Effect of anterior supraspinatus tendon partial-thickness tears on infraspinatus tendon strain through a range of joint rotation angles.
Nelly Andarawis-Puri, Andrew F Kuntz, Soung-Yon Kim...
https://pubmed.ncbi.nlm.nih.gov/20080051Actively Recruiting
Phase 4
Age: 18Years +
All Genders
Healthy Volunteers
ID02283996
Adhesive Capsulitis: Prospective Analysis of Efficacy and Financial Impact for Use of Physical Therapy in Treatment
Led by Massachusetts General Hospital · Updated on 2025-10-27
260
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating treatments for adhesive capsulitis, also known as frozen shoulder, in adults aged 18 and older. This study compares two approaches: one involving physical therapy combined with steroid injections, and the other using steroid injections followed by watchful waiting. The goal is to determine if adding physical therapy significantly improves patient outcomes and if the extra cost is justified. Adhesive capsulitis causes pain and limited shoulder movement due to inflammation and scar tissue formation. Participants are randomly assigned to one of two groups. The first group receives physical therapy alongside steroid injections during the inflammatory phase, specifically 40 mg of depot methylprednisolone with lidocaine. The second group receives only steroid injections during the inflammatory phase, followed by regular observation without physical therapy. Both interventions follow standard care practices, with no experimental treatments involved. During the study, participants will have scheduled follow-up visits over a period extending up to one year. Researchers will assess functional outcomes using standardized questionnaires such as the American Shoulder and Elbow Surgeons Standardized Questionnaire, the Disabilities of the Arm, Shoulder, and Hand (DASH) score, and the Constant Shoulder Score. The study also evaluates patient satisfaction, physical exam findings, and return to athletics. The aim is to monitor recovery, range of motion, and the financial impact of treatments over time.
CONDITIONS
Brief Title
Adhesive Capsulitis: Prospective Analysis of Efficacy and Financial Impact for Use of Physical Therapy in Treatment
Who Can Participate
Age: 18Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Patient must be 18 years or older
- Must meet the definition of adhesive capsulitis as a self-limiting inflammatory shoulder condition causing pain and limited motion
- Must be willing to be randomized into either treatment group
You will not qualify if you...
- Non-English speaking patients
- Pregnant women; women of childbearing potential will have regular pregnancy testing
- Patients who have previously had surgery for adhesive capsulitis
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 1 year
Participants receive either physical therapy combined with steroid injections or steroid injections followed by watchful waiting according to standard care for adhesive capsulitis.
Regular follow-up visits at scheduled intervals during treatment
Follow-up
Duration - Up to 1 year after treatment
Participants are monitored with scheduled visits to assess functional outcomes and recovery over time.
Scheduled visits at regular intervals for outcome assessments
Trial Site Locations
Total: 1 location
1
MGH, Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Actively Recruiting
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Research Team
S
Scott D Martin, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Effectiveness of corticosteroid injection in adhesive capsulitis.
Ajda Bal, Emel Eksioglu, Berna Gulec...
https://pubmed.ncbi.nlm.nih.gov/18511530Efficacy and cost-effectiveness of physiotherapy following glenohumeral joint distension for adhesive capsulitis: a randomized trial.
Rachelle Buchbinder, Joanne M Youd, Sally Green...
https://pubmed.ncbi.nlm.nih.gov/17665470Shoulder adhesive capsulitis: manipulation and arthroscopic arthrolysis or intra-articular steroid injections?
Angelo De Carli, Antonio Vadalà, Dario Perugia...
https://pubmed.ncbi.nlm.nih.gov/21833684Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment.
S M Griggs, A Ahn, A Green
https://pubmed.ncbi.nlm.nih.gov/11057467Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests.
E J Hegedus, A Goode, S Campbell...
https://pubmed.ncbi.nlm.nih.gov/17720798Impact of adhesive capsulitis and economic evaluation of high-grade and low-grade mobilisation techniques.
Wilbert B van den Hout, Henricus M Vermeulen, Piet M Rozing...
https://pubmed.ncbi.nlm.nih.gov/16137239Interventions associated with an increased or decreased likelihood of pain reduction and improved function in patients with adhesive capsulitis: a retrospective cohort study.
Dianne V Jewell, Daniel L Riddle, Leroy R Thacker
https://pubmed.ncbi.nlm.nih.gov/19270045Frozen shoulder: evidence and a proposed model guiding rehabilitation.
Martin J Kelley, Philip W McClure, Brian G Leggin
https://pubmed.ncbi.nlm.nih.gov/19194024Randomized controlled trial for efficacy of intra-articular injection for adhesive capsulitis: ultrasonography-guided versus blind technique.
Hong-Jae Lee, Kil-Byung Lim, Dug-Young Kim...
https://pubmed.ncbi.nlm.nih.gov/19969160