Depression and Anxiety Are Associated With Worse Subjective and Functional Baseline Scores in Patients With Frozen Shoulder Contracture Syndrome: A Systematic Review

Brindisino, Fabrizio; Silvestri, Elena; Gallo, Chiara; Venturin, Davide; Giacomo, Giovanni Di; Peebles, Annalise M.; Provencher, Matthew T.; Innocenti, Tiziano

doi:10.1016/j.asmr.2022.04.001

Cited by 25 publications

(18 citation statements)

References 63 publications

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“…In persistent pathologies such as FS, these behaviours become maladaptive because they facilitate the physical inactivity of the entire upper limb (Brindisino, Silvestri, et al., 2022; Leeuw et al., 2007). Hence, the extremely important role of education, that is the cornerstone of the treatment of the FS (Mertens et al., 2022), could also represent a strategy to manage psychological factors and improve patient outcomes, reassuring and reducing the perceived threat, contextualising the patient's pain and managing the fear of pain and lowering it at the same time (Brindisino, Silvestri, et al., 2022; Guerrero et al., 2018).…”

Section: Discussionmentioning

confidence: 99%

Does the psychological profile of a patient with frozen shoulder predict future outcome? A systematic review

Brindisino,

Minnucci,

Sergi

et al. 2023

Physiotherapy Res Intl

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Background and PurposeFrozen shoulder (FS) is defined as a condition characterised by functional restriction and daily and nightly pain. As in other shoulder pathologies, the manifestation of psychological factors is recognised in FS; however, from a psychological point of view, only few studies have reported its prognostic value. The aim of this systematic review is to investigate, in patients with FS, the prognostic value of psychological factors on pain, function, disability, health‐related quality of life, return to work and time to recovery.Materials and MethodsThis systematic review was reported following the Preferred Reporting Items for Systematic reviews and Meta‐Analysis—PRISMA 2020 guideline. The authors followed the Cochrane Handbook for Systematic review of Intervention as methodological guidance. The Quality in Prognostic Studies—QUIPS tool was used to assess the risk of bias.ResultsPain‐related fear and depression could be prognostic regarding patient‐reported outcome measures assessing shoulder function, disability, and pain; instead, pain catastrophizing could have a prognostic value assessed by the disability of the arm shoulder and hand ‐DASH scale. Anxiety would appear to impact on disability and pain.Discussion and ConclusionsAs widely reported in numerous musculoskeletal conditions, also in FS psychological factors influence the physical dimension such as pain, disability and function. Therefore, clinicians should be encouraged to identify these factors through a comprehensive assessment of the bio‐psychological profile of each individual with FS. Perhaps, patients with FS that show such psychological prognostic factors could benefit from a comprehensive and shared approach with other dedicated professionals.

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Section: Discussionmentioning

confidence: 99%

Does the psychological profile of a patient with frozen shoulder predict future outcome? A systematic review

Brindisino,

Minnucci,

Sergi

et al. 2023

Physiotherapy Res Intl

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“…Patient-reported outcomes measures, such as shoulder function and pain scores, together with clinical measurements such as shoulder range of motion, alongside complications or adverse events, are considered, but the authors only partially assess the impact of the condition on participants’ lives and their experience of such illness. In light of recent findings [ 77 , 78 ], a deeper assessment of psychological factors could be appropriate for the early recognition and management of these aspects that deeply impact patients’ conditions and, consequently, to better guide adequate treatment choices for FSCS.…”

Section: Discussionmentioning

confidence: 99%

Manipulation under Anesthesia versus Non-Surgical Treatment for Patients with Frozen Shoulder Contracture Syndrome: A Systematic Review

Salomon

Pastore

Maselli

et al. 2022

IJERPH

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Purpose: To investigate the efficacy of manipulation under anesthesia (MUA) compared to other non-surgical therapeutic strategies for patients with frozen shoulder contracture syndrome (FSCS). Methods: A systematic review of literature was conducted. A literature search was performed in MEDLINE, EMBASE, PEDro, Cochrane Central Library and Scopus. Only randomized controlled trials were included and assessed for critical appraisal through the Cochrane Collaborations tools. Results: Five randomized controlled trials were included. The overall risk of bias (RoB) was high in 4 out of 5 of the included studies. MUA was found to be not superior in terms of reduction of pain and improvement of function when compared to cortisone injections with hydrodilatation (mean regression coefficient MUA −2.77 vs. injection −2.75; 95% CI (−1.11 to 1.15)) and home exercise (mean difference 95% CI: 0.2 (−0.64 to 1.02)) in the short term (3 months), and cortisone injections with hydrodilatation (mean regression coefficient MUA 3.13 vs. injection 3.23; 95% CI (−0.90 to 1.11)) in the long term (>6 months). Moreover, if compared to structured physiotherapy, MUA highlighted a higher Oxford Shoulder Score at final 1-year follow up (mean difference 95% CI: 1.05 (−1.28 to 3.39); p = 0.38). Similar results were obtained for disability, with statistically no significant long-term (>12 months) differences between MUA and home exercise (mean difference 95% CI: 0 (−3.2 to 3.2)) or structured physiotherapy (mean difference 95% CI: −0.50 (−5.70 to 4.70); p = 0.85)). Only two trials reported adverse events. Conclusions: This review suggested that limited and inconsistent evidence currently exists on the efficacy of MUA compared to other non-surgical strategies in the management of patients with FSCS. Future research should focus on clinical trials with higher methodological quality.

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“…A broad body of evidence is available to suggest a combination of comprehensive strategies involving mobilisations, stretching and therapeutic exercise, which are indeed rarely provided in isolation in clinical practice, which was reflected in the results of this consensus education of caregivers and patients to a psychosocial approach in physiotherapy appears of utmost importance [13][14][15][16].…”

Section: Physiotherapy and Electrophysical Agentsmentioning

confidence: 99%

A high level of scientific evidence is available to guide treatment of primary shoulder stiffness: The SIAGASCOT consensus

Cucchi,

Di Giacomo,

Compagnoni

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeShoulder stiffness (SS) is a condition characterised by active and passive restricted glenohumeral range of motion, which can occur spontaneously in an idiopathic manner or be associated with a known underlying aetiology. Several treatment options are available and currently no consensus has been obtained on which treatment algorithm represents the best choice for the patient. Herein we present the results of a national consensus on the treatment of primary SS.MethodsThe project followed the modified Delphi consensus process, involving a steering, a rating and a peer‐review group. Sixteen questions were generated and subsequently answered by the steering group after a thorough literature search. A rating group composed by professionals specialised in the diagnosis and treatment of shoulder pathologies rated the question–answer sets according to the scientific evidence and their clinical experience.ResultsRecommendations were rated with an average of 8.4 points out of maximum 9 points. None of the 16 answers received a rating of less than 8 and all the answers were considered as appropriate. The majority of responses were assessed as Grade A, signifying a substantial availability of scientific evidence to guide treatment and support recommendations encompassing diagnostics, physiotherapy, electrophysical agents, oral and injective medical therapies, as well as surgical interventions for primary SS.ConclusionsA consensus regarding the conservative and surgical treatment of primary SS could be achieved at a national level. This consensus sets basis for evidence‐based clinical practice in the management of primary SS and can serve as a model for similar initiatives and adaptable guidelines in other European countries and potentially on a global scale.Level of Evidence: Level I.

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Depression and Anxiety Are Associated With Worse Subjective and Functional Baseline Scores in Patients With Frozen Shoulder Contracture Syndrome: A Systematic Review

Cited by 25 publications

References 63 publications

Does the psychological profile of a patient with frozen shoulder predict future outcome? A systematic review

Does the psychological profile of a patient with frozen shoulder predict future outcome? A systematic review

Manipulation under Anesthesia versus Non-Surgical Treatment for Patients with Frozen Shoulder Contracture Syndrome: A Systematic Review

A high level of scientific evidence is available to guide treatment of primary shoulder stiffness: The SIAGASCOT consensus

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