Quantification of joint space width with different grades of manual traction in patients with adhesive capsulitis-A fluoroscopic study

IF 0.6 Q3 VETERINARY SCIENCES

Comparative Exercise Physiology Pub Date : 2023-03-27 DOI:10.3920/cep220052

M. Makhija, J. Sethi, C. Kataria, H. Singh, V. Phadke

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引用次数: 0

Abstract

Adhesive capsulitis causes adaptive shortening of the non-contractile structures around the shoulder joint which may affect the distraction distance or joint space width (JSW) between the glenoid and humeral head. Joint traction is a commonly used manual therapy technique to reduce pain and gain range of motion in patients with adhesive capsulitis. However, changes in JSW with manual traction are not objectively assessed. This study aimed to find differences in shoulder JSW with different grades of traction and made comparisons between the affected and the unaffected side using 2D fluoroscopy. Forty-one subjects (24 males, 17 females; age 53.9±7.9 years) diagnosed with adhesive capsulitis with low to moderate joint irritability were included. Their mean duration of symptoms was 5.25±1.7 months. True anteroposterior view images of the shoulder were taken with the patient in a supine position with their arms held at 75° of abduction. Images of the affected and unaffected side were taken while no traction, grade 2 and grade 3 manual traction were applied. The JSW was determined as the linear distance between the articular surfaces. Repeated measures ANOVA with post hoc testing was used for analysing differences across the sides (affected and unaffected side) and conditions (No, grade 2 and grade 3 traction). There was no significant interaction between conditions and sides (P=0.99). Averaged across sides, the JSW with grade 2 or 3 traction was 0.18 and 0.23 mm more than the no traction condition (P=0.013 and P=0.001, respectively). There were no differences in the JSW with grade 2 or 3 traction. Averaged across the conditions, the JSW on the unaffected side was 0.21 mm more than the affected side (P=0.03). The study demonstrates that adhesive capsulitis causes a reduction in JSW at 75° abducted position and grade 2 or 3 manual traction can significantly increase this JSW. Clinical Trial Registry India: CTRI/2018/12/016657.

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不同程度手牵引对粘连性囊炎患者关节间隙宽度的量化——透视研究

粘连性囊炎导致肩关节周围非收缩性结构的适应性缩短，这可能影响肩关节和肱骨头之间的牵张距离或关节间隙宽度(JSW)。关节牵引是一种常用的手工治疗技术，用于减轻粘连性囊炎患者的疼痛和增加活动范围。然而，人工牵引下JSW的变化并没有得到客观的评估。本研究旨在发现不同牵引程度下肩关节关节痛的差异，并利用二维透视对受影响侧和未受影响侧进行比较。41例受试者(男性24例，女性17例;年龄53.9±7.9岁，诊断为粘连性囊炎，伴低至中度关节过敏性。平均症状持续时间为5.25±1.7个月。在患者仰卧位，手臂外展75°时拍摄肩部的真实正位图像。在不牵引，2级和3级手动牵引的情况下，拍摄患侧和未受影响侧的图像。JSW确定为关节面之间的线性距离。采用事后检验的重复测量方差分析来分析两侧(受影响和未受影响的一侧)和情况(2级和3级牵引)的差异。条件与侧面间无显著交互作用(P=0.99)。2级和3级牵引的JSW比无牵引的JSW平均侧长0.18 mm和0.23 mm (P=0.013和P=0.001)。2级或3级牵引的JSW无差异。在所有条件下平均，未受影响侧的JSW比受影响侧多0.21 mm (P=0.03)。研究表明，粘连性囊炎导致75°外展位置的JSW减少，2级或3级手动牵引可显著增加JSW。印度临床试验注册中心:CTRI/2018/12/016657。

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来源期刊

Comparative Exercise Physiology VETERINARY SCIENCES-

CiteScore

1.50

自引率

11.10%

发文量

期刊介绍： ''Comparative Exercise Physiology'' is the only international peer-reviewed scientific journal specifically dealing with the latest research in exercise physiology across all animal species, including humans. The major objective of the journal is to use this comparative approach to better understand the physiological, nutritional, and biochemical parameters that determine levels of performance and athletic achievement. Core subjects include exercise physiology, biomechanics, gait (including the effect of riders in equestrian sport), nutrition and biochemistry, injury and rehabilitation, psychology and behaviour, and breeding and genetics. This comparative and integrative approach to exercise science ultimately highlights the similarities as well as the differences between humans, horses, dogs, and other athletic or non-athletic species during exercise. The result is a unique forum for new information that serves as a resource for all who want to understand the physiological challenges with exercise.