Adhesive Capsulitis of the Shoulder. Is there Consensus Regarding the Treatment? A Comprehensive Review

Georgiannos, Dimitrios; Markopoulos, George; Devetzi, Eirini; Bisbinas, Ilias

doi:10.2174/1874325001711010065

Cited by 64 publications

(77 citation statements)

References 86 publications

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“…Hyaluronic acid injections have been shown to be beneficial for persistent shoulder pain, especially when the main reason is osteoarthritis of the glenohumeral joint [24,25]. Hyaluronate injection into the glenohumeral joint appears to be a safe and effective procedure improving pain and ROM at short-term follow-up in patients with adhesive capsulitis of the shoulder [26]. However, we have no practical experience with hyaluronate injections in idiopathic adhesive capsulitis.…”

Section: Discussionmentioning

confidence: 96%

Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study

Rashid¹,

Aggarwal²,

Gautam³

et al. 2019

Med Princ Pract

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Significance of the Study• Idiopathic adhesive capsulitis is a painful disorder affecting up to 5% of the general population. • The variety of treatment modalities employed speaks for the fact that we still know little about the inciting etiology, pathogenesis, and response to treatment. • Our study concludes that physiotherapy plus intra-articular steroid injection is more effective compared to physiotherapy alone in pain control and improvement in range of motion at short-term follow-up. • More high-quality research with longer follow-up is required to establish the best modality for the management of idiopathic adhesive capsulitis. AbstractObjective: Adhesive capsulitis or frozen shoulder is a painful condition affecting up to 5% of the general population. We conducted this study with the aim of evaluating the results of physiotherapy plus intra-articular methylprednisolone injection versus physiotherapy alone in idiopathic frozen shoulder. Methods: This prospective clinical study was conducted in a tertiary care center between August 2016 and August 2018. Patients who were diagnosed with idiopathic frozen shoulder were included in the study, and each patient was randomly allocated to one of two groups: physiotherapy alone (group A) and physiotherapy plus intra-articular steroid injection (group B). Results: A total of 52 cases diagnosed with idiopathic frozen shoulder were included and treated with the two modalities. There was a significant improvement in group B compared to group A at 6 weeks and 3 months in the range of flexion, abduction, and external rotation. The Shoulder Pain and Disability Index showed improvement in both pain and disability score in group B compared to group A, and improvement was significant at 6 weeks and 3 months. Conclusion: The results demonstrate the advantages of physiotherapy plus intra-articular steroid injection in idiopathic frozen shoulder. The predictability of results with physiotherapy plus intra-articular steroid injection in selected patients is excellent, and it is a better modality of treatment compared to physiotherapy alone.

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Section: Discussionmentioning

confidence: 96%

Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study

Rashid¹,

Aggarwal²,

Gautam³

et al. 2019

Med Princ Pract

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“…in their publication, Georgiannos et al refer to formal diagnostic criteria, which include: 1. pain and progressive stiffness of the shoulder joint for at least 4 weeks; 2. strong shoulder pain making daily activities or work difficult; 3. night pain; 4. painful limitation of the range of shoulder movements, both during passive and active operation (height < 100°, limitation of external rotation by 50%); 5. untypical radiological image [69].…”

Section: Etiopathogenesismentioning

confidence: 97%

“…the selection of the approach to treatment depends on the patient's functional status at the time of clinical examination. principally, some researchers believe that conservative therapy should be continued for 6 months, with the level of pain monitored over this period [69].…”

Section: Rotator Cuff Conflictmentioning

confidence: 99%

“…in literature, there is still no consensus as to which therapeutic option is better, mainly due to the absence of high--quality evidence. However, it should be emphasized that, regardless of the stage of disease, the most important objectives are eliminating pain, removing joint stiffness, maintaining correct movement range and recovering functionality [69].…”

Section: Rotator Cuff Conflictmentioning

confidence: 99%

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Recommendations of the Polish Society of Physiotherapy, Polish Society of Family Medicine and the College of Family Physicians in Poland in the scope of physiotherapy in the painful shoulder syndrome in primary healthcare

Kassolik¹,

Rajkowska-Labon²,

Tomasik³

et al. 2018

fmpcr

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4 college of Family physicians in poland 5 Department of Family medicine, chair of internal Diseases and Gerontology, jagiellonian university medical college in krakow, poland 6 academy of physical Education in katowice, poland 7 university of computer science and skills, lodz, poland 8 polish society of Family medicine, poland 9 Department of Family medicine, wroclaw medical university, poland A -study Design, B -Data collection, C -statistical analysis, D -Data interpretation, E -manuscript preparation, F -literature search, G -Funds collection the objective of these guidelines in the scope of physiotherapy in primary healthcare is to suggest simple, uncomplicated and more cost-effective physiotherapeutic activities in patients experiencing pain due to painful shoulder syndrome. a general practitioner should decide whether the treatment undertaken within primary healthcare, including the process of physiotherapy, is effective and sufficient, or whether it requires more advanced activities, such as advanced diagnostics and further specialist treatment. the authors of the recommendations, apart from massage, also include procedures in the scope of kinesiotherapy, physiotherapy and orthopedic equipment. according to the authors, the aim of recovering the correct spatial system, called structural homeostasis, in the shoulder girdle, is, first of all, normalization of muscle tension and then inclusion in a rehabilitation program covering the methods to recover and consolidate the correct models of motor activity. the starting point for determining a rehabilitation program should be the ability to prepare a simple assessment of the patient's condition. this may result from a palpation examination to determine the incorrect distribution of resting tension in the area of the muscles and tendons engaged in the pathology and causing pain. the authors believe that such a solution contains the key to reducing the costs of treatment, providing access to physical therapists and quick assistance in the scope of improvement of a patient's clinical condition. at the same time, they emphasize the need to correct the previous healthcare model, so that it becomes a more effective tool in maintaining health. SummaryISSN 1734-3402, eISSN 2449-8580 this is an open access article distributed under the terms of the creative commons attribution-noncommercial-sharealike 4.0 international (cc by-nc-sa 4.0). license (http://creativecommons.org/licenses/by-nc-sa/4.0/). kassolik k, Rajkowska-labon E, tomasik t, Gieremek k, Dobrzycka a, andrzejewski w, kiljański m, kurpas D. Recommendations of the polish society of physiotherapy, polish society of Family medicine and college of Family physicians in poland in the scope of physiotherapy in painful shoulder syndrome in primary healthcare. Fam Med Prim Care Rev 2018; 20(3): 277-290, doi: https://doi.org/10.5114/ fmpcr.2018.78274.

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“…Por ser uma síndrome que acomete diferentes estruturas, como ossos, cartilagem, ligamentos e tendões, a capsulite adesiva apresenta melhora significativa quando submetida à fisioterapia, dentre suas diferentes técnicas 4…”

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Mobilização Neural de Butler e Reiki como intervenção fisioterápica para capsulite adesiva crônica

2019

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Introdução. Capsulite adesiva é uma síndrome multifatorial que inclui mudanças morfológicas e anatômicas da articulação do ombro acometido, seu diagnóstico é inicialmente clínico, marcado por significativa diminuição da amplitude de movimento e dor no ombro. Dentre os recursos da fisioterapia, a Mobilização Neural de Butler é uma técnica de mobilização manual, utilizada para melhora da amplitude de movimento e dor; o Reiki é uma prática de imposição de mãos, reconhecida como prática integrativa e complementar pelo Ministério da Saúde, devido intervir, por meio da energia vital nos aspectos físico, emocional, mental e espiritual. Objetivo. Investigar os efeitos de um programa fisioterápico utilizando a técnica de Mobilização Neural de Butler associada ao Reiki em estudo de caso de capsulite adesiva crônica. Método. Foram aplicadas 10 sessões de fisioterapia, utilizando da técnica de Mobilização Neural de Butler associada ao Reiki, e investigada a amplitude de movimento, força muscular e dor do ombro, funcionalidade ou desempenho nas atividades de vida diária, e variações de humor antes e imediatamente após o tratamento. Resultados. Houve melhora em todos os aspectos avaliados. Conclusão. A Mobilização Neural de Butler associada ao Reiki, como intervenção fisioterápica mostrou trazer benefícios ao tratamento de um paciente com capsulite adesiva crônica.

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Adhesive Capsulitis of the Shoulder. Is there Consensus Regarding the Treatment? A Comprehensive Review

Cited by 64 publications

References 86 publications

Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study

Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study

Recommendations of the Polish Society of Physiotherapy, Polish Society of Family Medicine and the College of Family Physicians in Poland in the scope of physiotherapy in the painful shoulder syndrome in primary healthcare

Mobilização Neural de Butler e Reiki como intervenção fisioterápica para capsulite adesiva crônica

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