Comparision of Hydrodilatation Results at Different Volumes in Adhesive Capsulitis by Phases.

The Shoulder Pain Disability Index is a widely used outcome measure in studies that provides information about pain and limitation of shoulder pathologies.

• Pain Scale How severe is the pain? 0 = no pain and 10 = the worst pain imaginable.

• At its worst?
• When lying on that side?
• When reaching for something on a high shelf?
• When touching the back of your neck?
• When pushing with the affected arm?
• Disability Scale:

How much difficulty do you have? 0 = no pain and 10 = the worst pain imaginable.

• Washing your hair.
• Washing your back.
• Putting on a T-shirt or sweater.
• Putting on a button-down shirt.
• Putting on your pants.
• Placing an object on a high shelf.
• Lifting a heavy object weighing 4.5 kilograms.
• Taking something from his back pocket.

Then, pain and disability are obtained separately, and a percentage of impairment is combined.

This index has demonstrated "good internal consistency, convergent validity, and reliability" in its Spanish version.

The VAS "is a validated subjective measure for acute and chronic pain." It allows for the measurement of pain intensity with maximum reproducibility.

It consists of a 10-centimeter horizontal line, with the extreme expressions of a symptom at each end. To the left (0) is the absence or lowest intensity, and to the right (10) is the highest intensity. The patient is asked to mark the point on the line that indicates the intensity. The minimally detectable differences for the symptom level to be acceptable are 2 to 3 points.

Range of motion assessment is a basic practice in the study of shoulder pathologies, especially in the case of AC. ROM should be measured, both actively and passively.

The ROMs that will be assessed actively and passively will primarily be flexion, abduction, external rotation (with the arm at 90° of abduction, by asking the patient to show us the palm of their hand), and internal rotation (with the arm at 90° of abduction, by asking the patient to show us the back of their hand). All of these are measured with the PLURIMETER inclinometer.

This will be measured using ultrasound with a longitudinal section of the AR. The patient will be placed supine with the shoulder abducted at 90° and the elbow flexed.

They will begin the PT program in less than 3-5 days. The PT start and start date will be scheduled according to pre-established criteria.

The following criteria will be established for discontinuing PT treatment:

• No improvement of 15% in ROM after full HD after 16 sessions.
• Recovery of full ROM after 4 sessions.
• Increased pain that makes PT impossible.
• Maximum of 24 PT sessions.

It will be measured in days.

The Lattinen test is a widely used tool for assessing pain, validated in Spain as a tool to measure the degree of pain in patients with chronic pain. This scale consists of five items scored from 0 to 4:

• Pain intensity.
• Pain frequency.
• Analgesic use.
• Degree of disability.
• Hours of sleep.

Although this test is widely used in chronic pain conditions, its use in AC is not very common. However, we believe it can provide important data such as analgesic medication intake. This is why we consider its use appropriate.

The PGI-I consists of a single question that asks the patient to classify the relief obtained with the treatment according to a 7-point Likert scale: "much better"; "much better"; "a little better"; "no change"; "a little worse"; "much worse"; "much worse".

The CGI-I, the physician compares the patient's initial clinical condition with the current condition: "Compared to the patient's condition at the time of admission to the project [prior to the start of medication], this patient's condition is: 1=much better since the start of treatment; 2=much improved; 3=minimally improved; 4=no change since baseline (the start of treatment); 5=minimally worse; 6=much worse; 7=much worse since the start of treatment."