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The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review.
J Back Musculoskelet Rehabil 2014; 27(3):247-73JB

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.

Authors+Show Affiliations

Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS, USA.Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS, USA.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

24284277

Citation

Jain, Tarang K., and Neena K. Sharma. "The Effectiveness of Physiotherapeutic Interventions in Treatment of Frozen Shoulder/adhesive Capsulitis: a Systematic Review." Journal of Back and Musculoskeletal Rehabilitation, vol. 27, no. 3, 2014, pp. 247-73.
Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. J Back Musculoskelet Rehabil. 2014;27(3):247-73.
Jain, T. K., & Sharma, N. K. (2014). The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. Journal of Back and Musculoskeletal Rehabilitation, 27(3), pp. 247-73. doi:10.3233/BMR-130443.
Jain TK, Sharma NK. The Effectiveness of Physiotherapeutic Interventions in Treatment of Frozen Shoulder/adhesive Capsulitis: a Systematic Review. J Back Musculoskelet Rehabil. 2014;27(3):247-73. PubMed PMID: 24284277.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. AU - Jain,Tarang K, AU - Sharma,Neena K, PY - 2013/11/29/entrez PY - 2013/11/29/pubmed PY - 2015/4/24/medline KW - Mobilization KW - function KW - pain KW - range of motion KW - therapeutic exercises SP - 247 EP - 73 JF - Journal of back and musculoskeletal rehabilitation JO - J Back Musculoskelet Rehabil VL - 27 IS - 3 N2 - 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. SN - 1878-6324 UR - https://www.unboundmedicine.com/medline/citation/24284277/The_effectiveness_of_physiotherapeutic_interventions_in_treatment_of_frozen_shoulder/adhesive_capsulitis:_a_systematic_review_ L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/BMR-130443 DB - PRIME DP - Unbound Medicine ER -