Effectiveness of electrophysical agents in subjects with frozen shoulder: a systematic review and meta-analysis

Brindisino, Fabrizio; Girardi, Giuseppe; Crestani, Mauro; Fiore, Antonella; Giovannico, Giuseppe; Garzonio, Fabiola; Venturin, Davide; Struyf, Filip

doi:10.1080/09638288.2023.2251880

Cited by 4 publications

(2 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding electrophysical agents, shockwave therapy is the only one supported by high-level literature. Despite the unpleasant but tolerable effects during administration, shockwave treatment results in pain reduction and functional improvement even if it is worth noting that the minimal clinical important difference was rarely exceeded and the certainty of evidence was very low [17]. Such strategies could be suggested as an alternative therapy to pharmacological treatment in patients (e.g., diabetic patients) for whom corticosteroid treatments are contraindicated [18][19][20].…”

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.

Self Cite

View full text Add to dashboard Cite

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.

show abstract

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.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Diagnosis is mainly clinical [ 16 ], and management usually focuses on pain reduction and restoration of ROM and function. In particular, treatments such as corticosteroid injections [ 17 ], patient education [ 2 ], stretching [ 18 ], exercise therapy [ 19 , 20 ], and joint mobilization [ 21 ] are recommended, while the use of electrophysical agents was not supported [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Disability of Arm Shoulder and Hand (DASH) in subjects with frozen shoulder: a reliability and validity study

Brindisino,

Venturin,

Bartoli

et al. 2024

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

Background Frozen Shoulder (FS) is a painful condition characterized by severe pain and progressive restriction of shoulder movement, leading to functional impairment and reduced quality of life. While different Patient Reported Outcome Measurements (PROMs) tools exist for assessing shoulder diseases, few specific PROMs are validated for FS patients. Purpose This study aims to assess the psychometric properties of the Disability of Arm, Shoulder, and Hand (DASH) questionnaire in FS patients. Methods One hundred and twenty-four subjects (mean ± SD age = 55.4 ± 7.9 years; 55.6% female) diagnosed with FS were included and completed the DASH questionnaire, the Numerical Pain Rating Scale (NPRS), the Shoulder Pain and Disability Index (SPADI), and the Short-Form Health Survey 36 (SF-36). Floor or ceiling effects were investigated. Structural validity was analysed through a unidimensional Confirmatory Factor Analysis (CFA), internal consistency through Cronbach’s alpha, test-retest reliability through the Intraclass Correlation coefficient (ICC), measurement error through the Standard Error of Measurement (SEM), and the Minimum Detectable Change (MDC), and construct validity through the hypothesis testing with the correlation with the other outcome measures used. Results No floor or ceiling effects were observed. CFA confirmed a one-factor structure after addressing local item dependency (Root Mean Square Error of Approximation = 0.055; Standardized Root Mean Square Residual = 0.077; Comparative Fit Index = 0.970; Tucker-Lewis Index = 0.968). Cronbach’s alpha was high (= 0.951), and test-retest reliability was excellent (ICC = 0.999; 95% CI: 0.998-1.000). SEM was equal to 0.5 points, and MDC to 1.5 points. Construct validity was considered satisfactory as 80% of the a-priori hypotheses were met. Conclusion The DASH questionnaire demonstrated good psychometric properties in FS patients, supporting its use as a valuable tool for assessing the impact of FS in clinical and research settings.

show abstract

Prognostic factors of nonsurgical intervention outcomes for patients with frozen shoulder: a retrospective study

De Cristofaro,

Brindisino,

Venturin

et al. 2024

Disability and Rehabilitation

View full text Add to dashboard Cite

Effectiveness of electrophysical agents in subjects with frozen shoulder: a systematic review and meta-analysis

Cited by 4 publications

References 62 publications

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

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

Psychometric properties of the Disability of Arm Shoulder and Hand (DASH) in subjects with frozen shoulder: a reliability and validity study

Prognostic factors of nonsurgical intervention outcomes for patients with frozen shoulder: a retrospective study

Contact Info

Product

Resources

About