The benefit of platelet-rich plasma injection over institutionbased physical therapy program in adhesive capsulitis patients with diabetes mellitus: prospective observational cohort study

Apurba Barman; Somnath Mukherjee; Mithilesh K Sinha; Jagannatha Sahoo; Amrutha Viswanath

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자료유형: 학술저널

저자정보: Apurba Barman (All India Institute of Medical Sciences) Somnath Mukherjee (All India Institute of Medical Sciences) Mithilesh K Sinha (All India Institute of Medical Sciences) Jagannatha Sahoo (All India Institute of Medical Sciences) Amrutha Viswanath (All India Institute of Medical Sciences)

저널정보: 대한견주관절의학회 대한견주관절의학회지 대한견주관절의학회지 제24권 제4호

발행연도: 2021.12

수록면: 215 - 223 (9page)

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Background: The objective of this study was to compare the efficacy of platelet-rich plasma (PRP) injection with an institution-based physical therapy (PT) program for adhesive capsulitis (AC) of the shoulder in patients with diabetes mellitus (DM).
Methods: A total of seventy diabetic patients with AC of the shoulder for <6 months were assigned to two groups: PRP group and PT group. In the PRP group, 35 patients were administered a single shot of PRP (4 mL) into the glenohumeral joint. In the PT group, 35 patients were given institution-based PT that included 10 30-minute sessions of planned PT over a 2-week period. After the interventions, all patients were prospectively followed for 12 weeks. Intensity of shoulder pain, function, and range of motion were assessed at baseline and then at 3, 6, and 12 weeks.
Results: Thirty-three patients in the PRP group and 32 in the PT group completed the 12-week study. At 12 weeks, patients who received PRP injections showed greater improvement in shoulder pain (p<0.001) than those recruited to the PT group. In the range of motion and shoulder function activities, patients in the PRP group showed significant improvement compared with the institution-based PT group (p<0.001). No significant complications were reported from any groups.
Conclusions: In a diabetic population, PRP injections significantly improved shoulder pain and function compared with an institution-based PT program for shoulder AC. Additionally, it is a safe and well-tolerated method for AC management for diabetic patients.

#Shoulder #Diabetes mellitus #Platelet-rich plasma #Physical therapy #Ultrasound therapy

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