AIM To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder.METHODS Fifty-six patients with frozen shoulder were randomised to one of two treatmen...AIM To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder.METHODS Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2, intra-articular corticosteroid injection(40 mg methyl prednisolone acetate). Both groups were put on active and passive range of motion exercises following the intervention. The outcome parameters were visual analogue scale(VAS) score for pain, range of motion and Constant score which were measured at baseline, 4, 8, 12, 16 and 20 wk after intervention.RESULTS All the parameters improved in both the groups. The mean VAS score improved significantly more in the group 1 as compared to group 2 at 8 wk. This greater improvement was maintained at 20 wk with P value of 0.007 at 8 wk, 0.006 at 12 wk, 0.006 at 16 wk and 0.019 at 20 wk. The Constant score showed a more significant improvement in group 1 compared to group 2 at 4 wk, which was again maintained at 20 wk with P value of 0.01 at 4, 8, 12 and 16 wk. The gain in abduction movement was statistically significantly more in arthroscopy group with P value of 0.001 at 4, 8, 12, 16 wk and 0.005 at 20 wk. The gain in external rotation was statistically significantly more in arthroscopy group with P value of 0.007 at 4 wk, 0.001 at 8, 12, and 16 wk and 0.003 at 20 wk. There was no statistically significant difference in extension and internal rotation between the two groups at any time. CONCLUSION Arthroscopic capsular release provides subjective and objective improvement earlier than intra-articular steroid injection.展开更多
We investigated decomposition and nutrient release patterns of leaf and sheath litter of two important highland bamboo species （viz. Phyllostachys bambusoides Sieb. （Zucc.） and Arundinaria racemosa Munro） by using...We investigated decomposition and nutrient release patterns of leaf and sheath litter of two important highland bamboo species （viz. Phyllostachys bambusoides Sieb. （Zucc.） and Arundinaria racemosa Munro） by using a litter bag technique. Our objective was to improve understanding of the addition of organic matter and nutrients to soil from the litter of two abundant highland bamboo species, species that support the local population of the region in many ways. N concentration and N/P ratio were significantly higher （p〈0.01） in leaf litter of P bambusoides. Significantly, larger values of lignin concentration, C/N ratio, and lignin/N ratio were found in the sheath litter ofA racemosa. Weight loss of both leaf and sheath litter was strongly positively correlated with N and N/P ratio, and significantly negatively correlated 6o〈0.01） with C/N ratio. Lignin/N had a negative correlation with decay rate. In both species, only lignin concentration of the litter showed strong positive correlation with N release. Litter decomposition and N release patterns were similar for the two bamboo species, whereas, P release rate from leaf litter was higher in P bambusoides and differed significantly between sheath and leaf litter for both species. The complex pattern of nutrient release through mineralization and immobilization during litter decomposition ensures nutrient availability in both managed and natural bamboo stands subjected to anthropogenic disturbances.展开更多
文摘AIM To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen shoulder.METHODS Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2, intra-articular corticosteroid injection(40 mg methyl prednisolone acetate). Both groups were put on active and passive range of motion exercises following the intervention. The outcome parameters were visual analogue scale(VAS) score for pain, range of motion and Constant score which were measured at baseline, 4, 8, 12, 16 and 20 wk after intervention.RESULTS All the parameters improved in both the groups. The mean VAS score improved significantly more in the group 1 as compared to group 2 at 8 wk. This greater improvement was maintained at 20 wk with P value of 0.007 at 8 wk, 0.006 at 12 wk, 0.006 at 16 wk and 0.019 at 20 wk. The Constant score showed a more significant improvement in group 1 compared to group 2 at 4 wk, which was again maintained at 20 wk with P value of 0.01 at 4, 8, 12 and 16 wk. The gain in abduction movement was statistically significantly more in arthroscopy group with P value of 0.001 at 4, 8, 12, 16 wk and 0.005 at 20 wk. The gain in external rotation was statistically significantly more in arthroscopy group with P value of 0.007 at 4 wk, 0.001 at 8, 12, and 16 wk and 0.003 at 20 wk. There was no statistically significant difference in extension and internal rotation between the two groups at any time. CONCLUSION Arthroscopic capsular release provides subjective and objective improvement earlier than intra-articular steroid injection.
文摘We investigated decomposition and nutrient release patterns of leaf and sheath litter of two important highland bamboo species （viz. Phyllostachys bambusoides Sieb. （Zucc.） and Arundinaria racemosa Munro） by using a litter bag technique. Our objective was to improve understanding of the addition of organic matter and nutrients to soil from the litter of two abundant highland bamboo species, species that support the local population of the region in many ways. N concentration and N/P ratio were significantly higher （p〈0.01） in leaf litter of P bambusoides. Significantly, larger values of lignin concentration, C/N ratio, and lignin/N ratio were found in the sheath litter ofA racemosa. Weight loss of both leaf and sheath litter was strongly positively correlated with N and N/P ratio, and significantly negatively correlated 6o〈0.01） with C/N ratio. Lignin/N had a negative correlation with decay rate. In both species, only lignin concentration of the litter showed strong positive correlation with N release. Litter decomposition and N release patterns were similar for the two bamboo species, whereas, P release rate from leaf litter was higher in P bambusoides and differed significantly between sheath and leaf litter for both species. The complex pattern of nutrient release through mineralization and immobilization during litter decomposition ensures nutrient availability in both managed and natural bamboo stands subjected to anthropogenic disturbances.
