Adhesive Capsulitis: Prospective Analysis of Efficacy and Financial Impact for Use of Physical Therapy in Treatment
Status:
Recruiting
Trial end date:
2023-12-01
Target enrollment:
Participant gender:
Summary
The purpose of this study is to identify individuals 18 or older who have diagnostic
presentation of adhesive capsulitis and randomize them into two arms, distinguished by use of
physical therapy and steroid injections compared with steroid injections followed by watchful
waiting. This prospective study will be used to determine whether there is a significant
impact on patient outcome and whether the additional financial burden is justified. There are
no experimental interventions for this study. The use of physical therapy, oral and
parenteral corticosteroids, and watchful waiting are offered following the standard of care
for adhesive capsulitis. Our hypothesis is that patients will not have a significant
difference in outcome between the two study arms. One group will undergo regular physical
therapy with corticosteroid injections (Arm 1) and the other will have steroid injections
during the inflammatory phase only and then be regularly observed (Arm 2). We also
hypothesize there will be a significant financial burden associated with the PT arm that is
not justified with the possibility of increased symptom reports in that arm.
Phase:
Phase 4
Details
Lead Sponsor:
Brigham and Women's Hospital Massachusetts General Hospital