TY - JOUR
T1 - Effectiveness of Prolotherapy Combined with Physical Therapy Versus Physical Therapy Only for Frozen Shoulder
T2 - A Case Report
AU - Sam, Nuralam
AU - Yusuf, Irawan
AU - Idris, Irfan
AU - Adnan, Endy
AU - Haryadi, Ratna Darjanti
AU - Hamid, Firdaus
AU - Usman, Muhammad Andry
AU - Johan, Muhammad Phetrus
AU - Zainuddin, Andi Alfian
AU - Bukhari, Agussalim
N1 - Publisher Copyright:
© Am J Case Rep, 2022.
PY - 2022
Y1 - 2022
N2 - Objective: Unknown etiology Background: Frozen shoulder (FS) is a common conditions that causes significant morbidity. It is characterized by restriction of both active and passive shoulder motion (ROM) of the glenohumeral joint. The etiology, pathology, and most efficacious treatments are unclear. The purpose of FS treatment is complete elimination of pain and recovery of shoulder joint function. Prolotherapy injects certain compounds into articular spaces, ligaments, and/or tendons to relieve pain and disability around joint spaces and to stimulate a proliferation cascade to enhance tis-sue repair and strength. This case report aims to describe functional outcome changes in 2 patients with FS, comparing prolotherapy combined with physical therapy vs physical therapy only. Case Reports: We report the cases of 2 patients with confirmed FS. Patient A was 66-year-old man with chief concern of right shoulder pain and limited ROM in the past 3 months, which disrupted daily life, with a visual analog scale (VAS) of 6 out of 10. Patient B was 65-year-old man with chief concern of right shoulder pain and limited ROM in the past 2 months. The symptoms affected his general quality of life, with a VAS of 5 out of 10. Patient A underwent prolotherapy combined with physical therapy and had significantly improved ROM after 2 weeks, with relieved pain and improved shoulder function. Patient B underwent physical therapy only and showed similar ROM and no significant pain improvement. Conclusions: Initial treatment with prolotherapy combined with physical therapy for patients with frozen shoulder achieved fast improvement of active and passive ROM, significantly decreased pain, and improved quality of life com-pared to physical therapy intervention only.
AB - Objective: Unknown etiology Background: Frozen shoulder (FS) is a common conditions that causes significant morbidity. It is characterized by restriction of both active and passive shoulder motion (ROM) of the glenohumeral joint. The etiology, pathology, and most efficacious treatments are unclear. The purpose of FS treatment is complete elimination of pain and recovery of shoulder joint function. Prolotherapy injects certain compounds into articular spaces, ligaments, and/or tendons to relieve pain and disability around joint spaces and to stimulate a proliferation cascade to enhance tis-sue repair and strength. This case report aims to describe functional outcome changes in 2 patients with FS, comparing prolotherapy combined with physical therapy vs physical therapy only. Case Reports: We report the cases of 2 patients with confirmed FS. Patient A was 66-year-old man with chief concern of right shoulder pain and limited ROM in the past 3 months, which disrupted daily life, with a visual analog scale (VAS) of 6 out of 10. Patient B was 65-year-old man with chief concern of right shoulder pain and limited ROM in the past 2 months. The symptoms affected his general quality of life, with a VAS of 5 out of 10. Patient A underwent prolotherapy combined with physical therapy and had significantly improved ROM after 2 weeks, with relieved pain and improved shoulder function. Patient B underwent physical therapy only and showed similar ROM and no significant pain improvement. Conclusions: Initial treatment with prolotherapy combined with physical therapy for patients with frozen shoulder achieved fast improvement of active and passive ROM, significantly decreased pain, and improved quality of life com-pared to physical therapy intervention only.
KW - Bursitis
KW - Functional Status
KW - Physical Therapy Modalities
KW - Prolotherapy
UR - http://www.scopus.com/inward/record.url?scp=85139803973&partnerID=8YFLogxK
U2 - 10.12659/AJCR.936995
DO - 10.12659/AJCR.936995
M3 - Article
C2 - 36223329
AN - SCOPUS:85139803973
SN - 1941-5923
VL - 23
JO - American Journal of Case Reports
JF - American Journal of Case Reports
M1 - e936995
ER -