Management of frozen shoulder: a systematic review and cost-effectiveness analysis.

Abstract

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Shoulder disorders and occupation

“…Unfortunately, the same methodological shortcomings in case definition that have hampered interpretation of the risk factor literature apply equally to the studies of interventions. Table 3 summarises the principal conservative treatments for shoulder disorders together with the results of systematic reviews summarising the strength of the evidence in support of their efficacy for the treatment of shoulder pain/disability [76][77][78][79][80][81][82][83][84][85][86].…”

Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials

“…In 2009, Blanchard et al, (12) who compared the effectiveness of corticosteroid injections with physiotherapeutic interventions for adhesive capsulitis, found greater improvement in pain, ROM and shoulder disability in favour of corticosteroid injections in the short-term (six weeks) and, to a lesser extent, in the longer-term (up to one year). Maund et al, in 2010, (13) performed a systematic review and cost-effectiveness analysis on common interventions used in adhesive capsulitis and concluded that there may be short-term benefi ts from adding a single intraarticular steroid injection to home exercise for patients with primary frozen shoulder of less than six months' duration, but the evidence was limited.…”

“…(4,6) Previous systematic reviews on the use of corticosteroid in adhesive capsulitis mostly found evidence of its short-term effectiveness. (10)(11)(12)(13) In 2003, Buchbinder et al (10) performed a systematic review of randomised and pseudorandomised trials on the use of corticosteroid injections (including 12 randomised controlled trials [RCTs] on adhesive capsulitis) in patients with shoulder pain; the authors concluded that, although the treatment may be benefi cial, its effect may be small and not well maintained. In 2006, Shah and Lewis (11) found that multiple (up to three) corticosteroid injections for the treatment of adhesive capsulitis improved pain and ROM for 6-16 weeks from the fi rst injection.…”

Frozen Shoulder

“…17 This report provides full details of methodology, search strategy, economic analysis, decision model, and suggestions for future research. An analysis of the effectiveness and cost effectiveness of interventions from available primary research is also included in this report.…”