Molecular biology of frozen shoulder-induced limitation of shoulder joint movements

Cui, Jiaming; Lü, Wei; He, Yihua; Jiang, Luoyong; Li, Kuokuo; Zhu, Weimin; Wang, Daping

doi:10.4103/jrms.jrms_1005_16

Cited by 20 publications

(4 citation statements)

References 42 publications

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“…Frozen shoulder (FS) is one of the most common disorders of the joint diseases. [1–3] It mainly manifests with shoulder pain and motion limitation. [4–6] It has been reported that this condition can affect 2% to 5% of the general population, mostly among the female population between 40 and 65 years old.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of ultrasound-guided pulsed radiofrequency for patients with frozen shoulder

Yan

Xian-min

2019

Medicine

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Background:This study assessed the effectiveness and safety of ultrasound-guided pulsed radiofrequency (UGPRF) for patients with frozen shoulder (FS).Methods:This study was designed as a randomized, double-blind, sham control trial. A total of 136 patients with FS were recruited and then were equally randomly allocated into a treatment group (n = 68) and a sham group (n = 68). The patients in the treatment group received UGPRF, while the subjects in the sham group underwent sham UGPRF. Patients in both groups were treated for a total of 12 weeks. The primary outcome was the pain intensity, measured by the visual analog scale (VAS). The secondary outcomes consisted of shoulder disorder, measured by the score of shoulder pain and disability index (SPADI); quality of life, assessed by the Short Form-36 questionnaire (SF-36); and any adverse events (AEs) during the treatment period. All outcomes were measured at baseline, at the end of 6-week, and 12-week treatment.Results:At the end of 6 weeks, and 12 weeks, UGPRF showed more promising outcome results in pain relief, as measured by VAS (P <.01), improvement of shoulder disorder, as assessed by SPADI score (pain, P <.01; disability, P <.01; total, P <.01), and enhancement of quality of life, as measured by the SF-36 scale (PCS, P <.01; MCS, P <.01), compared with sham UGPRF in this study.Conclusion:The findings of this study showed that UGPRF may benefit for patients with FS after 12 weeks treatment.

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Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of ultrasound-guided pulsed radiofrequency for patients with frozen shoulder

Yan

Xian-min

2019

Medicine

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“…It has aroused more and more concern all over the world [26,27]. MS therapy is widely used in physical therapy for the treatment of shoulder pain [28,29]. Chinese massage has a long history as an effective natural therapy without side effects [30].…”

Section: Discussionmentioning

confidence: 99%

"Massage/Tuina for Periarthritis of Shoulder: A Systematic Review and Meta-Analysis"

Xu,

Zhang

2024

BJSTR

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Background: Arthritis around the shoulder is more likely to occur in people around the age of 50, so it is commonly known as "fifty shoulders" or "frozen shoulders". The main symptom of shoulder periarthritis is pain around the shoulder joint, sometimes radiating to the upper arm. The pain is obvious at night, and the movement of the shoulder joint is limited, leading to contracture and adhesion of limited movement. Traditional Chinese medicine believes that physical weakness may be a factor in the occurrence of shoulder periarthritis, and many patients use massage (MS) to alleviate the symptoms of shoulder periarthritis.Objective: To evaluate the effectiveness of MS in the treatment of shoulder periarthritis. Methods:We searched 10 English and Chinese databases for randomized controlled trials (RCTs) of MS in the treatment of shoulder periarthritis. The PEDro scale was used to evaluate the methodological quality of randomized controlled trials. A meta-analysis of MS for shoulder periarthritis was Performed. Results:The meta-analysis included fourteen high-quality studies. The results showed superior effects of MS on pain reduction (N=760; SMD, 1.21; 95% CI, 0.88 to -1.54; P<0.00001, and shoulder Internal rotation (N=532; SMD, 8.11; 95% CI, 2.14 to -14.08; P=0.008. But the meta-analyses did not show significant immediate effects of MS on shoulder abduction (N=171; SMD, -0.78; 95% CI, −2.23 to 0.68; P=0.30) and shoulder flexion (N=279; SMD, 0.34; 95% CI, −0.14 to 0.81; P=0.16. Conclusion:MS may be effective in relieving shoulder pain and improving internal rotation in patients with periarthritis of shoulder, but it may not improve shoulder abduction and flexion. More high-quality and longer-term research is needed to prove the reliability of the evidence.

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“…Adhesive capsulitis represents the most common musculoskeletal condition of shoulder pain and dysfunction [1,2]. This condition is also called "frozen shoulder" due to its clinical and pathophysiological manifestations; indeed, adhesive capsulitis is characterized by a pathophysiological course from capsular inflammation to fibrosis that is characterized by a clinical progression from severe pain symptoms to an important reduction in the range of motion (RoM) [3][4][5][6]. Based on these clinical and pathophysiological manifestations, physiotherapy treatment can play an important role in addressing the issue [7].…”

Section: Introductionmentioning

confidence: 99%

Inertial Sensors and Pressure Pain Threshold to Evaluate People with Primary Adhesive Capsulitis: Comparison with Healthy Controls and Effects of a Physiotherapy Protocol

Deodato,

Martini,

Buoite Stella

et al. 2023

JFMK

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Inertial sensors (IMUs) have been recently widely used in exercise and rehabilitation science as they can provide reliable quantitative measures of range of motion (RoM). Moreover, the pressure pain threshold (PPT) evaluation provides an objective measure of pain sensation in different body areas. The aim of this study was to evaluate the efficacy of physiotherapy treatment in people with adhesive capsulitis in terms of RoM and pain improvement measured by IMUs and the PPT. A combined prospective cohort/cross-sectional study was conducted. Nineteen individuals with adhesive capsulitis (10/19 females, 54 ± 8 years) and nineteen healthy controls (10/19 females, 51 ± 6 years) were evaluated for active glenohumeral joint RoM and PPT on shoulder body areas. Then, individuals with adhesive capsulitis were invited to 20 sessions of a physiotherapy protocol, and the assessments were repeated within 1 week from the last session. The range of motion in the flexion (p = 0.001) and abduction (p < 0.001) of the shoulder increased significantly after the physiotherapy protocol. Similarly, the PPT was found to increase significantly in all the assessed shoulder body areas, leading to no significant differences compared to the healthy controls. IMU and PPT assessments could be used to evaluate the efficacy of physical therapy in people with adhesive capsulitis.

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Molecular biology of frozen shoulder-induced limitation of shoulder joint movements

Cited by 20 publications

References 42 publications

A randomized controlled trial of ultrasound-guided pulsed radiofrequency for patients with frozen shoulder

A randomized controlled trial of ultrasound-guided pulsed radiofrequency for patients with frozen shoulder

"Massage/Tuina for Periarthritis of Shoulder: A Systematic Review and Meta-Analysis"

Inertial Sensors and Pressure Pain Threshold to Evaluate People with Primary Adhesive Capsulitis: Comparison with Healthy Controls and Effects of a Physiotherapy Protocol

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