Hydrodilatation (distension arthrography): a long-term clinical outcome series
Objectives: To describe and compare the medium to long-term effectiveness of hydrodilatation and post-hydrodilatation physiotherapy in patients with primary and secondary glenohumeral joint contracture associated with rotator cuff pathology. Methods: Patients with primary and secondary glenohumeral...
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| Veröffentlicht in: | British journal of sports medicine 2007-03, Vol.41 (3), p.167-173 |
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| creator | Watson, Lyn Bialocerkowski, Andrea Dalziel, Rodney Balster, Simon Burke, Frank Finch, Caroline |
| description | Objectives: To describe and compare the medium to long-term effectiveness of hydrodilatation and post-hydrodilatation physiotherapy in patients with primary and secondary glenohumeral joint contracture associated with rotator cuff pathology. Methods: Patients with primary and secondary glenohumeral contractures associated with rotator cuff pathology were recruited into a 2-year study. They all underwent hydrodilatation, followed by a structured physiotherapy programme. Patients were assessed at baseline, 3 days, 1 week, 3 months, 1 year and 2 years after hydrodilatation with primary outcome measures (Shoulder Pain and Disability Index, Shoulder Disability Index and percentage rating of “normal” function; SD%) and secondary outcome measures (range of shoulder abduction, external rotation and hand behind back). Comparisons in recovery were made between the primary and secondary glenohumeral contracture groups at all timeframes and for all outcome measures. Results: A total of 53 patients (23 with primary and 30 with secondary glenohumeral contractures) were recruited into the study. At the 2-year follow-up, 12 patients dropped out from the study. At baseline, the two contracture groups were similar with respect to their demographic and physical characteristics. The two groups of patients recovered in a similar fashion over the 2-year follow-up period. A significant improvement was observed in all outcomes measures over this period (p |
| doi_str_mv | 10.1136/bjsm.2006.028431 |
| format | Article |
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Methods: Patients with primary and secondary glenohumeral contractures associated with rotator cuff pathology were recruited into a 2-year study. They all underwent hydrodilatation, followed by a structured physiotherapy programme. Patients were assessed at baseline, 3 days, 1 week, 3 months, 1 year and 2 years after hydrodilatation with primary outcome measures (Shoulder Pain and Disability Index, Shoulder Disability Index and percentage rating of “normal” function; SD%) and secondary outcome measures (range of shoulder abduction, external rotation and hand behind back). Comparisons in recovery were made between the primary and secondary glenohumeral contracture groups at all timeframes and for all outcome measures. Results: A total of 53 patients (23 with primary and 30 with secondary glenohumeral contractures) were recruited into the study. At the 2-year follow-up, 12 patients dropped out from the study. At baseline, the two contracture groups were similar with respect to their demographic and physical characteristics. The two groups of patients recovered in a similar fashion over the 2-year follow-up period. A significant improvement was observed in all outcomes measures over this period (p<0.01), so that both function and range of movement increased. The rate of improvement was dependent on the outcome measure that was used. Conclusions: Hydrodilatation and physiotherapy increase shoulder motion in individuals with primary and secondary glenohumeral joint contracture associated with rotator cuff pathology. This benefit continues to improve or is maintained in the long term, up to 2 years after hydrodilatation.</description><identifier>ISSN: 0306-3674</identifier><identifier>EISSN: 1473-0480</identifier><identifier>DOI: 10.1136/bjsm.2006.028431</identifier><identifier>PMID: 17178772</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</publisher><subject>Adult ; Anesthetics, Local - administration & dosage ; Anti-Inflammatory Agents - administration & dosage ; Arthritis ; Arthrography - methods ; Bupivacaine - administration & dosage ; Clinical medicine ; Clinical outcomes ; Cohort Studies ; Comparative studies ; Contracture - etiology ; Contracture - therapy ; Dilatation - methods ; Female ; Follow-Up Studies ; Humans ; Injections, Intra-Articular ; Joints ; Longitudinal Studies ; Male ; Original ; Pain ; Pathology ; Patients ; Physical therapy ; Radiography ; Radiography, Interventional ; Range of Motion, Articular ; Rotator Cuff - physiopathology ; SD ; SDI ; Shoulder ; Shoulder Disability Index ; shoulder disability percentage ; Shoulder Joint ; Shoulder Pain And Disability Index ; Sodium Chloride - administration & dosage ; SPADI ; Studies ; Treatment Outcome ; Triamcinolone Acetonide - administration & dosage</subject><ispartof>British journal of sports medicine, 2007-03, Vol.41 (3), p.167-173</ispartof><rights>Copyright 2007 British Journal of Sports Medicine</rights><rights>Copyright: 2007 Copyright 2007 British Journal of Sports Medicine</rights><rights>Copyright BMJ Publishing Group Mar 2007</rights><rights>Copyright ©2007 BMJ Publishing Group and the British Association of Sport and Exercise Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b554t-361156c9302edd93b3fd94605901c8662ef9bcbdfcc37cd4e7c08edcb38f7dee3</citedby><cites>FETCH-LOGICAL-b554t-361156c9302edd93b3fd94605901c8662ef9bcbdfcc37cd4e7c08edcb38f7dee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjsm.bmj.com/content/41/3/167.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjsm.bmj.com/content/41/3/167.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,315,728,781,785,886,3197,23573,27926,27927,53793,53795,77602,77633</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17178772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watson, Lyn</creatorcontrib><creatorcontrib>Bialocerkowski, Andrea</creatorcontrib><creatorcontrib>Dalziel, Rodney</creatorcontrib><creatorcontrib>Balster, Simon</creatorcontrib><creatorcontrib>Burke, Frank</creatorcontrib><creatorcontrib>Finch, Caroline</creatorcontrib><title>Hydrodilatation (distension arthrography): a long-term clinical outcome series</title><title>British journal of sports medicine</title><addtitle>Br J Sports Med</addtitle><description>Objectives: To describe and compare the medium to long-term effectiveness of hydrodilatation and post-hydrodilatation physiotherapy in patients with primary and secondary glenohumeral joint contracture associated with rotator cuff pathology. Methods: Patients with primary and secondary glenohumeral contractures associated with rotator cuff pathology were recruited into a 2-year study. They all underwent hydrodilatation, followed by a structured physiotherapy programme. Patients were assessed at baseline, 3 days, 1 week, 3 months, 1 year and 2 years after hydrodilatation with primary outcome measures (Shoulder Pain and Disability Index, Shoulder Disability Index and percentage rating of “normal” function; SD%) and secondary outcome measures (range of shoulder abduction, external rotation and hand behind back). Comparisons in recovery were made between the primary and secondary glenohumeral contracture groups at all timeframes and for all outcome measures. Results: A total of 53 patients (23 with primary and 30 with secondary glenohumeral contractures) were recruited into the study. At the 2-year follow-up, 12 patients dropped out from the study. At baseline, the two contracture groups were similar with respect to their demographic and physical characteristics. The two groups of patients recovered in a similar fashion over the 2-year follow-up period. A significant improvement was observed in all outcomes measures over this period (p<0.01), so that both function and range of movement increased. The rate of improvement was dependent on the outcome measure that was used. Conclusions: Hydrodilatation and physiotherapy increase shoulder motion in individuals with primary and secondary glenohumeral joint contracture associated with rotator cuff pathology. This benefit continues to improve or is maintained in the long term, up to 2 years after hydrodilatation.</description><subject>Adult</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Anti-Inflammatory Agents - administration & dosage</subject><subject>Arthritis</subject><subject>Arthrography - methods</subject><subject>Bupivacaine - administration & dosage</subject><subject>Clinical medicine</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Comparative studies</subject><subject>Contracture - etiology</subject><subject>Contracture - therapy</subject><subject>Dilatation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injections, Intra-Articular</subject><subject>Joints</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Original</subject><subject>Pain</subject><subject>Pathology</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Radiography</subject><subject>Radiography, Interventional</subject><subject>Range of Motion, Articular</subject><subject>Rotator Cuff - physiopathology</subject><subject>SD</subject><subject>SDI</subject><subject>Shoulder</subject><subject>Shoulder Disability Index</subject><subject>shoulder disability percentage</subject><subject>Shoulder Joint</subject><subject>Shoulder Pain And Disability Index</subject><subject>Sodium Chloride - administration & dosage</subject><subject>SPADI</subject><subject>Studies</subject><subject>Treatment Outcome</subject><subject>Triamcinolone Acetonide - administration & dosage</subject><issn>0306-3674</issn><issn>1473-0480</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkd2L1DAUxYMo7rj67pMUF0SRjjcfTVofBBnUEZYVRF3fQpqkMxnbZkzaZee_N6XD-gGyTwnc3z33nnsQeoxhiTHlr-pd7JYEgC-BlIziO2iBmaA5sBLuogVQ4Dnlgp2gBzHuADApoLyPTrDAohSCLNDF-mCCN65Vgxqc77PnxsXB9nH6qzBsg98Etd8eXrzOVNb6fpMPNnSZbl3vtGozPw7adzaLNjgbH6J7jWqjfXR8T9HX9---rNb5-acPH1dvz_O6KNiQdsK44LqiQKwxFa1pYyrGoagA65JzYpuq1rVptKZCG2aFhtIaXdOyEcZaeorezLr7se5SwfZDUK3cB9epcJBeOfl3pXdbufFXkjBeEMySwLOjQPA_RxsH2bmobduq3voxSgGEEsrhVpAALVkhJsWn_4A7P4Y-XUHiirFkivMEnf0XEiK5Z_NMmCkdfIzBNjfGMMgpeDkFL6fg5Rx8anny50F-NxyTTkA-A1O81zd1FX5ILqgo5MW3lYTLS06K75_lOvEvZ77udreP_wVqRsc6</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Watson, Lyn</creator><creator>Bialocerkowski, Andrea</creator><creator>Dalziel, Rodney</creator><creator>Balster, Simon</creator><creator>Burke, Frank</creator><creator>Finch, Caroline</creator><general>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><general>BMJ Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070301</creationdate><title>Hydrodilatation (distension arthrography): a long-term clinical outcome series</title><author>Watson, Lyn ; Bialocerkowski, Andrea ; Dalziel, Rodney ; Balster, Simon ; Burke, Frank ; Finch, Caroline</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b554t-361156c9302edd93b3fd94605901c8662ef9bcbdfcc37cd4e7c08edcb38f7dee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Anti-Inflammatory Agents - administration & dosage</topic><topic>Arthritis</topic><topic>Arthrography - methods</topic><topic>Bupivacaine - administration & dosage</topic><topic>Clinical medicine</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Comparative studies</topic><topic>Contracture - etiology</topic><topic>Contracture - therapy</topic><topic>Dilatation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injections, Intra-Articular</topic><topic>Joints</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Original</topic><topic>Pain</topic><topic>Pathology</topic><topic>Patients</topic><topic>Physical therapy</topic><topic>Radiography</topic><topic>Radiography, Interventional</topic><topic>Range of Motion, Articular</topic><topic>Rotator Cuff - physiopathology</topic><topic>SD</topic><topic>SDI</topic><topic>Shoulder</topic><topic>Shoulder Disability Index</topic><topic>shoulder disability percentage</topic><topic>Shoulder Joint</topic><topic>Shoulder Pain And Disability Index</topic><topic>Sodium Chloride - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watson, Lyn</au><au>Bialocerkowski, Andrea</au><au>Dalziel, Rodney</au><au>Balster, Simon</au><au>Burke, Frank</au><au>Finch, Caroline</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hydrodilatation (distension arthrography): a long-term clinical outcome series</atitle><jtitle>British journal of sports medicine</jtitle><addtitle>Br J Sports Med</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>41</volume><issue>3</issue><spage>167</spage><epage>173</epage><pages>167-173</pages><issn>0306-3674</issn><eissn>1473-0480</eissn><abstract>Objectives: To describe and compare the medium to long-term effectiveness of hydrodilatation and post-hydrodilatation physiotherapy in patients with primary and secondary glenohumeral joint contracture associated with rotator cuff pathology. Methods: Patients with primary and secondary glenohumeral contractures associated with rotator cuff pathology were recruited into a 2-year study. They all underwent hydrodilatation, followed by a structured physiotherapy programme. Patients were assessed at baseline, 3 days, 1 week, 3 months, 1 year and 2 years after hydrodilatation with primary outcome measures (Shoulder Pain and Disability Index, Shoulder Disability Index and percentage rating of “normal” function; SD%) and secondary outcome measures (range of shoulder abduction, external rotation and hand behind back). Comparisons in recovery were made between the primary and secondary glenohumeral contracture groups at all timeframes and for all outcome measures. Results: A total of 53 patients (23 with primary and 30 with secondary glenohumeral contractures) were recruited into the study. At the 2-year follow-up, 12 patients dropped out from the study. At baseline, the two contracture groups were similar with respect to their demographic and physical characteristics. The two groups of patients recovered in a similar fashion over the 2-year follow-up period. A significant improvement was observed in all outcomes measures over this period (p<0.01), so that both function and range of movement increased. The rate of improvement was dependent on the outcome measure that was used. Conclusions: Hydrodilatation and physiotherapy increase shoulder motion in individuals with primary and secondary glenohumeral joint contracture associated with rotator cuff pathology. This benefit continues to improve or is maintained in the long term, up to 2 years after hydrodilatation.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</pub><pmid>17178772</pmid><doi>10.1136/bjsm.2006.028431</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Anesthetics, Local - administration & dosage Anti-Inflammatory Agents - administration & dosage Arthritis Arthrography - methods Bupivacaine - administration & dosage Clinical medicine Clinical outcomes Cohort Studies Comparative studies Contracture - etiology Contracture - therapy Dilatation - methods Female Follow-Up Studies Humans Injections, Intra-Articular Joints Longitudinal Studies Male Original Pain Pathology Patients Physical therapy Radiography Radiography, Interventional Range of Motion, Articular Rotator Cuff - physiopathology SD SDI Shoulder Shoulder Disability Index shoulder disability percentage Shoulder Joint Shoulder Pain And Disability Index Sodium Chloride - administration & dosage SPADI Studies Treatment Outcome Triamcinolone Acetonide - administration & dosage |
| title | Hydrodilatation (distension arthrography): a long-term clinical outcome series |
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