title: Arthroscopy and manipulation versus home therapy program in treatment of adhesive capsulitis of the shoulder: a prospective randomized study.
abstract: This study determined in a prospective manner if arthroscopic shoulder capsular release can decrease the duration of adhesive capsulitis symptoms when compared with a nonoperative home therapy program. Patients randomized to the operative group underwent arthroscopic capsular release and manipulation of the shoulder. Immediately after surgery they began the same stretching program as the nonoperative group, which consisted of terminal range of motion low-grade stretches twice daily for at least 15 minutes per session for 3 months. Twenty-six patients granted consent for the study (final analyses included 10 operative and 7 nonoperative). There were no statistical differences between the groups regarding gender, age (operative mean age, 51.5 ± 11.1 years; nonoperative mean age, 52.0 ± 6.8 years) or treatment outcome. This prospective, randomized study, which compared arthroscopic capsular release to a gentle home stretching program, demonstrated both treatment options to be effective treatment modalities.
authors.affiliation: Department of Orthopaedics and Rehabilitation, University of Florida College of Medicine, and Shands Hospital at University of Florida, Gainesville, Florida.
authors.forename: James Adam
authors.initials: JA
authors.lastname: Smitherman
authors.forename: Aimee M
authors.initials: AM
authors.lastname: Struk
authors.forename: Mike
authors.initials: M
authors.lastname: Cricchio
authors.forename: Ginny
authors.initials: G
authors.lastname: McFadden
authors.forename: Ruth B
authors.initials: RB
authors.lastname: Dell
authors.forename: MaryBeth
authors.initials: M
authors.lastname: Horodyski
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Wright
mesh_terms: D000328:Adult; D001182:Arthroscopy; D002062:Bursitis / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D011446:Prospective Studies; D012785:Shoulder Joint / Q000601:surgery*