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Utilisation du froid dans la prise en charge de la capsulite retractile d'epaule en phase aigue (Use of cold for the management of acute retractile capsulitis of the shoulder joint) [French]
Srour F
Kinesitherapie La Revue 2008 Nov;8(83):29-33
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The purpose of this article was to report an open monocentric study of the effect of applying cold for the management of acute retractile capsulitis of the shoulder joint. This study conducted over a thirteen month period included 27 patients randomly assigned to three groups. The usual manual management practices were applied in all patients and in two groups were associated with application of cold packs for one group and strong cold air (30 degrees) ventilation of the joint for the other. No adjuvant treatment was delivered for the third group. The results demonstrated that strong ventilation with cold air had a better analgesic effect: the VAS measured immediately after its application was 0.8 on average, versus 3.1 after a 15-min application of a cold pack and 4.9 without adjuvant treatment. These results suggest that use of cold air at 30 degrees has an analgesic effect which can persist for six hours or more allowing more rapid recovery: 5.1 months treatment for the group with cold air ventilation versus 8.3 on average for the two other groups.

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