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KMID : 0361420120360010088
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Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 1 p.88 ~ p.97
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Comparison of Sono-guided Capsular Distension with Fluoroscopically Capsular Distension in Adhesive Capsulitis of Shoulder
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Park Ki-Deok
Nam Hee-Seung
Kim Tai-Kon
Kang Seong-Hoon
Lim Min-Ho
Park Yong-Bum
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Abstract
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Objective: To investigate the short-term effects and advantages of sono-guided capsular distension, compared with fl uoroscopically guided capsular distension in adhesive capsulitis of shoulder.
Method: In this prospective, randomized, and controlled trial, 23 patients (group A) were given an intra-articular injection of a mixture of 0.5% lidocaine (9 ml), contrast dye (10 ml), and triamcinolone (20 mg); they received the injection once every 2 weeks, for a total of 6 weeks, under sono-guidance. Twenty-five patients (group B) were treated similarly, under fl uoroscopic guidance. Instructions for the self-exercise program were given to all subjects, without physiotherapy and medication. Eff ects were then assessed using a visual numeric scale (VNS), and the shoulder pain and disability index (SPADI), as well as a range of shoulder motion examinations which took place at the beginning of the study and 2 and 6 weeks after the last injection. Incremental cost-eff ective ratio (ICER), eff ectiveness, preference, and procedure duration were evaluated 6 weeks post-injection.
Results: The VNS, SPADI, and shoulder motion range improved 2 weeks after the last injection and continued to improve until 6 weeks, in both groups. However, no statistical differences in changes of VNS, SPADI, ROM, and eff ectiveness were found between these groups. Patients preferred sono-guided capsular distension to fl uoroscopically guided capsular distension due to diff erences in radiation hazards and positional convenience. Procedure time was shorter for sono-guided capsular distension than for fl uoroscopically guided capsular distension.
Conclusion: Sono-guided capsular distension has comparable effects with fluoroscopically guided capsular distension for treatment of adhesive capsulitis of the shoulder. Sono-guided capsular distension can be substituted for fl uoroscopic capsular distension and can be advantageous from the viewpoint of radiation hazard mitigation, time, cost-eff ectiveness and convenience.
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KEYWORD
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Sono-guided, Fluoroscopically, Capsular distension, Adhesive capsulitis
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