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The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review.

Journal of back and musculoskeletal rehabilitation
January 1, 2014
Tarang K Jain et al. (2 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of Low-Level Laser Therapy (LLLT) for pain relief, improving function, and range of motion in patients with frozen shoulder.

Results Summary

LLLT was strongly suggested for pain relief and moderately suggested for improving function but not recommended for improving range of motion in frozen shoulder patients.

Population

Patients with stages 2 and 3 of frozen shoulder.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (19)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Therapeutic exercises and mobilization
decrease
pain
patients with stages 2 and 3 of frozen shoulder
-
strongly recommended for reducing
#1
Therapeutic exercises and mobilization
increase
range of motion (ROM)
patients with stages 2 and 3 of frozen shoulder
-
improving
#2
Therapeutic exercises and mobilization
increase
function
patients with stages 2 and 3 of frozen shoulder
-
improving
#3
Low-level laser therapy
decrease
pain relief
-
-
strongly suggested for
#4
Low-level laser therapy
increase
function
-
-
moderately suggested for improving
#5
Low-level laser therapy
no change
ROM
-
-
not recommended for improving
#6
Corticosteroid injections
neutral
stage 1 frozen shoulder
-
-
can be used for
#7
Acupuncture with therapeutic exercises
decrease
pain relief
-
-
moderately recommended for
#8
Acupuncture with therapeutic exercises
increase
ROM
-
-
improving
#9
Acupuncture with therapeutic exercises
increase
function
-
-
improving
#10
Electro-therapy
decrease
short-term pain relief
-
-
can help in providing
#11
Continuous passive motion
decrease
short-term pain relief
-
-
recommended for
#12
Continuous passive motion
no change
ROM
-
-
not for improving
#13
Continuous passive motion
no change
function
-
-
not for improving
#14
Deep heat
decrease
pain relief
-
-
can be used for
#15
Deep heat
increase
ROM
-
-
improving
#16
Ultrasound
no change
pain relief
-
-
not recommended for
#17
Ultrasound
no change
ROM
-
-
not recommended for improving
#18
Ultrasound
no change
function
-
-
not recommended for improving
#19
Abstract

BACKGROUND AND OBJECTIVE: Frozen shoulder is a common condition, yet its treatment remains challenging. In this review, the current best evidence for the use of physical therapy interventions (PTI) is evaluated. METHOD: MEDLINE, CINAHL, Cochrane, PEDro, ProQuest, Science Direct, and Sport Discus were searched for studies published in English since 2000. RESULTS: 39 articles describing the PTI were analyzed using Sackett's levels of evidence and were examined for scientific rigor. The PTI were given grades of recommendation that ranged from A to C. CONCLUSIONS: Therapeutic exercises and mobilization are strongly recommended for reducing pain, improving range of motion (ROM) and function in patients with stages 2 and 3 of frozen shoulder. Low-level laser therapy is strongly suggested for pain relief and moderately suggested for improving function but not recommended for improving ROM. Corticosteroid injections can be used for stage 1 frozen shoulder. Acupuncture with therapeutic exercises is moderately recommended for pain relief, improving ROM and function. Electro- therapy can help in providing short-term pain relief. Continuous passive motion is recommended for short-term pain relief but not for improving ROM or function. Deep heat can be used for pain relief and improving ROM. Ultrasound for pain relief, improving ROM or function is not recommended.

Medical Subject Headings (MeSH)
BursitisExercise TherapyHumansPhysical Therapy ModalitiesRange of Motion, ArticularTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations75
Citations/Year6.8
Relative Citation Ratio4.65
NIH Percentile92.2%
Research Impact Scores
APT Score0.95
Weight Score1.86
Normalized Score0.67
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