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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(2):358-364.
The Effect of Intra-articular Steroid Injection for Adhesive Capsulitis in Spinal Cord Injured Patients.
Kim, Beom Joon , Lee, Bum Suk , Im, Min Sik , Hong, Byung Jin , Kim, Byung Sik
Department of Rehabilitation Medicine, National Rehabilitation Hospital.
척수손상 환자에서 유착성 견관절낭염의 스테로이드 주사 효과
김범준, 이범석, 임민식, 홍병진, 김병식
국립재활병원 재활의학과
Abstract

Objective
The purpose of this study was to investigate the risk factors of adhesive capsulitis and the effect of intra-articular steroid injection in spinal cord injured patients.


Method
Fifty spinal cord injured patients participated in this study. The risk factors of adhesive capsulitis were compared between fourteen patients with adhesive capsulitis and thirty-six patients without one. Methylprednisolone acetate 40 mg mixed with 0.5% lidocaine 2 ml was given into glenohumeral joint space in adhesive capsulitis group and their pain and range of motion (ROM) were analyzed.


Results
1) The incidence of adhesive capsulitis was higher in patients with higher injury level, older age and delayed start of rehabilitation therapy.

2) 10 cm visual analogue scale scores were significantly decreased after intra-articular steroid injection (p<0.01).

3) The shoulder ROM was increased after intra-articular steroid injection.

The shoulder ROM at pre-injection was 126o in flexion, 113o in abduction, 64o in external rotation and 51o in internal rotation. The shoulder ROM at 4 weeks after injection was 138o in flexion, 131o in abduction, 74o in external rotation and 77o in internal rotation.


Conclusion
There was a trend that the incidence of adhesive capsulitis was higher in patients with higher injury level, older age and delayed start of rehabilitation therapy. Further, it was suggested that intra-articular steroid injection was effective for reducing pain and improving ROM.

Key Words: Adhesive capsulitis, Spinal cord injury, Intra-articular steroid injection


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