients' quality of life and functional capacity. Conclusion: The improvement of adhesive capsulitis with treatment involves an improvement in quality of life and functional capacity. The greater functional capacity of the shoulder matches a better quality of life for patients. Age and education level are the variables that most influence improvement in quality of life and functional capacity.


Resumo Objetivo: Avaliar as medidas relatadas pelos pacientes sobre qualidade de vida e capacidade funcional em capsulite adesiva antes e após tratamento com bloqueios do nervo supraescapular; analisar a influência das variáveis clínicas e sociodemográficas em ambos os desfechos e a correlação entre os respectivos instrumentos. Método: Estudo clínico prospectivo foi realizado em pacientes com capsulite adesiva. Os critérios de inclusão foram diagnóstico clínico de capsulite adesiva e realização de exames de imagem do ombro. Os instrumentos WHOQOL-BREF e DASH foram aplicados antes e após o tratamento. Utilizou-se o escore de Constant com ponto de corte em 55 para a interrupção do tratamento. As médias dos valores foram comparadas pelos testes t-pareado e Wilcoxon. Na análise de correlação foi utilizado o coeficiente de Pearson ou de Spearman. Foi realizada análise de regressão linear múltipla utilizando como preditoras as variáveis com p<0,20 na análise univariada e como desfechos os domínios do WHOQOL e o DASH. O nível de significância foi de 5%. Resultados: Foram avaliados 43 pacientes. A comparação entre as médias dos valores do WHOQOL-BREF e DASH antes e após os bloqueios apresentou um p<0,05. Houve correlação negativa entre o DASH e os domínios físico, psicológico e ambiental do WHOQOL-BREF. Os pacientes mais velhos e com maior grau de escolaridade influenciaram a melhora da qualidade de vida e capacidade funcional dos pacientes. Conclusão: A melhora da capsulite adesiva com o tratamento implica melhora da qualidade de vida e capacidade funcional. Quanto maior a capacidade funcional do ombro, melhor a qualidade de vida dos pacientes. A faixa etária e o grau de escolaridade são as variáveis que mais influenciam a melhora da qualidade de vida e capacidade funcional.


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso , Qualidade de Vida , Bursite/fisiopatologia , Bursite/terapia , Autorrelato , Medidas de Resultados Relatados pelo Paciente , Atividade Motora/fisiologia , Bloqueio Nervoso/métodos , Valores de Referência , Fatores Socioeconômicos , Fatores de Tempo , Índice de Gravidade de Doença , Medição da Dor , Estudos Prospectivos , Análise de Variância , Amplitude de Movimento Articular , Fatores Etários , Resultado do Tratamento , Estatísticas não Paramétricas , Perfil de Impacto da Doença , Dor de Ombro/fisiopatologia , Dor de Ombro/terapia , Pessoa de Meia-Idade
8.
Arthritis Rheumatol ; 68(11): 2817-2824, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27273928

RESUMO

OBJECTIVE: To describe chronic chikungunya manifestations seen during the outbreak in the Caribbean from December 2013 to January 2015. METHODS: Patients were seen at our center, the only rheumatology department in Martinique Island, and were examined by a senior rheumatologist using a standard care report form. Chikungunya was diagnosed collectively based on consensus among all clinicians. The median time from onset of acute chikungunya to the first rheumatology consultation was calculated, severity was evaluated based on clinical scales and the degree of joint destruction, and each patient's treatment was recorded. RESULTS: For the 147 patients analyzed, the median time between onset of acute chikungunya and the first rheumatology consultation was 8 months. After review of each patient's medical record, 19 (12.9%) were diagnosed as having epidemic-influenced chikungunya. Four distinct rheumatologic patterns were observed in the remaining patients (those with compatible history and positive serologic findings): 47 patients (32%) had reactivation of painful chronic mechanical manifestations, 9 patients (6.1%) had fibromyalgia, 45 patients (30.6%) met criteria for spondyloarthritis (as evaluated before the chikungunya virus infection in all patients) and experienced a flare, and 27 patients (18.4%), with no history of joint disease, developed de novo bilateral symmetric chronic inflammatory joint disease in response to chikungunya virus infection. For inflammatory arthritis, most patients were treated with methotrexate (up to 25 mg/week), with good response and tolerance. Thirteen patients were treated with conventional doses of anti-tumor necrosis factor agents, with good tolerance and efficacy as expected. CONCLUSION: The term "chronic chikungunya syndrome" covers multiple etiologies. Compliance with the French Society of Rheumatology recommendations, careful recording of patient histories, and serologic verification help prevent errors inherent to the epidemic context and ensure early therapeutic intervention for these patients. To avoid late initiation of treatment, patients should receive rheumatologic consultation as early as possible.


Assuntos
Febre de Chikungunya/fisiopatologia , Doenças Reumáticas/fisiopatologia , Doença Aguda , Adulto , Idoso , Idoso de 80 Anos ou mais , Antirreumáticos/uso terapêutico , Artrite/tratamento farmacológico , Artrite/etiologia , Artrite/fisiopatologia , Bursite/etiologia , Bursite/fisiopatologia , Síndrome do Túnel Carpal/etiologia , Síndrome do Túnel Carpal/fisiopatologia , Febre de Chikungunya/complicações , Febre de Chikungunya/tratamento farmacológico , Febre de Chikungunya/epidemiologia , Doença Crônica , Epidemias , Feminino , Fibromialgia/etiologia , Fibromialgia/fisiopatologia , Humanos , Dor Lombar/etiologia , Dor Lombar/fisiopatologia , Masculino , Martinica/epidemiologia , Metotrexato/uso terapêutico , Pessoa de Meia-Idade , Osteoartrite/etiologia , Osteoartrite/fisiopatologia , Doenças Reumáticas/tratamento farmacológico , Doenças Reumáticas/etiologia , Espondilartrite/tratamento farmacológico , Espondilartrite/etiologia , Espondilartrite/fisiopatologia , Tendinopatia/etiologia , Tendinopatia/fisiopatologia , Fator de Necrose Tumoral alfa/antagonistas & inibidores
10.
Am J Sports Med ; 44(2): 474-81, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26657263

RESUMO

BACKGROUND: Intra-articular corticosteroid injection is a common therapy for adhesive capsulitis, but there is a lack of prospective randomized controlled studies analyzing the efficacy of single injections applied blindly to accelerate improvement in pain and function. HYPOTHESIS: In patients with adhesive capsulitis, a single intra-articular corticosteroid injection without image control applied before the beginning of a physical therapy program will accelerate pain relief and recovery of function compared with oral nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: A total of 74 patients with primary adhesive capsulitis in the freezing stage were randomized to receive either intra-articular injections with betamethasone or oral NSAIDs. Clinical outcome was documented at baseline and after 2, 4, 8, and 12 weeks and comprised a visual analog scale (VAS) for pain, the American Shoulder and Elbow Surgeons (ASES) Shoulder Score, the abbreviated Constant-Murley score, and the abbreviated Disabilities of the Arm, Shoulder and Hand (QuickDASH) score for function. Passive range of motion was measured with a goniometer. RESULTS: Patients treated with corticosteroid injections achieved faster pain relief compared with control patients during the first 8 weeks after treatment (P < .001). However, no significant difference in pain was observed among the groups at final follow-up. Likewise, shoulder function and motion improved significantly in both groups at all follow-up points. Shoulder function scores and most motion parameters improved faster in the injection group up to week 8 (P < .001). Again, no significant differences in function or motion were seen at final follow-up. CONCLUSION: In patients with adhesive capsulitis, a single corticosteroid injection applied without image control provides faster pain relief and earlier improvement of shoulder function and motion compared with oral NSAIDs.


Assuntos
Corticosteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/administração & dosagem , Bursite/tratamento farmacológico , Administração Oral , Idoso , Analgésicos/administração & dosagem , Bursite/fisiopatologia , Bursite/reabilitação , Terapia por Exercício/métodos , Feminino , Humanos , Injeções Intra-Articulares , Masculino , Pessoa de Meia-Idade , Dor Musculoesquelética/prevenção & controle , Medição da Dor , Estudos Prospectivos , Amplitude de Movimento Articular/fisiologia , Recuperação de Função Fisiológica/efeitos dos fármacos , Estudos Retrospectivos , Articulação do Ombro/fisiologia
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