SUMMARY
Background. Frozen shoulder is a widespread concern having an unknown etiology. Management mainly aims at restoring function and treating symptoms. The choice of treatment may differ based on patient variables, stage of presentation, priorities of clinicians, and funding. No robust evidence exists to endorse one treatment modality over another in a conclusive way. Therefore, we performed a systematic review of the conservative therapeutic options for the frozen shoulder.
Materials and methods. A wide range of electronic bibliographic databases such as PubMed, Embase, and ERIC was searched. Based on the eligibility criteria, all randomized controlled trials that compared the efficacy of any type of non-surgical or conservative management from 2010 to 2020 are incorporated in the review. Following screening and assessing the abstracts, we ended up reviewing 12 full-text articles and data extracted on essential parameters such as sample size, type of non-surgical treatment, time of follow-up, and primary outcomes.
Results. Overall, the systematic review results seem promising for the efficacy of different non-surgical modalities. They improve multiple outcomes such a pain, range of motion, Constant-Murley score, simple Shoulder Test, Shoulder Pain, Disability Index, and patient satisfaction. Nonsurgical management is the preferred initial care option, with most patients typically improving within 6 to 18 months. Steroids, physiotherapies, hydrodilatation with hypertonic saline, suprascapular nerve block (SNB), Extracorporeal shockwave therapy, and intra-articular steroid or sodium hyaluronate injections are conservative treatment choices.
Conclusions. Treatment of frozen shoulder remains a challenge, and high-level conclusive evidence is needed to recommend one treatment method over another. The results of this systematic review showed that nonsurgical management, regardless of the preferred treatment option, is beneficial and effective in the treatment of frozen shoulder, and that can guide clinicians in making evidence-based decisions when managing this condition conservatively. This will avoid unnecessary burdens on the healthcare system and patients, as they might be treated effectively without undergoing surgery.
The Effectiveness of Nonoperative Treatment Modalities in the Management of Frozen Shoulder: a Systematic Review of Randomized Controlled Trials
W. Albishi, K. Murad, A. Alaseem, W. Awwad, H. Alsanawi
Review, 104-114
Keywords: conservative treatment., frozen shoulder, shoulder pain, shoulder stiffness, systematic review.,
Table of Content: Vol. 12 (No.2) 2022 April/June
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Hamstring Injury Epidemiology in the National Basketball Association Over a Five-Year Period
A. Eftekhari, C. Cogan, N. Pandya, B. FeeleyOriginal Article, 79-93 -
Prognostic Pre-Operative Factor Influencing Hip Arthroscopy Outcomes for Femoroacetabular Impingement Syndrome: a Comprehensive Literature Review
F. Randelli, A. Giai Via, A. Di Marcantonio, M. G. Mazzoleni, R. Lanzetti, F. Oliva, G. PipinoOriginal Article, 94-103 -
The Effectiveness of Nonoperative Treatment Modalities in the Management of Frozen Shoulder: a Systematic Review of Randomized Controlled Trials
W. Albishi, K. Murad, A. Alaseem, W. Awwad, H. AlsanawiReview, 104-114 -
Differences at the Achilles Insertion Between Adults with Insertional and Midportion Achilles Tendinopathy as Observed Using Ultrasound
N. Hamdan Alghamdi, R. T. Pohlig, J. M. Sions, K. Grävare SilbernagelOriginal Article, 115-121 -
Ultrasound Guided Dry Needling for Treatment of Patients with Jumper’s Knee: a Study Protocol for Randomized Controlled Trial
F. Sharif, A. Ahmad, S. A. Gilani, R. Bacha, A. HanifOriginal Article, 122-129 -
Fascia Healing after Induced Tibialis Anterior Muscle Strain: an Experimental Study in Wistar Rats
N. Abu Elwafa, T. Mohammad, H. Wageh, M. M. Elias, M. Nabhan, N. Salah Hassan, A. Rehan YoussefOriginal Article, 130-143 -
Evaluation of Joint Contact Forces in Subjects with Knee Osteoarthritis
M. Kavyani, H. Akbari Aghdam, M. Reza Rezaie, M. Taghi KarimiOriginal Article, 144-149 -
Kinesiotaping for the Treatment of Haematomas in Haemophiliacs: a Case Control Study
D. Scaturro, F. Vitagliani, M. Napolitano, G. Pasta, G. Passantino, F. Arcuri, S. Siragusa, M. Vecchio, G. L. MauroOriginal Article, 150-158 -
Impact of Structural and Physiological Changes in the Vastus Medialis Muscle Following Anterior Cruciate Ligament Injury and Reconstruction on Short Term Patient-Reported Knee Function
G. Balaji, G. Kumar, M. Jagadevan, T. Ramalingam, D. Barathi, G. Singh GaurOriginal Article, 159-164 -
Conversion to Knee Arthroplasty Following Intra-Articular Injection of Microfragmented Adipose Tissue in Patients with Knee Osteoarthritis
M. R. Miles, J. Won Lee, K. L. Mistretta, S. Desale, H. R. BoucherOriginal Article, 165-172 -
Role of Posterior Layer of Thoracolumbar Fascia in Epimuscular Myofascial Force Transmission From Gluteus Maximus to Latissimus Dorsi and Lower Trapezius
S. Marpalli, M. Rao K. G., P. Venkatesan, B. M. GeorgeOriginal Article, 173-180 -
Global Postural Re-Education is More Effective than Motor Control Exercises in patients with Non-Specific Low Back Pain
A . KumarOriginal Article, 181-190 -
Transcutaneous Electrical Stimulation (TENS) Parameters in Individuals with Fibromyalgia: a Systematic Review with Meta-Analysis
G. Batista de Aguiar, T. K. Bloot, A. E. Rauber Pilonetto, M. R. Buzanello Azevedo, D. P. Artioli, G. R. Flor BertoliniReview, 191-198 -
Grip Strength and Endurance: Influences of Anthropometric Characteristics, Posture, and Gender
M. Mukhtar Alam, I. Ahmad, A. Samad, M. Hasan Khan, A. M. AliOriginal Article, 199-260 -
Comparative Responses of Achilles Tendinopathy to Selected Physiotherapy Approaches and the Modulating Influence of ABO Blood Group Phenotype in Nigerian Footballers: a Randomized Control Study
I. O. Owoeye, A. I. Aiyegbusi, A. M. Senlaja, O. AkinloyeOriginal Article, 207-215 -
Ultrasonographic Guided Intra Articular Steroid versus Hyaluronic Acid in Adhesive Capsulitis with and without Suprascapular Nerve Block: a Randomized Controlled Trial
M. Elwan Sayed, E. Mohammed Hussein, A. Moslaem Ebrahim, A. MoshrifOriginal Article, 216-223 -
Work-Related Musculoskeletal Disorders among Sonologists during the Pre-COVID-19 and Present COVID-19 Era: a Survey and Review of Best Practices
S. Rai, S. Srivastava, S. Krishnan, B. V. Murlimanju, A. Hegde, A. JollyOriginal Article, 224-234 -
Ray Amputation vs Finger Amputation: a Systematic Review
F. Oliva, G. Gargano, M. Quaranta, E. Piccirilli, N. MaffulliReview, 235-240 -
Evaluation of Suture Elongation of Flexor Tendons using the Pulvertaft Method: a Biomechanical Study using Cadaveric Specimens
E. Ozone, Y. Matsuura, T. Suzuki, K. Kuniyoshi, S. OhtoriOriginal Article, 241-246 -
Extracorporeal Shockwave Therapy in the Treatment of Trigger Finger. A Systematic Review
D. Poenaru, F. Ojoga, D. CintezaReview, 247-252 -
Postural Analysis of The Trunk, Pelvic Girdle and Lower Extremities in The Sagittal Plane in People with and without Forward Head Posture
M. Rezaei, Z. Salahzadeh, B. Karimipour, M. Reza Azghani, P. Sarbakhsh, H. Adigozali, N. Khalilian-Ekrami, A. HemmatiOriginal Article, 253-260