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Article

Effectiveness of Shock Wave Therapy versus Intra-Articular Corticosteroid Injection in Diabetic Frozen Shoulder Patients’ Management: Randomized Controlled Trial

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Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Ad Doqi, Giza District, Giza Governorate 11432, Egypt
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Faculty of Nursing, Physical Therapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain
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Department of Physical Therapy for Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Ad Doqi, Giza District, Giza Governorate 11432, Egypt
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Faculty of Physical Therapy, Cairo University, Ad Doqi, Giza District, Giza Governorate 11432, Egypt
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Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Ad Doqi, Giza District, Giza Governorate 11432, Egypt
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Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Ad Doqi, Giza District, Giza Governorate 11432, Egypt
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Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Kafrelsheikh University, Kafrelsheikh Government 33511, Egypt
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Authors to whom correspondence should be addressed.
Academic Editor: Giuliana Muzio
Appl. Sci. 2021, 11(8), 3721; https://doi.org/10.3390/app11083721
Received: 11 February 2021 / Revised: 16 March 2021 / Accepted: 15 April 2021 / Published: 20 April 2021
(This article belongs to the Special Issue Physical Therapy and Health)
Frozen shoulder is a major musculoskeletal illness in diabetic patients. This study aimed to compare the effectiveness of shock wave and corticosteroid injection in the management of diabetic frozen shoulder patients. Fifty subjects with diabetic frozen shoulder were divided randomly into group A (the intra-articular corticosteroid injection group) and group B that received 12 sessions of shock wave therapy, while each patient in both groups received the traditional physiotherapy program. The level of pain and disability, the range of motion, as well as the glucose triad were evaluated before patient assignment to each group, during the study and at the end of the study. Compared to the pretreatment evaluations there were significant improvements of shoulder pain and disability and in shoulder flexion and abduction range of motion in both groups (p < 0.05). The shock wave group revealed a more significant improvement the intra-articular corticosteroid injection group, where p was 0.001 for shoulder pain and disability and shoulder flexion and abduction. Regarding the effect of both interventions on the glucose triad, there were significant improvements in glucose control with group B, where p was 0.001. Shock waves provide a more effective and safer treatment modality for diabetic frozen shoulder treatment than corticosteroid intra-articular injection. View Full-Text
Keywords: corticosteroid; diabetic frozen shoulder; intra-articular injection; shock wave corticosteroid; diabetic frozen shoulder; intra-articular injection; shock wave
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MDPI and ACS Style

Elerian, A.E.; Rodriguez-Sanz, D.; Abdelaziz Elsherif, A.; Dorgham, H.A.; Al-Hamaky, D.M.A.; El Fakharany, M.S.; Ewidea, M. Effectiveness of Shock Wave Therapy versus Intra-Articular Corticosteroid Injection in Diabetic Frozen Shoulder Patients’ Management: Randomized Controlled Trial. Appl. Sci. 2021, 11, 3721. https://doi.org/10.3390/app11083721

AMA Style

Elerian AE, Rodriguez-Sanz D, Abdelaziz Elsherif A, Dorgham HA, Al-Hamaky DMA, El Fakharany MS, Ewidea M. Effectiveness of Shock Wave Therapy versus Intra-Articular Corticosteroid Injection in Diabetic Frozen Shoulder Patients’ Management: Randomized Controlled Trial. Applied Sciences. 2021; 11(8):3721. https://doi.org/10.3390/app11083721

Chicago/Turabian Style

Elerian, Ahmed Ebrahim, David Rodriguez-Sanz, Abdelaziz Abdelaziz Elsherif, Hend Adel Dorgham, Dina Mohamed Ali Al-Hamaky, Mahmoud S. El Fakharany, and Mahmoud Ewidea. 2021. "Effectiveness of Shock Wave Therapy versus Intra-Articular Corticosteroid Injection in Diabetic Frozen Shoulder Patients’ Management: Randomized Controlled Trial" Applied Sciences 11, no. 8: 3721. https://doi.org/10.3390/app11083721

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