{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:09:10Z","timestamp":1785391750610,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T00:00:00Z","timestamp":1658534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the additive value of immediate post\u2010procedural manipulation versus physiotherapy, following ultrasound (US)\u2010guided hydrodistention of the glenohumeral joint (GHJ) in patients with adhesive capsulitis (AC) and define predictors of outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Within a 19\u2010month period, 161 consecutive patients with AC were prospectively enrolled and allocated to two groups according to treatment, based on patients' individual preferences: 1) group\u2010I, US\u2010guided hydrodistension plus immediate post\u2010procedural manipulations and 2) group\u2010II, US\u2010guided hydrodistension plus supervised physiotherapy program. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and a visual analog scale (VAS) were used for clinical assessment at baseline (immediately after treatment), 1, 3, and 6\u2009months. Comparisons were performed with Mann\u2013Whitney <jats:italic>U<\/jats:italic> test and Kolmogorov\u2013Smirnov test. Linear regression was used to identify predictors of outcome. <jats:italic>P<\/jats:italic> value &lt;.05 defined significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>GHJ hydrodistension with manipulation or physiotherapy was linked to clinical improvement at all follow\u2010up time\u2010points. DASH scores of group\u2010I remained constantly lower than DASH scores of group\u2010II at all time\u2010points (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). VAS scores were lower in group\u2010I than group\u2010II at 1 and 3\u2009months (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001 and <jats:italic>P<\/jats:italic>\u00a0=\u00a0.0019, respectively). Both groups had improved to a similar degree with respect to pain at 6\u2009months (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.29). The performance of post\u2010interventional manipulations was predictive of improved shoulder functionality (as assessed with DASH scores) at all time\u2010points, while low\u2010grade disease and milder symptoms at presentation were associated with improved short\u2010term pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Immediate post\u2010procedural manipulations appeared to be superior to physiotherapy following GHJ hydrodistension for AC in terms of shoulder functionality during a 6\u2010month follow\u2010up period. Post\u2010interventional manipulations, the stage of AC and lower DASH and VAS scores at presentations were predictive of improved outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16063","type":"journal-article","created":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T07:09:51Z","timestamp":1658560191000},"page":"665-674","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Ultrasound\u2010Guided Hydrodistension for Adhesive Capsulitis"],"prefix":"10.1002","volume":"42","author":[{"given":"Madalena","family":"Pimenta","sequence":"first","affiliation":[{"name":"Radiology Department S\u00e3o Jo\u00e3o Hospital Centre  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5509-687X","authenticated-orcid":false,"given":"Evangelia E.","family":"Vassalou","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging University Hospital of 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