To compare the effect of home based program and supervised occupational therapy program in adhesive capsulitis patients with diabetes mellitus

Gupta, Deepshikha; Desai, Ona P.; Rastogi, Shishir

doi:10.5958/0973-5674.2019.00010.8

Cited by 2 publications

(2 citation statements)

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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%

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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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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%