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Frozen Shoulder

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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. Short-term Clinical Results of Manipulation Under Ultrasound-Guided Brachial Plexus Block in Patients with Idiopathic Frozen Shoulder and Diabetic Secondary Frozen Shoulder (PubMed)

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

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2018 The open orthopaedics journal

3. Effects of Messages Delivered by Mobile Phone on Increasing Compliance With Shoulder Exercises Among Patients With a Frozen Shoulder. (PubMed)

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

4. Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study

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

5. Fibroblast activation and inflammation in frozen shoulder. (PubMed)

Fibroblast activation and inflammation in frozen shoulder. Frozen shoulder is a common, fibro-proliferative disease characterised by the insidious onset of pain and progressively restricted range of shoulder movement. Despite the prevalence of this disease, there is limited understanding of the molecular mechanisms underpinning the pathogenesis of this debilitating disease. Previous studies have identified increased myofibroblast differentiation and proliferation, immune cell influx (...) 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

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2019 PLoS ONE

6. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). (PubMed)

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 (...) pain (mean or mean change), function, global assessment of treatment success, active shoulder abduction, quality of life and the number of participants experiencing adverse events.Two review authors independently selected trials for inclusion, extracted the data, performed a risk of bias assessment and assessed the quality of the body of evidence for the main outcomes using the GRADE approach.We included 32 trials (1836 participants). No trial compared a combination of manual therapy and exercise

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2014 Cochrane

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

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

8. Bilateral Arm-Abduction Shoulder Radiography to Determine the Involvement of the Scapulothoracic Motion in Frozen Shoulder (PubMed)

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

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2018 Archives of bone and joint surgery

9. Comparison of Therapeutic Effectiveness Between Shoulder Distention Arthrography With Translation Mobilization and Distention Arthrography Alone in Patients With Frozen Shoulder (PubMed)

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.

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2018 Annals of rehabilitation medicine

10. Mobile Phone–Supported Physiotherapy for Frozen Shoulder: Feasibility Assessment Based on a Usability Study (PubMed)

Mobile Phone–Supported Physiotherapy for Frozen Shoulder: Feasibility Assessment Based on a Usability Study Patients with frozen shoulder show limited shoulder mobility often accompanied by pain. Common treatment methods include physiotherapy, pain medication, administration of corticosteroids, and surgical capsulotomy. Frozen shoulder often lasts from months to years and mostly affects persons in the age group of 40 to 70 years. It severely reduces the quality of life and the ability (...) to work.The objective of this study was to evaluate the feasibility of a mobile health (mHealth) intervention that supports patients affected by "stage two" frozen shoulder. Patients were supported with app-based exercise instructions and tools to monitor their training compliance and progress. These training compliance and progress data supplement the patients' oral reports to the physiotherapists and physicians and can assist them in therapy adjustment.In order to assess the feasibility of the mHealth

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2017 JMIR rehabilitation and assistive technologies

11. Indications for hydrodilatation for frozen shoulder (PubMed)

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

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2017 EFORT open reviews

12. The effectiveness of acupuncture in the treatment of frozen shoulder: a systematic review

The effectiveness of acupuncture in the treatment of frozen shoulder: 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. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites

2019 PROSPERO

13. Physical therapy (PT) for the treatment of frozen shoulder (FS): a systematic review of randomized controlled trials

Physical therapy (PT) for the treatment of frozen shoulder (FS): a systematic review of randomized controlled trials 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. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated

2019 PROSPERO

14. Effectiveness of extracorporeal shock-wave therapy for frozen shoulder: A protocol for a systematic review of randomized controlled trial. (PubMed)

Effectiveness of extracorporeal shock-wave therapy for frozen shoulder: A protocol for a systematic review of randomized controlled trial. This systematic review aims to explore the effectiveness and safety of extracorporeal shock-wave therapy (ESWT) for patients with frozen shoulder.The sources of Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Allied and Complementary Medicine Database, Chinese (...) Biomedical Literature Database, and Websites of Clinical Trials Registry will be searched. All databases and other sources will be searched from inception to the date of the search will be run. Only randomized controlled trials of ESWT for frozen shoulder will be considered for inclusion in this systematic review. Two authors independently screen the studies, extract the data, and evaluate the methodology quality for included trials. If sufficient trials will be included with fair heterogeneity, the data

2019 Medicine

15. Genetic variants involved in extracellular matrix homeostasis play a role in the susceptibility to frozen shoulder: a case-control study. (PubMed)

Genetic variants involved in extracellular matrix homeostasis play a role in the susceptibility to frozen shoulder: a case-control study. Frozen shoulder is a condition of loss of active and passive motion as result of inflammatory contracture and fibrosis of the joint capsule. We hypothesize that genetic variants in genes involved in these processes such as genes that play a role in extracellular matrix homeostasis (collagens, glycoproteins, genes involved in TGFβ signaling (...) , and metalloproteinases and its inhibitors) may contribute to the susceptibility to frozen shoulder. We evaluated eighteen SNPs of genes involved in extracellular matrix homeostasis in 186 cases (Nfemales  = 114; Nmales  = 72) of frozen shoulder and 600 age-matched controls (Nfemales  = 308; Nmales  = 292). Multivariate logistic regressions were carried out with age, gender, genetic ancestry and common comorbidities as covariates. Carriers of the C allele of MMP13 rs2252070 and G/G MMP9 (rs17576 A > G/rs17577 G

2019 Journal of Orthopaedic Research

16. Role of matrix metalloproteinases 2 and 9 in the development of frozen shoulder: human data and experimental analysis in a rat contracture model. (PubMed)

Role of matrix metalloproteinases 2 and 9 in the development of frozen shoulder: human data and experimental analysis in a rat contracture model. Although frozen shoulder (FS) is a common shoulder disorder, its pathogenesis is not yet determined. The function of matrix metalloproteinases (MMPs) is related to extracellular matrix remodeling. The purposes of this study were to investigate the pattern of sequential expression of MMPs in a rat model of shoulder contracture and to compare (...) the expression of MMPs in the joint capsule between patients with FS and a control group.We obtained joint capsules from rats immobilized by molding plaster (a shoulder contracture model) at baseline, 3 days, 1 week, and 3 weeks (4 rats per time point; 16 rats in total). The expression of the inflammatory cytokine interleukin 6 (IL-6), MMP-2, and MMP-9 was examined by immunohistochemistry. We also obtained joint capsules from 21 patients with FS and 13 control patients with instability to quantify

2019 Journal of Shoulder and Elbow Surgery

17. Biomarkers associated with idiopathic frozen shoulder: a systematic review. (PubMed)

Biomarkers associated with idiopathic frozen shoulder: a systematic review. Background: The pathophysiology of idiopathic frozen shoulder (FS) remains poorly described. There is a lack of differentiation between idiopathic and secondary cause. The aim of this systematic review was to summarize the evidence regarding the pathophysiology of idiopathic FS on a molecular level and emphasize the clinical relevance. Methods: A database search of Medline, EMBASE and Cochrane Central Register

2019 Connective Tissue Research

18. Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial. (PubMed)

Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial. There is little evidence regarding the best way to treat adhesive capsulitis. Physical therapy can reduce pain and improve function and range of motion. However, we lack clear indications on the regimen, techniques or intensity of physical therapy to achieve better results. Intensive physical therapy seems to be confined to the later stages of adhesive capsulitis (chronic stage) given

2019 Annals of physical and rehabilitation medicine Controlled trial quality: predicted high

19. A randomized controlled trial of ultrasound-guided pulsed radiofrequency for patients with frozen shoulder. (PubMed)

A randomized controlled trial of ultrasound-guided pulsed radiofrequency for patients with frozen shoulder. This study assessed the effectiveness and safety of ultrasound-guided pulsed radiofrequency (UGPRF) for patients with frozen shoulder (FS).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

2019 Medicine Controlled trial quality: predicted high

20. Physical therapy for the treatment of frozen shoulder: A protocol for systematic review of randomized controlled trial. (PubMed)

Physical therapy for the treatment of frozen shoulder: A protocol for systematic review of randomized controlled trial. Previous clinical trials have reported that physical therapy (PT) can be used for the treatment of frozen shoulder (FS). However, its effectiveness is still inconclusive. In this systematic review study, we will aim to evaluate the effectiveness and safety of PT alone for the treatment of FS.The following electronic databases will be searched from the inception to the present (...) (RCTs) of PT for FS will be considered for inclusion without language restrictions. Cochrane risk of bias tool will be used to assess the methodological quality for all included RCTs.The effectiveness and safety of this study will be assessed by shoulder pain intensity, shoulder function, quality of life, and any adverse events.The findings of this study may provide most recent evidence on the effectiveness and safety of PT for patients with FS.

2019 Medicine

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