Adhesive Capsulitis' Patients Report Improvement in Functionality Trough International Classification of Functioning, Disability and Health Checklist and Dash After Suprascapular Nerve Blocks^[*]

Abstract

Objective To evaluate the functionality in patients with adhesive capsulitis undergoing suprascapular nerve block (SSNB).

Methods A before-and-after clinical prospective study in a single center was conducted with patients with secondary adhesive capsulitis treated with four nerve blocks based on anatomical limits. The sample was non-probabilistic, and it was obtained after a routine appointment at a specialized outpatient clinic. The instruments used for evaluation were the International Classification of Functioning, Disability and Health (ICF) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which were applied at baseline (T₀), one week after the fourth SSNB (T₄), and three months after the first SSNB (T₁₂). The paired t-test was used to compare the means of the ICF checklist items and DASH in the different: T₀xT₄; T₄xT₁₂; and T₀xT₁₂). The probability of rejecting the null hypothesis was 5%.

Results The sample was composed of 25 individuals with a mean age of 58.16 years; 16 of them were female. The duration of the pain symptoms ranged from 2 to 16 months, with a mean of 5.92 months. The ICF checklist showed that all domains had already improved in T_4, except for the environmental factors, which only improved at 03 months (p = 0.037). The patients reported improvements in shoulder function in T₄, which increased more in T₁₂, at the end of data collection (p = 0.019).

Conclusion The SSNB technique is effective in patients with adhesive capsulitis after 4 weeks of application, with improvements in individual's functionality lasting for 12 weeks.

Keywords

adhesive capsulitis - nerve block - International Classification of Functioning, disability and health - shoulder - patient reported outcome measures

Financial Support

The present study received no financial support from public, commercial, or notfor-profit sources.

^* Work developed at the School of Medicine of Universidade Federal de Goiás, Goiânia, GO, Brazil.

Publication History

Received: 25 February 2022

Accepted: 27 May 2022

Article published online:
02 August 2022

• Referências

• 1 Lech O, Sudbrack G, Valenzuela Neto C. Capsulite adesiva (ombro congelado”): Abordagem multidisciplinar. Rev Bras Ortop 1993; 28 (09) 617-624
• 2 Tamai K, Akutsu M, Yano Y. Primary frozen shoulder: brief review of pathology and imaging abnormalities. J Orthop Sci 2014; 19 (01) 1-5
• 3 Ferreira Filho AA. Adhesive capsulitis. Rev Bras Ortop 2005; 40 (10) 565-574
• 4 Zuckerman JD, Rokito A. Frozen shoulder: a consensus definition. J Shoulder Elbow Surg 2011; 20 (02) 322-325
• 5 Zreik NH, Malik RA, Charalambous CP. Adhesive capsulitis of the shoulder and diabetes: a meta-analysis of prevalence. Muscles Ligaments Tendons J 2016; 6 (01) 26-34
• 6 Cohen C, Tortato S, Silva OBS, Leal MF, Ejnisman B, Faloppa F. Associação entre ombro congelado e tireopatias: reforçando as evidências. Rev Bras Ortop 2020; 55 (04) 483-489
• 7 Checchia SL, Santos PD, Palomino EM, Garcia CMS, Leal HP. Tratamento da capsulite adesiva do ombro pelo bloqueio do nervo supra-escapular, associado ao uso de corticoide. Rev Bras Ortop 1994; 29 (09) 627-634
• 8 Fernandes MR, Barbosa MA, Faria RM. Quality of life and functional capacity of patients with adhesive capsulitis: identifying risk factors associated to better outcomes after treatment with nerve blocking. Rev Bras Reumatol Engl Ed 2017; 57 (05) 445-451
• 9 Cordeiro ES. Classificação Internacional de Funcionalidade, Incapacidade e Saúde, E- SUS e TABWIN: as experiências de Barueri e Santo André, São Paulo. Rev Baiana Saúde Pública 2015; 39 (02) 470-477
• 10 Stoll T, Brach M, Huber EO. et al. ICF Core Set for patients with musculoskeletal conditions in the acute hospital. Disabil Rehabil 2005; 27 (7-8): 381-387
• 11 Sampaio RF, Mancini MC, Gonçalves GGP, Bittencourt NFN, Miranda AD, Fonseca ST. Aplicação da Classificação Internacional de Funcionalidade, Incapacidade e saúde (CIF) na prática clínica do fisioterapeuta. Braz J Phys Ther 2005; 9 (02) 1-7
• 12 Bagraith KS, Strong J. A classificação internacional de funcionalidade, incapacidade e saúde (CIF) pode ser usada para descrever avaliações clínicas multidisciplinares de pessoas com doenças musculoesqueléticas crônicas. Clin Rheumatol 2013; 32 (03) 383-389
• 13 Sagahutu JB, Kagwiza J, Cilliers F. et al. O impacto de um programa de treinamento que incorpora a estrutura conceitual da Classificação Internacional de Funcionalidade (CIF) sobre o conhecimento e as atitudes em relação à prática interprofissional em profissionais de saúde de Ruanda: um ensaio de controle randomizado por conglomerado. BMC Med Educ 2021; 21: 139
• 14 Hopfe M, Prodinger B, Bickenbach JE, Stucki G. Optimizing health system response to patient's needs: an argument for the importance of functioning information. Disabil Rehabil 2018; 40 (19) 2325-2330
• 15 Castro SS, Castaneda L, Silveira H. Identification of common content between the questionnaire of the Health Survey (ISA-SP) and the International Classification of Functionality, Disability, and Health. Rev Bras Epidemiol 2014; 17 (01) 59-70
• 16 Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med 2008; 44 (03) 329-342
• 17 Drummond AS, Sampaio RF, Mancini MC, Kirkwood RN, Stamm TA. Linking the Disabilities of Arm, Shoulder, and Hand to the International Classification of Functioning, Disability, and Health. J Hand Ther 2007; 20 (04) 336-343
• 18 Kingsley C, Patel S. Patient-reported outcome measures and patient-reported experience measures. BJA Educ 2017; 17 (04) 137-144
• 19 Fernandes MR, Barbosa MA, Sousa ALL, Ramos GC. Suprascapular nerve block: important procedure in clinical practice. Part II. Rev Bras Reumatol 2012; 52 (04) 616-622
• 20 World Health Organization (WHO). The International Classification of Functioning, Disability and Health. 2001. Geneva: WHO; 2000;
• 21 Hammond A, Prior Y, Tyson S. Validação lingüística, validade e confiabilidade das versões em inglês britânico do questionário Disabilities of the Arm, Shoulder and Hand (DASH) e QuickDASH em pessoas com artrite reumatóide. BMC Musculoskelet Disord 2018; 19 (01) 118
• 22 Michener LA, Snyder AR. Evaluation of health-related quality of life in patients with shoulder pain: are we doing the best we can?. Clin Sports Med 2008; 27 (03) 491-505 , x
• 23 Magalhães FB, de Lima MAG, Neves RDF, Costa-Black K, de Araújo TM, Porto LA. Disability and functioning assessment of women with RSI/WRMSDs: the use of the ICF checklist. Rev Bras Med Trab 2019; 17 (04) 545-556
• 24 Dernek B, Esmaeilzadeh S, Oral A. The utility of the International Classification of Functioning, Disability and Health checklist for evaluating disability in a community-dwelling geriatric population sample. Int J Rehabil Res 2015; 38 (02) 144-155
• 25 Silveira H, Andrade FG, Castaneda L, Mello P. Abordagem da Funcionalidade e dos fatores ambientais em pacientes com doença de Parkinson através do Cheklist da Classificação Internacional de Funcionalidade (CIF). Persp online. Biol Saúde 2012; 6 (02) 30-34
• 26 Madden RH, Bundy A. The ICF has made a difference to functioning and disability measurement and statistics. Disabil Rehabil 2019; 41 (12) 1450-1462
• 27 Jung TW, Lee SY, Min SK, Lee SM, Yoo JC. Does combining a suprascapular nerve block with an intra-articular corticosteroid injection have an additive effect in the treatment of adhesive capsulitis? A comparison of functional outcomes after short-term and minimum 1-year follow-up. Orthop J Sports Med 2019; 7 (07) 2325967119859277
• 28 Mortada MA, Ezzeldin N, Abbas SF, Ammar HA, Salama NA. Multiple versus single ultrasound guided suprascapular nerve block in treatment of frozen shoulder in diabetic patients. J Back Musculoskeletal Rehabil 2017; 30 (03) 537-542
• 29 Haque R, Baruah RK, Bari A, Sawah A. Is suprascapular nerve block better than intra-articular corticosteroid injection for the treatment of adhesive capsulitis of the shoulder? A Randomized Controlled Study. Ortop Traumatol Rehabil 2021; 23 (03) 157-165
• 30 Kamal K, Dahiya N, Singh R, Saini S, Taxak S, Kapoor S. Comparative study of anatomical landmark-guided versus ultrasound-guided suprascapular nerve block in chronic shoulder pain. Saudi J Anaesth 2018; 12 (01) 22-27