Comparative Effects of Routine Physical Therapy versus Intra-Articular Steroids in Patients with Chronic Frozen Shoulder
Physical Therapy vs Intra-Articular Steroids in Frozen Shoulder
DOI:
https://doi.org/10.55735/hjprs.v3i12.222Keywords:
frozen shoulder, physiotherapy, stiffnessAbstract
Background: Frozen shoulder presents clinically as shoulder pain with progressive confined movement, both active and passive, along with normal radiographic scans of the glenohumeral joint. Frozen shoulder is a common problem in current healthcare practice. The condition for a long time is ill-diagnosed and treated by painkillers without assessing the exact problem in the joint. Objective: To compare the effects of routine physical therapy versus intra-articular steroids in patients with chronic frozen shoulders. Methods: A quasi-experimental study was conducted in an Orthopaedic Center in Shujabad in June 2023. The age range of the participants was 25 to 55 years. The sample size was 78 patients using a non-probability purposive sampling technique and were divided into two groups with 39 in each group. The Numeric Pain Rating Score, Shoulder Pain and Disability Index and goniometer were used as a tool for data collection. The subjects were asked for follow-up on the 15th day twice in the 1st month then at the end of the 2nd and 3rd month for follow-up and assessment. Mann-Whitney U test and Friedman tests were applied. Descriptive data is presented as frequency and percentages. Results: The p-value of the Friedman test is less than 0.05 so a statistically significance difference is found in Group B before, during and after intervention. According to the Mann-Whitney U test, the p-value of the SPADI score baseline is more than 0.05 which shows that no statistically significance difference is found in both groups' baseline SPADI score. The mean rank of Group A is less than Group B which shows that there is more improvement in Group A as compared to Group B. Conclusion: According to the results, this study concluded that the data collected through Shoulder Pain and Disability Index, the disability index and pain perception were the main outcomes of our study. When we saw group A with conventional physical therapy protocol the outcome was far better in terms of disability limitation and decrease in pain. The joint range of motion in frozen shoulder completely gained after physiotherapy but intra-articular steroid group B only reduced pain.
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