Efficacy of a manual method according to the fascial distortion model in the treatment of contracted («frozen») shoulder

Abstract

«Frozen shoulder» is a common problem and difficult to treat. The present prospective randomised single-blind controlled trial evaluates the efficacy of the fascial distortion model according to Typaldos as a remedy for the «frozen shoulder». Material and methods. A total of 60 patients were randomised to receive either the FDM-guided treatment (FDM, n = 30) or a «conventional» manual therapy (MT, n=30). The primary endpoint for the treatment effect was the shoulder mobility, and secondary endpoints were pain (measured on a VAS), raw force and function as expressed by the Constant-Murley and DASH scores. Results. Before therapy groups were well comparable in terms of all outcome parameters. All endpoints showed a substantial and significant improvement in both treatment groups. Improvement was significantly more marked in the FDM group as compared to the MT group, and the effect occurred significantly faster. During posttreatment observation, there was no further improvement and the achieved benefit in mobility in the FDM group decreased. However, the abduction ability of 15,2±37,2° continued to be substantially better than in control patients (124.1±38.6°, p

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

“…Shoulder conditions Fifteen new or additional systematic reviews [ 60 , 86 - 99 ] were identified that included assessments of manual therapy for shoulder pain and disorders with inconclusive results in the UK evidence report, as well as twelve new or additional RCTs [ 100 - 112 ]. However, eleven of the reviews were either included in other more comprehensive reviews or did not include any studies in addition to those in the UK evidence report or to those included in more specific reviews, [ 60 , 89 - 93 , 95 - 99 ] and nine of the RCTs were included in relevant new reviews and will therefore not be described separately here [ 100 , 101 , 104 - 110 ].…”

“…The remaining systematic reviews were rated medium quality [ 86 - 88 , 94 ]. The new RCTs not described in any of the reviews were of high [ 103 , 111 ] and medium [ 112 ] quality.…”

“…The authors did not report on adverse effects. A medium quality RCT [ 112 ] compared therapy according to the fascial distortion model with classic manual therapy in 60 patients with frozen shoulder. Patients received four treatment sessions over four weeks.…”

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

“…Shoulder conditions Fifteen new or additional systematic reviews [ 60 , 86 - 99 ] were identified that included assessments of manual therapy for shoulder pain and disorders with inconclusive results in the UK evidence report, as well as twelve new or additional RCTs [ 100 - 112 ]. However, eleven of the reviews were either included in other more comprehensive reviews or did not include any studies in addition to those in the UK evidence report or to those included in more specific reviews, [ 60 , 89 - 93 , 95 - 99 ] and nine of the RCTs were included in relevant new reviews and will therefore not be described separately here [ 100 , 101 , 104 - 110 ].…”

“…The remaining systematic reviews were rated medium quality [ 86 - 88 , 94 ]. The new RCTs not described in any of the reviews were of high [ 103 , 111 ] and medium [ 112 ] quality.…”

“…The authors did not report on adverse effects. A medium quality RCT [ 112 ] compared therapy according to the fascial distortion model with classic manual therapy in 60 patients with frozen shoulder. Patients received four treatment sessions over four weeks.…”

Effects of chiropractic in patients with shoulder adhesive capsulitis (frozen shoulder): review article.

“…Fink, M., J. Schiller, and H. Buhck. 2012 (18) Based on FDM X Conventional manual procedures N: 60 patients.…”

“…The patients thought the fascial distortion model treatment more uncomfortable than the classic manual therapy, however there were not serious adverse effects. (18) Studies have shown benefits of chiropractic for improvement in pain, mobility and function. They evaluated the pain intensity with the Visual Analog Pain Scale (VAS), a scale of easy and quick application and quite understandable by the patient.…”

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

“…Shoulder conditions Fifteen new or additional systematic reviews [ 60 , 86 - 99 ] were identified that included assessments of manual therapy for shoulder pain and disorders with inconclusive results in the UK evidence report, as well as twelve new or additional RCTs [ 100 - 112 ]. However, eleven of the reviews were either included in other more comprehensive reviews or did not include any studies in addition to those in the UK evidence report or to those included in more specific reviews, [ 60 , 89 - 93 , 95 - 99 ] and nine of the RCTs were included in relevant new reviews and will therefore not be described separately here [ 100 , 101 , 104 - 110 ].…”

“…The remaining systematic reviews were rated medium quality [ 86 - 88 , 94 ]. The new RCTs not described in any of the reviews were of high [ 103 , 111 ] and medium [ 112 ] quality.…”

“…The authors did not report on adverse effects. A medium quality RCT [ 112 ] compared therapy according to the fascial distortion model with classic manual therapy in 60 patients with frozen shoulder. Patients received four treatment sessions over four weeks.…”

Effects of chiropractic in patients with shoulder adhesive capsulitis (frozen shoulder): review article.

“…Fink, M., J. Schiller, and H. Buhck. 2012 (18) Based on FDM X Conventional manual procedures N: 60 patients.…”

“…The patients thought the fascial distortion model treatment more uncomfortable than the classic manual therapy, however there were not serious adverse effects. (18) Studies have shown benefits of chiropractic for improvement in pain, mobility and function. They evaluated the pain intensity with the Visual Analog Pain Scale (VAS), a scale of easy and quick application and quite understandable by the patient.…”

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

“…Shoulder conditions Fifteen new or additional systematic reviews [ 60 , 86 - 99 ] were identified that included assessments of manual therapy for shoulder pain and disorders with inconclusive results in the UK evidence report, as well as twelve new or additional RCTs [ 100 - 112 ]. However, eleven of the reviews were either included in other more comprehensive reviews or did not include any studies in addition to those in the UK evidence report or to those included in more specific reviews, [ 60 , 89 - 93 , 95 - 99 ] and nine of the RCTs were included in relevant new reviews and will therefore not be described separately here [ 100 , 101 , 104 - 110 ].…”

“…The remaining systematic reviews were rated medium quality [ 86 - 88 , 94 ]. The new RCTs not described in any of the reviews were of high [ 103 , 111 ] and medium [ 112 ] quality.…”

“…The authors did not report on adverse effects. A medium quality RCT [ 112 ] compared therapy according to the fascial distortion model with classic manual therapy in 60 patients with frozen shoulder. Patients received four treatment sessions over four weeks.…”

Effects of chiropractic in patients with shoulder adhesive capsulitis (frozen shoulder): review article.

“…Fink, M., J. Schiller, and H. Buhck. 2012 (18) Based on FDM X Conventional manual procedures N: 60 patients.…”

“…The patients thought the fascial distortion model treatment more uncomfortable than the classic manual therapy, however there were not serious adverse effects. (18) Studies have shown benefits of chiropractic for improvement in pain, mobility and function. They evaluated the pain intensity with the Visual Analog Pain Scale (VAS), a scale of easy and quick application and quite understandable by the patient.…”