Home Based Exercise Program for Frozen Shoulder-Follow-up of 36 Idiopathic Frozen Shoulder Patients

M, Shishir S; Abraham, M. Manoj; Kanagasabai, R; Najimudeen, Syed; Gnanadoss, James J

doi:10.5958/j.0973-5674.7.3.096

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…ere is scarce research published about physiotherapy services for musculoskeletal conditions in Indian rural areas (62)(63)(64). Hence, it is difficult to gauge the existing strategies for musculoskeletal rehabilitation of communities in the country.…”

Section: Discussionmentioning

confidence: 99%

Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial

Estebanez-Pérez

Martín-Valero

Morales

et al. 2022

Front. Public Health

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IntroductionIn rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quality of life.Methods and analysisA randomized clinical trial with a mixed quantitative-qualitative design will be carried out. It is a single-blind study, where the evaluator does not know the nature of the intervention. Sixty subjects will be enrolled and randomly divided into two groups: the experimental group (EG) will receive a 4-week digital physiotherapy intervention through an app in a recycled mobile device after hospital discharge; the control group (CG) will receive the physiotherapy standard care recommended for patients discharged from the hospital. Subjects will receive a baseline (T0-pre) assessment of Functional Independence and Quality of Life. At the end of the 4-week intervention (T1-post) a new assessment of the outcome will be performed adding data on adherence, satisfaction (ad hoc questionnaire and TSQ), and barriers of use. Qualitative outcomes will also be explored. The author's hypothesized that the implementation of a digital physiotherapy intervention is feasible and effective to improve functional independence and quality of life. This study protocol is the first to explore the effect of digital physiotherapy intervention in children's patients in a low resource setting (Anantapur).DiscussionThe successful delivery of the intervention, an optimal adherence records, the absence of significant adverse effects, user satisfaction level and the qualitative analysis of limitations, will demonstrate the effectiveness of these procedure. This study will add more evidence in support the use of digital physiotherapy practice as an effective tool. User particularities, provider's capacity, technological and cultural limitations, and considerations for vulnerable populations will be taken into account.Clinical trial registrationNCT04946695 (https://clinicaltrials.gov/).

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Section: Discussionmentioning

confidence: 99%

Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial

Estebanez-Pérez

Martín-Valero

Morales

et al. 2022

Front. Public Health

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“…The average methodological quality of the included studies was 8.8 out of a possible 11 (range 6-10; Table 3). Seven studies [22,29,31,32,[34][35][36] were classified as Level 1 with an average NHLBI score of 9.4, while 2 studies [30,33] were classified as Level 2 with an average NHLBI score of 6.5 (Table 3). Regarding grading according to variables, grade A was assigned when consistent results were obtained in most pooled studies with highquality RCT designs.…”

Section: Level Of Evidence and Strength Of Recommendationmentioning

confidence: 99%

“…Effect of exercise on shoulder range of motion in forest plots of the meta-analysis. Flexion (A), extension (B), internal rotation (C), external rotation (D), and abduction range of motion (E)[22,[29][30][31][32][33][34]36].…”

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confidence: 99%

Effects of Exercise Intervention (with and without Joint Mobilization) in Patients with Adhesive Capsulitis: A Systematic Review and Meta-Analysis

2023

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This review aimed to investigate the effects of exercise and exercise with joint mobilization on shoulder range of motion (ROM) and subjective symptom recovery in patients with adhesive capsulitis (AC). Related Studies published from 2000 to 2021 that were peer-reviewed and for which pre-and post-values could be calculated were extracted from PubMed, CINAHL, SPORTDiscus, and Web of Science. Nine studies met our inclusion criteria. As a result of calculating the standard mean difference (SMD) and 95% confidence intervals (CI), both exercise and exercise with joint mobilization showed a large effect on shoulder ROM and subjective outcomes. The combination showed a more significant effect than exercise alone on shoulder flexion (SMD = −1.59 [−2.34, −0.65]), extension (SMD = −1.47 [−2.05, −0.89]), internal rotation (SMD = −1.77 [−2.17, −1.36], external rotation (SMD = −2.18 [−2.92, −1.44]), and abduction ROM (SMD = −1.99 [CI −3.86, −0.12]). Patients who performed exercise alone showed a higher effect of improvement in subjective function (SMD = 3.15 [2.06, 4.24]) and pain (SMD = 4.13 [1.86, 6.41]). Based on these results, an AC rehabilitation exercise program should be developed by adjusting the amount of exercise and joint mobilization by identifying the patient’s needs, subjective symptoms, and ROM.

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“…There is very little research published about community physiotherapy services for musculoskeletal conditions in India Koti, 2013a, 2013b;Shishir et al, 2013;Dalal et al, 2014). Hence, it is difficult to gauge the existing strategies for musculoskeletal rehabilitation of communities in the country.…”

mentioning

confidence: 99%

Musculoskeletal Physiotherapy in the Community: Some successful strategies for India

Rajan

2016

DCID

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Home Based Exercise Program for Frozen Shoulder-Follow-up of 36 Idiopathic Frozen Shoulder Patients

Cited by 3 publications

References 16 publications

Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial

Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial

Effects of Exercise Intervention (with and without Joint Mobilization) in Patients with Adhesive Capsulitis: A Systematic Review and Meta-Analysis

Musculoskeletal Physiotherapy in the Community: Some successful strategies for India

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