International Journal of Physiotherapy and Research

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Type of Article : Review

Year: 2016 | Volume 4 | Issue 4 | Page No. 1593-1599

Date of Publication: 11-08-2016

DOI: 10.16965/ijpr.2016.144

THE USE OF INJECTION THERAPY, PHYSIOTHERAPY OR COMBINATION OF BOTH IN THE MANAGEMENT OF ADHESIVE CAPSULITIS OF THE SHOULDER: A REVIEW OF EVIDENCE

Andrews Kwabena Tawiah.
 
Senior Physiotherapist, Physiotherapy Department-Family Medicine Directorate, Komfo Anokye teaching hospital, Ghana

Corresponding author: Dr. Andrews Kwabena Tawiah. Senior Physiotherapist, Physiotherapy Department-Family Medicine Directorate, Komfo Anokye teaching hospital, Ghana.
E-Mail: andy_tawiah@yahoo.co.uk, akt1g14@soton.ac.uk

Abstract:

Background: The objective of this study was to review the evidence that support the use of injection therapy alone, Physiotherapy alone or a combination of both in the management of adhesive capsulitis.
Method: Relevant data were extracted from AMED, CINAHL, MEDLINE, SCOPUS and Web of Science from 2010-2015. Search limits included English language, literature from academic journals and full text availability at the university of Southampton.
Results: Five studies were included in this review. Three systematic reviews and 2 randomised controlled trials that had a diagnosis of adhesive capsulitis. Pain and disability were assessed using reliable outcome measures such as active passive ROM and Shoulder Pain Disability Index . Critical Appraisal Skills Program tool for systematic review and randomised control trials were used to analyse the articles.
Conclusion: The findings of this review suggests that corticosteroid injections are more beneficial than physiotherapeutic interventions in the treatment of adhesive capsulitis in the short-term, and to a lesser extent in the long-term, in terms of improving shoulder disability, pain and range of movement. The evidence from this review also suggests that injection therapy alone or physiotherapy alone is more beneficial than the wait-and-see approach.
KEYWORDS: Adhesive capsulitis, frozen shoulder, injection therapy, physiotherapy, corticosteroid, hyaluronic acid.

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Andrews Kwabena Tawiah. THE USE OF INJECTION THERAPY, PHYSIOTHERAPY OR COMBINATION OF BOTH IN THE MANAGEMENT OF ADHESIVE CAPSULITIS OF THE SHOULDER: A REVIEW OF EVIDENCE. Int J Physiother Res 2016;4(4):1593-1599. DOI: 10.16965/ijpr.2016.144

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