A Comparative study between intra-articular corticosteroid injection and ultrasound-guided hydrodilatation in patients with shoulder adhesive capsulitis

Comparison of hydrodilatation with ultrasound guided intra-articular corticosteroid injection in reducing pain and shoulder range of motion improvement in patients with adhesive capsulitis

The research is a randomized double blind clinical trial on 48 patients

Samples are selected from patients with shoulder adhesive capsulitis referred to Imam Reza Clinic divided into two groups The blocked randomized method is used. After obtaining informed consent, In control group methylprednisolone is injected intra-articular and in intervention group 0.9% normal saline is injected intra-articular under ultrasonography guidance and Finally effects on pain reduction and shoulder range of motion improvement are measured.

Presence of pain and shoulder range of motion limitation more than 30 degree in more than two motion plane Presence of pain and shoulder range of motion limitation more than one month Shoulder pain after cerebrovascular attack in paretic side Patients with severe glenohumeral joint osteoarthritis Patients with complete rotator cuff ligaments tear Immune deficiency Fracture in humerus bone or scapula Pregnant women Patients with cancer History of allergy and reaction due in use drugs Shoulder joint rheumatoid arthritis Severe depression Uncontrolled diabetes

Group A undergoes intra-articular normal saline 0.9% injection in the affected shoulder Group B undergoes intra-articular methylprednisolone injection using ultrasound guide in the affected shoulder

Pain, Shoulder range of motion

To match patients in the intervention and control groups, patients are randomly assigned to one of two treatment groups. The random allocation method in this study will be the permutation blocks randomization method with 4 samples in each block and a random list of data will be obtained by using Random Allocation software. We will have two lists of 24 patients, including the two intervention and control groups, at random. For concealment, method of random sequencing is given to another person who is unaware of the research process, and the questionnaires are completed by a person unaware of the division of groups

Participants in study Participant: in this study, we does not have the ability to blind the participant because the participant is aware of receiving each intervention. Clinical care giver: we teach the caregiver how to complete the questionnaire. This person is not aware of receiving patient’s intervention. Researcher: this study does not have the ability to blind the researcher due to performing both interventions by himself and being aware of receiving the kind of intervention in each group. The outcome assessor of the complete questionnaires is given to a person who is not aware of the intervention performed and he/she is asked to determine the level of performance in each person according to the questionnaires. Data analyzer: questionnaire are finally given to a person to review the information. This person does not know any of the steps of the work and the way of classification in which the intervention performed.

All available data can be shared after making people unidentifiable.

Start access period one year after publishing the results.

Everyone can access to this information.

If the information in this study helps to improve the science process.

Dr.vahide nadgaran v.nadgaran@gmail.com +989171090973

After sending the desired message, all authors of the study will be consulted all information will be sent within a maximum of three weeks if permitted.