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BMC Musculoskeletal Disorders

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Open Access 01-12-2009 | Research article

Adhesive capsulitis and dynamic splinting: a controlled, cohort study

Authors: Paul D Gaspar, F Buck Willis

Published in: BMC Musculoskeletal Disorders | Issue 1/2009

Abstract

Background

Adhesive Capsulitis (AC) affects patient of all ages, and stretching protocols are commonly prescribed for this condition. Dynamic splinting has been shown effective in contracture reduction from pathologies including Trismus to plantar fasciitis. The purpose of this study was to examine the efficacy of dynamic splinting on patients with AC.

Methods

This controlled, cohort study, was conducted at four physical therapy, sports medicine clinics in Texas and California. Sixty-two patients diagnosed with Stage II Adhesive Capsulitis were grouped by intervention. The intervention categories were as follows: Group I (Control); Group II (Physical Therapy exclusively with standardized protocols); Group III; (Shoulder Dynasplint system exclusively); Group IV (Combined treatment with Shoulder Dynasplint and standardized Physical Therapy). The duration of this study was 90 days for all groups, and the main outcome measures were change in active, external rotation.

Results

Significant difference was found for all treatment groups (p < 0.001) following a one-way ANOVA. The greatest change with the smallest standard deviation was for the combined treatment group IV, (mean change of 29°).

Conclusion

The difference for the combined treatment group was attributed to patients' receiving the best PT combined with structured "home therapy" that contributed an additional 90 hours of end-range stretching. This adjunct should be included in the standard of care for adhesive Capsulitis.

Trial Registration

Trial Number: NCT00873158

Available only for authorised users

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/10/111/prepub

Title: Adhesive capsulitis and dynamic splinting: a controlled, cohort study
Authors: Paul D Gaspar
F Buck Willis
Publication date: 01-12-2009
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2009
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/1471-2474-10-111

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Adhesive capsulitis and dynamic splinting: a controlled, cohort study

Abstract

Background

Methods

Results

Conclusion

Trial Registration

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Trial Registration

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