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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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A RANDOMIZED COMPARATIVE STUDY OF TREATMENT EFFICACY BETWEEN HYDRODILATATION AND SUPRASCAPULAR NERVE BLOCK IN THE PATIENTS WITH PERIARTHRITIS SHOULDER
Neha Dhannaka, Nitin Pandey* and Nikesh Agarwal
Shoulder pain is the third most common musculoskeletal problem after back and knee pain. Diagnosis of periarthritis shoulder (PA) is made clinically in the form of gradual onset of severe shoulder pain with the progressive limitations of active and passive glenohumeral movement without any significant radiographic findings. Objectives: To find out the better treatment modality for PA Shoulder,out of hydrodilatation and suprascapular nerve blocks. To compare pain and disability using SPADI score, pain using VAS, shoulder specific QUALITY OF LIFE (QOL) based on WORC index & effect of diabetes on treatment efficacy within each group. Results: In group A intra group improvement in forward flexion, Extension, Abduction, External rotation, Internal rotation from baseline to 3rd month is statistically significant. In group B average intra group improvement in forward flexion, Extension, Abduction, External rotation, Internal rotation from baseline to 3rd month is statistically significant. Average improvement in VAS from baseline to 1st month and 3rd month in group B is statistically non-significant. Average improvement in SPADI Outcome measures from baseline to 3rdmonth in group B is statistically significant. Average improvement in WORC Outcome measures from baseline to 1st month and 3rd month in group B is statistically non-significant. Conclusion: Suprascapular nerve block and hydrodilatation, both are effective. Remarkable improvement in pain and range of motion was observed in both the groups. Hydrodilatation is a simple, cost-effective procedure; it causes breaking of adhesions and eventual rupture of capsule thus improving the range of motion and functional capacity of the shoulder joint.[Full Text Article]