Exercise Therapy Is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis

Mertens, Michel Gcam; Meert, Lotte; Struyf, Filip; Schwank, Ariane

doi:10.1016/j.apmr.2021.07.806

Cited by 47 publications

(39 citation statements)

References 84 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As physiotherapists, we are partially heartened by the rehabilitation programs following MUA procedures shown in the RCTs [ 40 , 41 , 42 , 43 , 44 ]. However, the proposed educational strategies in four [ 40 , 41 , 42 , 43 ] out of five RCTs, albeit ethically essential, represent only a small part of the rehabilitation pathways; only one study [ 44 ], again, fully detailed a structured physiotherapy program (“hands on” manual therapy techniques [ 16 ] and exercise [ 18 ]) according to the stage of FSCS and accepted as good practice [ 67 , 75 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, the available evidence on treatment efficacy does not suggest a consensus [ 8 , 9 , 10 ]: many controversies exist on which should be considered the best treatment option [ 11 ], making the management challenging for clinicians [ 12 ]. Different types of treatment, consisting of intra-articular corticosteroid injections [ 13 , 14 , 15 ] and physiotherapy, including manual therapy [ 16 , 17 ], exercise [ 18 ] or arthrographic joint distension (also known as hydrodilatation) [ 19 , 20 ], are described in the literature. These non-surgical treatments are considered appropriate for most patients and sufficient to alleviate symptoms in most cases [ 10 ], but uncertainties and discussions regarding their long-term efficacy still persist [ 9 , 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Salomon

Pastore

Maselli

et al. 2022

IJERPH

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

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

View full text Add to dashboard Cite

show abstract

“…In clinical practice, healthcare professionals often focus on relieving pain and improving motion in patients with FS, which seems to imply that improving these obvious symptoms is the sole goal of professional intervention [ 13 , 29 ]. Indeed, the treatment of FS usually requires a long course of healthcare that may gradually influence the functioning of a patient’s whole daily life [ 4 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Self-Perceived Health and Clinical Symptoms in Patients with Frozen Shoulders

She

Wang

Liu

et al. 2022

IJERPH

View full text Add to dashboard Cite

Current healthcare is centered on the perception of people’s health. The purpose of this study was to investigate the relationship between self-perceived health (physical, psychological, social, and environmental dimensions) and two main clinical symptoms (shoulder pain and restricted shoulder motion) in patients with frozen shoulders. A total of 49 patients diagnosed with frozen shoulders were recruited and divided into high- and low-disability groups according to the severity of their frozen shoulders. Participants were measured for shoulder passive range of motion, pain intensity, and self-perceived health, using a brief version of the World Health Organization Quality of Life questionnaire. The results showed that the high-disability group had poorer self-perceived health (lower quality of life scores) than the low-disability group (p < 0.05). There was no significant correlation between the quality of life scores and the two clinical symptoms in either the high- or low-disability group. Our findings revealed that the multidimensional self-perceived health of frozen shoulder patients could not be inferred from the severity of shoulder pain and restricted shoulder motions. This study suggests that healthcare providers should pay more attention to patients’ self-perceived health needs while addressing the clinical symptoms in patients with frozen shoulders.

show abstract

“… 1 , 2 , 3 Despite the lack of a clear etiology, FSCS has a prevalence of 2-5% in the general population, 2 , 3 and it occurs more frequently in people who suffer from diabetes, thyroid disease, 1 , 3 , 4 , 5 , 6 , 7 autoimmune disease, 3 , 5 and Dupuytren’s contracture. 4 , 5 , 8 Moreover, it seems that the occurrence of FSCS is higher in patients with sedentary jobs with physically low activity, 9 that women seem to be slightly more predisposed to develop FSCS than men, 5 , 8 that the prevalence is higher in the age range between 50 and 59, 4 and the incidence increases with age. 9 …”

Section: Introductionmentioning

confidence: 98%

“… 4 , 5 , 8 Moreover, it seems that the occurrence of FSCS is higher in patients with sedentary jobs with physically low activity, 9 that women seem to be slightly more predisposed to develop FSCS than men, 5 , 8 that the prevalence is higher in the age range between 50 and 59, 4 and the incidence increases with age. 9 …”

Section: Introductionmentioning

confidence: 98%

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

Brindisino

Silvestri²,

Gallo³

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

Exercise Therapy Is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis

Cited by 47 publications

References 84 publications

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

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

The Relationship between Self-Perceived Health and Clinical Symptoms in Patients with Frozen Shoulders

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

Contact Info

Product

Resources

About