Evaluatıng the effectiveness of frozen shoulder treatment on the right and left sides

Abstract

[Purpose] To evaluate treatments with interferential current, hot pack, ultrasound therapy, stretching, strengthening and range-of-motion exercises, comparing between the right and left shoulders in terms of pain and functional capacity in patients with frozen shoulder. This was a retrospective study. [Subjects and Methods] Sixty-four patients (34 right side, 30 left side) were treated with interferential current and hot pack application for 20 min each, ultrasound therapy for 3 min, regular range-of-motion exercises, stretching exercises, strengthening with a Theraband in all directions and post-exercise proprioceptive neuromuscular facilitation techniques. All cases were evaluated with visual analogue scales for pain, passive and active range of motion, Constant score, and the shoulder disability questionnaire, at baseline and 7 and 12 weeks after baseline. [Results] Marked improvement was noted in all patients in both right and left sides after treatment, and at 7 and 12 weeks of follow-up compared with baseline. There was no significant difference between the right and left shoulder groups, in all outcome measures. [Conclusion] The combination of physical therapy, exercise, and manual techniques is effective in treating frozen shoulder. The location of the lesion in the right or left shoulder does not, in itself, affect the prognosis or treatment outcome.

Effects of Adding Interferential Therapy Electro-Massage to Usual Care after Surgery in Subacromial Pain Syndrome: A Randomized Clinical Trial

“…Similarly, Nazligul et al [28] recently concluded that IFT does not provide additional effect to a multimodal approach including cryotherapy, exercise, and non-steroidal anti-inflammatory drugs for patients with SAPS. On the contrary, it has been demonstrated that the combination of IFT with shoulder exercises [55], ultrasound, thermotherapy, and stretching [56] is effective in the management of frozen shoulders. Likewise, the use of IFT alone has shown to be clinically effective to relieve pain during movement and to increase pain-free passive shoulder mobility in hemiplegic shoulder pain [57] and, when combined with exercise therapy, seems to improve pain, function, and quality of life in individuals with shoulder impingement syndrome [58].…”

“…Second, the use of electrotherapy may evoke a long sustained placebo-induced pain relief effect [61]. In this sense, most of the previous studies investigating the role of IFT on shoulder pain have not included sham IFT as a control intervention [54,55,56,58]. Third, the clinical context and the social connection between patient and therapist seem to modulate the effect of IFT [62,63], although these aspects have been scarcely controlled in the existing literature.…”

Analysis of scapular kinematics during active and passive arm elevation

“…Furthermore, in the report by Ludewig and Cook 23 ) , it was demonstrated that scapular upward rotation was decreased at 60° of humeral elevation in subjects with subacromial impingement. Taking these findings together, it can be suggested that early postoperative passive motion may increase the risk of re-tearing in the repaired cuff as a consequence of reduced scapular support; however, passive motion would be beneficial in cases of adhesive capsulitis because the glenohumeral motion is reduced 29 , 30 ) .…”

The clinical effect of hydraulic distension plus manual therapy on patients with frozen shoulder

“…It has been reported that 40% of frozen shoulder patients without proper treatment suffered from persistent pain and limited range of motion, and 11% showed permanent shoulder dysfunction2, 3 ) .…”

“…The main symptoms of a frozen shoulder are pain and stiffness in the glenohumeral joint 1 ) . It has been reported that 40% of frozen shoulder patients without proper treatment suffered from persistent pain and limited range of motion, and 11% showed permanent shoulder dysfunction 2 , 3 ) .…”