Activity- vs. structural-oriented treatment approach for frozen shoulder: a randomized controlled trial

Horst, Renata; Maicki, Tomasz; Trąbka, Rafał; Albrecht, Sindy; Schmidt, Katharina; Mętel, Sylwia; Piekartz, Harry von

doi:10.1177/0269215516687613

Cited by 17 publications

(34 citation statements)

References 25 publications

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“…The majority of included trials (11 of 14) measured pain intensity only at rest 15,36,[38][39][40][41][42][43][44][45]48 . One study measured the intensity of pain during movement (39), and one study evaluated pain intensity on movement and at rest 36 .…”

Section: Pain Intensitymentioning

confidence: 99%

“…Five studies evaluated the intensity of pain through the visual analog scale (VAS) 15,39,[41][42][43] and other four studies used the numerical rating scale (NRS) 36,[38][39][40] . One study evaluated pain through the McGill Pain Questionnaire 48 . In study 49 VAS was used to evaluate pain intensity associated with nociceptive flexion reflex test 49 .…”

Section: Pain Intensitymentioning

confidence: 99%

“…In study 49 VAS was used to evaluate pain intensity associated with nociceptive flexion reflex test 49 . All studies have shown significant short-and/or long-term reduction of pain intensity following JM combined or not with other therapies 15,36,[38][39][40][41][42][43][44][45]48 .…”

Section: Pain Intensitymentioning

confidence: 99%

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Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Sousa

Dantas

Azevedo-Santos³

et al. 2020

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Joint mobilization is a non-pharmacological technique used to treat chronic musculoskeletal pain. However, it is controversial due to a lack of studies comparing its effects on this painful condition. The objective of this study was to assess the risk of bias in clinical trials investigating the effect of joint mobilization on chronic musculoskeletal pain. CONTENTS: A systematic search on Pubmed, Cochrane Library, ScienceDirect, Scielo, PEDro, CINAHL, SPORTDiscus, LILACS, BVS, PsycINFO, Web of Science, and Scopus was performed on September 2019 from the combination of three keywords: Musculoskeletal Manipulations AND Chronic Pain AND Musculoskeletal Pain. Randomized controlled clinical trials that evaluated the use of joint mobilization associated or not to other therapies in chronic musculoskeletal pain treatment were included. Five thousand five hundred eighty-seven articles were screened, and 14 studies were analyzed, including 812 participants, with a mean age of 54 years, and female being the most affected. According to these articles, joint mobilization promoted the reduction of pain intensity in short and long terms, increase in range of motion, strength and function when used alone or in association with conventional physiotherapy. Regarding methodological quality, most of the studies were classified with low risk for selection, performance, detection and reporting bias. In the "other bias" item, which considered therapists experience Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review Mobilização articular associada ou não a outras terapias reduz dor musculoesquelética crônica: uma revisão sistemática

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Section: Pain Intensitymentioning

confidence: 99%

Section: Pain Intensitymentioning

confidence: 99%

See 1 more Smart Citation

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Sousa

Dantas

Azevedo-Santos³

et al. 2020

Brazilian Journal of Pain

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“…The aim of physiotherapy measures should be optimal preservation of any mobility that is still present. Horst et al showed improved efficacy of activity-oriented treatment programmes compared with conventional structure-oriented approaches [18]. To achieve this, physiotherapy courses in the inpatient setting were proposed to improve the results of the subsequent independent exercises at home, thereby reducing the number of further visits to the hospital [19].…”

Section: Physiotherapymentioning

confidence: 99%

Shoulder Stiffness – How to Treat?

et al. 2019

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Shoulder stiffness is a condition of restricted glenohumeral range of motion, which can arise spontaneously or as consequence of a known cause, including surgical procedures on the shoulder. Several approaches to shoulder stiffness have been proposed and high-level evidence is available to analyze and discuss their results. The aim of this review was to summarize the current concepts on conservative and operative treatment of shoulder stiffness and discuss the results of the available studies with a high level of evidence, which should be considered to guide clinical practice. Treatment of shoulder stiffness should be tailored to the patientʼs clinical situation and the stage of its shoulder pathology and should aim at pain reduction, restoration of range of motion, functional regain and shortening of symptoms duration. When possible, known risk factors for primary shoulder stiffness and causes of secondary shoulder stiffness should be addressed to avoid relapse. Conservative therapy is the mainstay of treatment for shoulder stiffness and should include a multimodal and activity-oriented program. Intra-articular injection of a low dose of corticosteroid is safe and effective, provides immediate benefits, and is recommended in combination to an appropriate rehabilitation protocol. In conservative refractory cases, arthrolysis and capsular release can be performed with an arthroscopic approach.

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“…The right physiopathologic mechanism is not yet well-understood, but it is reported to be a chronic inflammatory process of synovium and soft tissue followed by a fibrotic picture similar to E. CavallEri, a. SErvadio, a. BErardi, M. Tofani, G. GalEoTo Dupuytren's disease, due to the rise of collagen formation, myofibroblasts and fibroplasias (10); some arthroscopic and histologic studies have shown that the condition is caused by a glenohumeral capsule contracture, particularly of the coracohumeral ligament within the rotator interval (9). Another theory tells that if the immobilization due to injury and pain is kept up longer than necessary, it may lead to learned non-use, loss of cortical representation and then stiffness and pain (11). Early diagnosis is not easy: the first symptom is the onset of a nocturnal and daily pain causing restriction in function and daily activities (1)(2)(3)5); there is a loss of both passive and active movements, particularly a loss of more than 30° in passive external rotation (2); there is weakness of supraspinatus muscle and long head biceps lack of flexibility which cause limitation in abduction (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Physiotherapy in Idiopathic or Primary Frozen Shoulder: a Systematic Review and Meta-Analysis

Cavalleri

Servadio

Berardi

et al. 2020

Muscle Ligaments and Tendons J

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Objective. The objective of this work was to evaluate the effectiveness of physiotherapy in individuals affected by primary or idiopathic frozen shoulder, considering only studies that employed a randomized controlled trial. Methods. A systematic review and meta-analysis were carried out according to PRISMA guidelines. Three bibliographic databases were searched: MEDLINE, Cochrane Library and PEDro. The minimum prerequisites for papers to be included in the systematic review were that they had to (a) employ a randomized controlled trial; (b) be published in English or Italian language. The studies were evaluated according to Cochrane Collaboration's tool for assessing risk of bias and Jadad scale. Results. Twelve studies in systematic review and nine studies in meta-analysis were included. Conclusions. Frozen shoulder is a condition whose therapeutic targets could change due to symptoms and stage. Rehabilitation program, particularly end-range mobilization techniques and therapeutic exercise are the most effective in reducing pain and increasing function in sub-acute phases.

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Activity- vs. structural-oriented treatment approach for frozen shoulder: a randomized controlled trial

Abstract: Therapy based on performing activities seems to be more effective for pain reduction and the ability to perform daily life activities than conventional treatment methods.

Cited by 17 publications

References 25 publications

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Shoulder Stiffness – How to Treat?

The Effectiveness of Physiotherapy in Idiopathic or Primary Frozen Shoulder: a Systematic Review and Meta-Analysis

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