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1. In adults with adhesive capsulitis (frozen shoulder) does the use of distension injections improve pain, function and range of movent when compared to lower volume, steroid injections?

In adults with adhesive capsulitis (frozen shoulder) does the use of distension injections improve pain, function and range of movent when compared to lower volume, steroid injections? Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date: February 2017 CAT Lead: Ben Jeeves Date CAT completed: February 2017 Email: ben.jeeves@ssotp.nhs.uk Specific Question: ‘In adults with adhesive capsulitis (frozen shoulder) does the use of distension injections (...) Lead: Ben Jeeves Date CAT completed: February 2017 Email: ben.jeeves@ssotp.nhs.uk Search timeframe 2006-2016 Inclusion Criteria Description Search terms (In the final document this should be a combination of your clinical and librarian search terms) Population and Setting Adults with frozen shoulder Adult, frozen shoulder, adhesive capsulitis, stiffness Intervention or Exposure High-volume- guided intra- articular injection Steroid, intra- articular, local anaesthetic, high volume, hydrodilatation

2017 Public Health England

2. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). (Abstract)

Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Adhesive capsulitis (also termed frozen shoulder) is commonly treated by manual therapy and exercise, usually delivered together as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain.'To synthesise available evidence regarding the benefits and harms of manual therapy and exercise, alone (...) or in combination, for the treatment of patients with adhesive capsulitis.We searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL Plus, ClinicalTrials.gov and the WHO ICTRP clinical trials registries up to May 2013, unrestricted by language, and reviewed the reference lists of review articles and retrieved trials, to identify potentially relevant trials.We included randomised controlled trials (RCTs) and quasi-randomised trials, including adults with adhesive capsulitis

2014 Cochrane

3. The effectiveness of ultrasound guided hydrodistension and physiotherapy in the treatment of frozen shoulder/adhesive capsulitis in primary care: a single centre service evaluation Full Text available with Trip Pro

The effectiveness of ultrasound guided hydrodistension and physiotherapy in the treatment of frozen shoulder/adhesive capsulitis in primary care: a single centre service evaluation Evidence for optimal non-operative treatment of frozen shoulder is lacking. The present study aimed to evaluate a treatment strategy for stage II to III frozen shoulder provided by the current primary care musculoskeletal service.General practioner referrals of shoulder pain to the musculoskeletal service diagnosed (...) with stage II to III frozen shoulder and who opted for a treatment strategy of hydrodistension and guided physiotherapy exercise programme over a 12-month period were evaluated for 6 months. Thirty-three patients were diagnosed with stage II to III frozen shoulder by specialist physiotherapists and opted for the treatment strategy. Outcome measures included Shoulder Pain Disability Index (SPADI) and Shortened Disabilities of the Arm, Shoulder and Hand (QuickDASH), pain score and range of movement. Data

2017 Shoulder & elbow

4. Adhesive capsulitis

treatment. J Bone Joint Surg Am. 2000;82:1398-1407. http://www.ncbi.nlm.nih.gov/pubmed/11057467?tool=bestpractice.com Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder: a long-term follow-up. J Bone Joint Surg Am. 1992;74:738-746. http://www.ncbi.nlm.nih.gov/pubmed/1624489?tool=bestpractice.com It should be noted by treating clinicians that there remains a poor overall understanding of the exact pathogenesis of adhesive capsulitis. In addition, debate continues regarding the best treatment strategies (...) Adhesive capsulitis Adhesive capsulitis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Adhesive capsulitis Last reviewed: February 2019 Last updated: April 2018 Summary Affects 2% to 5% of the population, slightly more common in women than in men, and most common in people between 40 and 70 years of age. Recent history of traumatic shoulder injury, prior surgery to affected shoulder, diabetes mellitus, thyroid

2018 BMJ Best Practice

6. Arthrographic hydrodilatation for adhesive capsulitis (Frozen Shoulder)

Arthrographic hydrodilatation for adhesive capsulitis (Frozen Shoulder) Arthrographic hydrodilatation for adhesive capsulitis (Frozen Shoulder) Arthrographic hydrodilatation for adhesive capsulitis (Frozen Shoulder) Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Arthrographic hydrodilatation for adhesive capsulitis (Frozen Shoulder) Lansdale: HAYES, Inc (...) .. Healthcare Technology Brief Publication Dates. 2011 Authors' conclusions Adhesive capsulitis, also known as frozen shoulder, is one of the most common causes of shoulder pain and stiffness, affecting 2% to 5% of the general population. The condition is characterized by spontaneous onset of pain and progressive stiffening of the glenohumeral (shoulder) joint, causing limited mobility and disability. Although the condition is often self-limiting, with a few patients experiencing spontaneous recovery, up

2011 Health Technology Assessment (HTA) Database.

7. Short-term Clinical Results of Manipulation Under Ultrasound-Guided Brachial Plexus Block in Patients with Idiopathic Frozen Shoulder and Diabetic Secondary Frozen Shoulder Full Text available with Trip Pro

Short-term Clinical Results of Manipulation Under Ultrasound-Guided Brachial Plexus Block in Patients with Idiopathic Frozen Shoulder and Diabetic Secondary Frozen Shoulder This study examined the effectiveness of manipulation under ultrasound-guided brachial plexus block in patients with recalcitrant idiopathic frozen shoulder and diabetic secondary frozen shoulder (diabetic frozen shoulder).Forty-four idiopathic frozen shoulders and 10 diabetic frozen shoulders with failed conservative (...) release was performed. Visual analogue scale, range of motion towards all directions, and Constant scores were significantly improved after the manipulation in both the idiopathic frozen shoulder and diabetic frozen shoulder groups, however the diabetic group showed inferior results compared with those of the idiopathic group.This manipulation was effective and shortened the duration of symptoms in most of the idiopathic and diabetic frozen shoulders without major complications during the procedure

2018 The open orthopaedics journal

8. Adhesive capsulitis of the shoulder: protocol for the adhesive capsulitis biomarker (AdCaB) study. Full Text available with Trip Pro

Adhesive capsulitis of the shoulder: protocol for the adhesive capsulitis biomarker (AdCaB) study. Adhesive capsulitis (AC) is a disabling and poorly understood pathological condition of the shoulder joint. The current study aims to increase our understanding of the pathogenesis, diagnosis and clinical outcomes of people with AC by investigating: 1) transcriptome-wide alterations in gene expression of the glenohumeral joint capsule in people with AC compared to people with non-inflammatory (...) glenohumeral joint capsule during surgery will undergo RNA-seq to determine differences in gene expression between the study groups. Gene Set Enrichment Analysis will be used to further understand the pathogenesis of AC as well as guide serum and urine biomarker analysis. Clinical outcomes regarding pain, function and quality of life will be assessed using the Oxford Shoulder Score, Oxford Shoulder Instability Score, Quick DASH, American Shoulder and Elbow Society Score, EQ-5D-5 L and active shoulder range

2019 BMC Musculoskeletal Disorders

9. Effects of Messages Delivered by Mobile Phone on Increasing Compliance With Shoulder Exercises Among Patients With a Frozen Shoulder. Full Text available with Trip Pro

Effects of Messages Delivered by Mobile Phone on Increasing Compliance With Shoulder Exercises Among Patients With a Frozen Shoulder. The aim of this study was to examine the effects of reminders, encouragement, and educational messages delivered by mobile phone on shoulder exercise compliance and improvements in shoulder function among patients with a frozen shoulder.A randomized controlled trial design was used. A convenience sample of patients with a frozen shoulder in an orthopedic (...) outpatient clinic was recruited. All participants were instructed on how to do shoulder exercises and were provided with a printed pamphlet about shoulder exercises. Then, the intervention group received reminders, encouragement, and educational messages by mobile phone daily for the next 2 weeks, while the comparison group did not.The intervention group had higher compliance with shoulder exercises than did the comparison group (t = 2.263, p = .03) and had significant improvements in shoulder forward

2017 Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing Controlled trial quality: uncertain

10. Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study (Abstract)

Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study To evaluate the clinical efficacy of smartphone-assisted self-rehabilitation in patients with frozen shoulder.A single-center, randomized controlled trial.Orthopedic department of a university hospital.A total of 84 patients with frozen shoulder were recruited.Patients were randomly divided into two groups: a smartphone-assisted exercise group ( n = 42) and a conventional (...) exercise.There was no difference between home-based exercise using a smartphone application and a conventional self-exercise program for the treatment of frozen shoulder in terms of visual analogue scale for pain and range of motions.

2019 EvidenceUpdates

11. Management of primary frozen shoulder in the United Kingdom Frozen Shoulder Trial (UK FROST): protocol for a systematic review

Management of primary frozen shoulder in the United Kingdom Frozen Shoulder Trial (UK FROST): protocol for a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne

2019 PROSPERO

12. Fibroblast activation and inflammation in frozen shoulder. Full Text available with Trip Pro

and dysregulated cytokine production. We hypothesised that subpopulations within the fibroblast compartment may take on an activated phenotype, thus initiating the inflammatory processes observed in frozen shoulder. Therefore, we sought to evaluate the presence and possible pathogenic role of known stromal activation proteins in Frozen shoulder.Shoulder capsule samples were collected from 10 patients with idiopathic frozen shoulder and 10 patients undergoing shoulder stabilisation surgery. Fibroblast (...) activation marker expression (CD248, CD146, VCAM and PDPN, FAP) was quantified using immunohistochemistry. Control and diseased fibroblasts were cultured for in vitro studies from capsule biopsies from instability and frozen shoulder surgeries, respectively. The inflammatory profile and effects of IL-1β upon diseased and control fibroblasts was assessed using ELISA, immunohistochemistry and qPCR.Immunohistochemistry demonstrated increased expression of fibroblast activation markers CD248, CD146, VCAM

2019 PLoS ONE

13. Comparative Efficacy of Intra-Articular Steroid Injection and Distension in Patients With Frozen Shoulder: A Systematic Review and Network Meta-Analysis (Abstract)

Comparative Efficacy of Intra-Articular Steroid Injection and Distension in Patients With Frozen Shoulder: A Systematic Review and Network Meta-Analysis To compare the efficacy of intra-articular (IA) steroid injection and distension in patients with frozen shoulder.Databases, including MEDLINE (via PubMed), Embase, Scopus, and Cochrane Library, were searched for studies published up to November 2016.We included all published randomized controlled trials (RCTs), quasi-experimental studies (...) , and observational studies investigating the effectiveness of IA steroid injection, distension, and physiotherapy in patients with frozen shoulder. Sixteen RCTs and 1 observational study were enrolled in meta-analysis.Full texts were independently reviewed, and quality of RCTs was assessed with The Cochrane Collaboration's tool. The primary outcome was functional improvement; the secondary outcomes included pain reduction and external rotation (ER) improvement.In pairwise meta-analysis, pooled standardized mean

2018 EvidenceUpdates

14. Bilateral Arm-Abduction Shoulder Radiography to Determine the Involvement of the Scapulothoracic Motion in Frozen Shoulder Full Text available with Trip Pro

Bilateral Arm-Abduction Shoulder Radiography to Determine the Involvement of the Scapulothoracic Motion in Frozen Shoulder We hypothesize that there is no difference in the motion of the scapula with respect to the thoracic wall (scapulothoracic interface) between the affected versus non-affected shoulder on 0° and 90° standard arm abduction radiography.We enrolled 30 patients with the diagnosis of unilateral frozen shoulder after ruling out of other pathologies. Bilateral standard shoulder (...) radiography was done in two position of 0° and 90° of arm abduction. Non-affected side was used as a control group.The mean scapulothoracic angle of the affected side was significantly larger than the non-affected side in both 0° and 90°of abduction in spite that the scapulohumeral angles were comparable in 0°, indicating potential alteration in scapular positioning.Scapulothoracic motion and position can be affected in frozen shoulder along with other areas. All treatment modalities should be applied

2018 Archives of bone and joint surgery

15. Comparison of Therapeutic Effectiveness Between Shoulder Distention Arthrography With Translation Mobilization and Distention Arthrography Alone in Patients With Frozen Shoulder Full Text available with Trip Pro

Comparison of Therapeutic Effectiveness Between Shoulder Distention Arthrography With Translation Mobilization and Distention Arthrography Alone in Patients With Frozen Shoulder To evaluate the efficacy of distention arthrography (DA) alone and in combination with translational mobilization (TM) for treatment of patients with frozen shoulder (FS).Eighty-five patients diagnosed with unilateral FS (freezing or frozen stage) were included. Forty-one patients were treated with DA and TM (group 1 (...) complications were observed following treatment in either patient group.Compared with DA alone, DA combined with TM more effectively alleviates shoulder pain and increases PROM in patients with freezing or frozen stage FS.

2018 Annals of rehabilitation medicine

16. Efficacy of Pharmacological Therapies for Adhesive Capsulitis of the Shoulder: A Systematic Review and Network Meta-analysis (Abstract)

Efficacy of Pharmacological Therapies for Adhesive Capsulitis of the Shoulder: A Systematic Review and Network Meta-analysis Several pharmacological interventions are used for the management of adhesive capsulitis of the shoulder, although the optimal treatment has yet to be defined.To conduct a network meta-analysis to compare the effects of different pharmacological interventions for adhesive capsulitis, administered either alone or after distension of the shoulder capsule.Network meta (...) -analysis.The authors searched Scopus, PubMed, and the Cochrane Central Register of Controlled Trials up to April 22, 2018, for completed studies. They enrolled trials that assessed the results of different pharmacological treatments for the primary management of adhesive capsulitis. The primary outcome was pain relief as measured by self-administered questionnaires. The secondary outcome included the assessment of composite instruments that evaluated, at a minimum, pain and function. The authors clinically

2019 EvidenceUpdates

17. Management of Concomitant Preoperative Rotator Cuff Pathology and Adhesive Capsulitis: A Systematic Review of Indications, Treatment Approaches, and Outcomes (Abstract)

Management of Concomitant Preoperative Rotator Cuff Pathology and Adhesive Capsulitis: A Systematic Review of Indications, Treatment Approaches, and Outcomes Concomitant preoperative adhesive capsulitis (AC) and rotator cuff (RC) pathology pose therapeutic challenges in light of contrasting interventional and rehabilitative goals. The purposes of this systematic review were to assess the literature regarding the management and rehabilitation of patients with concomitant RC tears (...) and preoperative AC and to compare overall clinical outcomes between strategies for this common scenario.In accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 3 databases (MEDLINE, Embase, and PubMed) were searched and screened in duplicate using predetermined criteria for studies on the aforementioned patient population. Descriptive statistics are presented.Of 952 studies, 17 involving 662 shoulders, with a mean age of 59.6 ± 3.5 years, 57.9% female

2019 EvidenceUpdates

18. Effectiveness of Nonsurgical Interventions for Managing Adhesive Capsulitis in Patients With Diabetes: A Systematic Review (Abstract)

Effectiveness of Nonsurgical Interventions for Managing Adhesive Capsulitis in Patients With Diabetes: A Systematic Review This systematic review evaluated the effectiveness of nonsurgical interventions for managing adhesive capsulitis (AC) in patients with diabetes on pain, function, and range of motion.MEDLINE and other databases were searched for studies published in the last 20 years.Randomized controlled trials (RCTs) that assessed AC in people with diabetes and implemented 1 (...) (2.0) being reported for joint mobilization plus exercises. The effect sizes for corticosteroids were 0.2-0.5 and 0.1 for ROM and pain. The between-group improvement for MUA was 5.6 points on Constant Shoulder Score.Low-quality evidence suggests large effects of joint mobilization plus exercises on AC in people with diabetes, although confidence in this conclusion is limited due to the high risk of bias. Even weaker support was available for corticosteroid and MUA. Future high-quality RCTs

2019 EvidenceUpdates

19. Bursitis

) or superficial (e.g., the olecranon bursa). In bursitis there is thickening and proliferation of the synovial lining, bursal adhesions, villus formation, tags, and deposition of chalky deposits. This may result from repetitive stress, infection, autoimmune disease, or trauma. Key diagnostic findings are localised pain and tenderness over a bursa and swelling if superficially sited. Treatment for non-septic bursitis involves modified physical activity, rest, and analgesia. Corticosteroid injections (...) (septic bursitis) warmth of overlying skin (septic bursitis) painful arc on shoulder abduction (subacromial) lateral hip pain (trochanteric) pain at the extremes of hip rotation, abduction, or adduction (trochanteric) pain of contraction of the hip abductors against resistance (trochanteric) pseudoradiculopathy: pain radiating down the lateral aspect of the thigh (trochanteric) impalpable patella (prepatellar) palpable bump over heel (retrocalcaneal) occupation that causes mechanical stress on bursa

2018 BMJ Best Practice

20. Indications for hydrodilatation for frozen shoulder Full Text available with Trip Pro

Indications for hydrodilatation for frozen shoulder Frozen shoulder causes significant functional disability and pain in a population group constituted by patients who are often middle-aged and working.Frozen shoulder remains poorly understood. The available literature is limited and often prone to bias.A rapid, non-surgical and cost-effective treatment that reduces pain and restores function is an attractive option.Hydrodilatation is a potential first-line treatment of frozen shoulder

2017 EFORT open reviews

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