Prognostic Value of Magnetic Resonance Imaging in the Evaluation of Physical Therapy Outcomes in Patients with Adhesive Capsulitis

dc.contributor.authorCosar, Sacide Nur Saracgil
dc.contributor.authorOzen, Selin
dc.contributor.authorCoskun, Mehmet
dc.contributor.authorYemisci, Oya Umit
dc.contributor.authorKurtcebe, Ali Niyazi
dc.contributor.orcID0000-0001-8306-463Xen_US
dc.contributor.orcID0000-0002-7290-8558en_US
dc.contributor.orcID0000-0002-0501-5127en_US
dc.contributor.pubmedID34396065en_US
dc.contributor.researcherIDAAF-1085-2021en_US
dc.contributor.researcherIDABC-1305-2020en_US
dc.contributor.researcherIDAAJ-8820-2021en_US
dc.date.accessioned2022-09-08T12:18:37Z
dc.date.available2022-09-08T12:18:37Z
dc.date.issued2021
dc.description.abstractObjectives: This study aims to investigate whether the treatment outcomes of patients with a clinical diagnosis of adhesive capsulitis (AC) and magnetic resonance imaging (MRI) findings consistent with AC undergoing physical therapy (PT) differs to those with AC in the absence of these MRI findings. Patients and methods: Between January 2012 and October 2012, a total of 30 patients (8 males, 22 females; mean age 55.6 +/- 12.1 years; range, 35 to 85 years) with a clinical diagnosis of AC underwent MRI of the index shoulder. The MRI scans were evaluated for findings associated with AC: intensity of the inferior glenohumeral ligament (IGHL) and rotator interval (RI). All patients received a total of 15 sessions of PT: hot pack, transcutaneous electrical nerve stimulation, ultrasound, and shoulder exercises. The patients were assessed for shoulder range of motion (ROM) using the Visual Analog Scale ( VAS) for shoulder pain, Quick Disabilities of the Arm Shoulder and Hand (Q-DASH), and Health Assessment Questionnaire (HAQ) prior to and following completion of PT. Results: Of the patients, 21 had no MRI findings consistent with AC (Group 1), nine patients had changes in the IGHL and/or RI characteristic of AC (Group 2). In both groups, there was a significant improvement in active and passive shoulder ROM and VAS scores for shoulder pain at rest (Group 1: p<0.001, Group 2: p=0.017) with movement (Group 1: p<0.001, Group 2: p=0.007) and at night (Group 1: p<0.001, Group 2: p=0.012) following PT. However, there was no significant inter-group difference in scores. Similar findings were recorded for Q-DASH and HAQ. Conclusion: Based on these study findings, the presence of characteristic MRI findings of AC with a clinical diagnosis do not predict clinical response to physical therapy.en_US
dc.identifier.eissn2587-1250en_US
dc.identifier.endpage154en_US
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85109157233en_US
dc.identifier.startpage146en_US
dc.identifier.urihttp://www.ftrdergisi.com/uploads/pdf/pdf_4246.pdf
dc.identifier.urihttp://hdl.handle.net/11727/7620
dc.identifier.volume67en_US
dc.identifier.wos000656056900002en_US
dc.language.isoengen_US
dc.relation.isversionof10.5606/tftrd.2021.5139en_US
dc.relation.journalTURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATIONen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdhesive capsulitisen_US
dc.subjectfrozen shoulderen_US
dc.subjectphysical therapy modalityen_US
dc.titlePrognostic Value of Magnetic Resonance Imaging in the Evaluation of Physical Therapy Outcomes in Patients with Adhesive Capsulitisen_US
dc.typearticleen_US

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