Additive Effect of Shoulder Treatments in Adhesive Capsulitis

Study Overview

This study explored the effectiveness of shoulder hydrodilatation (HD) combined with suprascapular nerve blockage (SSNB) for patients with adhesive capsulitis (AC). We focused on pain relief, shoulder movement, daily function, and hand strength.

Methodology

Forty-eight patients diagnosed with AC participated in this study. They were divided into two groups: one received both SSNB and HD, while the other received only SSNB. Treatments were guided by ultrasound. We measured shoulder movement using a goniometer, pain levels with a visual analog scale, functional status with the Quick Disability of Arm, Shoulder, and Hand (QDASH), and hand strength using a Jamar dynamometer. All patients followed a home exercise program after treatment. Evaluations were conducted at the start, and again at one and three months.

Key Findings

At the start, the SSNB group had significantly less shoulder movement compared to the other group. Both groups showed improvement in pain and movement after one month, but there was no notable difference between the two groups. By the third month, both groups continued to improve, but the SSNB group had better movement in terms of abduction and external rotation.

Conclusion

Both treatment methods improved shoulder pain significantly. However, adding hydrodilatation to SSNB did not provide extra benefits. SSNB alone is effective for up to three months, particularly for improving abduction and external rotation in patients with AC.

Clinical Implications

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