title: Effects of repeated distension arthrographies combined with a home exercise program among adults with idiopathic adhesive capsulitis of the shoulder.
abstract: OBJECTIVE
  The purpose of this study was to measure the effect of repeated distension arthrographies combined with a home exercise program on impairments and disability of the upper limb in subjects with adhesive capsulitis of the shoulder.
  
  
  METHODS
  A total of 15 subjects with idiopathic adhesive capsulitis participated in the study. Intervention consisted of three distension arthrographies with steroid, done at 3-wk intervals, and a home exercise program. The repeated-measures design included five clinical evaluations with disability, pain, range of motion, and pain-free static strength outcomes. Two evaluations done before the first arthrography verified the stability of the condition.
  
  
  RESULTS
  There was a significant improvement of all outcomes at the end of intervention. The greatest effects occurred after the first distension arthrography. After the second, less marked, albeit significant, changes were observed in three motions of the shoulder and in the pain level. After the third distension arthrography, very small changes were noted. A comparison between sides revealed incomplete recovery of the range of motion on the affected side.
  
  
  CONCLUSIONS
  These findings showed that two distension arthrographies with steroid combined with a home exercise program reduce shoulder disability and impairments. Adding a third distension arthrography does not seem to provide any further benefit.
authors.affiliation: Ecole de réadaptation, Faculté de Médecine, Université de Montréal and Centre interdisciplinaire de recherche en réadaptation du Montréal métropolitain, Montréal, Québec, Canada.
authors.forename: France
authors.initials: F
authors.lastname: Piotte
authors.forename: Denis
authors.initials: D
authors.lastname: Gravel
authors.forename: Hélène
authors.initials: H
authors.lastname: Moffet
authors.forename: Evelyne
authors.initials: E
authors.lastname: Fliszar
authors.forename: André
authors.initials: A
authors.lastname: Roy
authors.forename: Sylvie
authors.initials: S
authors.lastname: Nadeau
authors.forename: Danielle
authors.initials: D
authors.lastname: Bédard
authors.forename: Guylaine
authors.initials: G
authors.lastname: Roy
mesh_terms: D000328:Adult; D000368:Aged; D001175:Arthrography; D002062:Bursitis / Q000000981:diagnostic imaging* / Q000628:therapy*; D003131:Combined Modality Therapy; D004185:Disability Evaluation; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D010147:Pain Measurement; D010865:Pilot Projects; D016059:Range of Motion, Articular / Q000502:physiology; D019233:Retreatment; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*