Do Manual Therapy Techniques Help in Patients with Frozen Shoulder?: A Systematic Literature Review

Ishaq, Husna; Zuber, Mizbah; Kandakurti, Praveen Kumar; Arulsingh, Watson

doi:10.1615/critrevphysrehabilmed.2022043235

Cited by 2 publications

(3 citation statements)

References 35 publications

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“…The therapy administration provides therapeutic effects such as reducing pain, stretching muscle adhesions, increasing the range of motion of the joints, and increasing the ability to perform daily functional activities. 12 The theoretical study explains that scapular manipulation is intended for joint mobilization or distraction to provide scapulothoracic distance, and the muscles will be stretched. They are controlling movement from the position of the scapula, which can help the glenoid in a normal position.…”

Section: Discussionmentioning

confidence: 99%

Scapula manipulation on frozen shoulder condition: a case study

Ashrifah,

Perdana,

Kingkinnarti

2023

ptji

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Background: Frozen shoulder or adhesive capsulitis is a stiffness in the shoulder joint, namely the thickening of the shoulder joint capsule tissue, resulting in pain and limited shoulder joint movement. In Indonesia, 2-11% of frozen shoulder sufferers have diabetes. Complaints in the shoulder also often accompany human movement activities due to gaps in body functions, including a frozen shoulder. Case description: This was a case study of a patient aged 56 years with a diagnosis of frozen shoulder; this case was taken at Dr. Harjono Ponorogo Hospital, held from March 3, 2023, to March 23, 2023. The physiotherapy problems encountered in this case included pain, limited joint motion, weakness in muscle strength, and limited functional activity. Conclusion: At three meetings, the patient was given intervention in the form of scapular mobilization, which decreased pain and increased the range of motion on the shoulder. A decrease in limitations can also be seen from the measurements used by the shoulder pain and disability index (SPADI), but in the SPADI assessment, there were no significant changes.

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Section: Discussionmentioning

confidence: 99%

Scapula manipulation on frozen shoulder condition: a case study

Ashrifah,

Perdana,

Kingkinnarti

2023

ptji

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“…Результати систематичного огляду, виконаного H. Ishaq та співавторами [39], щодо ефективності методів мануальної терапії та мобілізації встановили, що техніка Kaltenborn показала кращі результати через 2-6 тижнів щодо зменшення болю, покращення амплітуди руху та функціональної активності. Методика Мulligan показала результати через 2-3 місяці.…”

Section: вступunclassified

“…Результати оглядів літератури відзначили, що техніка Kaltenborn показує кращі результати через 2-6 тижнів терапії щодо зменшення болю, покращення амплітуди руху та функціональної активності [39]; наявні помірні докази ефективності методів мобілізації в короткостроковій і довгостроковій перспективі [40]; рекомендованими для використання техніка Maitland та комбінована мобілізація [38].…”

Section: вступunclassified

The Role of Mobilization Techniques in the Physical Therapy of Patients With Adhesive Capsulitis of the Shoulder Joint

Rusanov

Vitomskyi

Vitomska

2023

Scientific and practical journal

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The purpose of the study: to analyze the results of studies devoted to the study of the effectiveness of the use of mobilization techniques in patients with adhesive capsulitis of the shoulder joint. Materials and methods. This work is the result of an analysis of studies devoted to the study of the effect of mobilization techniques as monotherapy and as part of a complex physical therapy on the range of motion in the shoulder joint, pain on the visual analog scale, and the shoulder pain and disability index. Results. Stretching exercises, pendulum exercises, various manual therapies, proprioceptive neuromuscular facilitation techniques, and muscle energy techniques are used in physical therapy for adhesive capsulitis. Analysis of the literature confirmed that mobilization is widely used in the therapy of patients with adhesive capsulitis of the shoulder joint. At the same time, the number of mobilization techniques, which are used in the form of monotherapy or part of complex treatment, is significant. There are quite a few types of mobilization techniques for adhesive capsulitis of the shoulder joint: angular mobilization; progressive mobilization; mobilization of the spine in combination with scapular stretching, angular and translational mobilization; high-intensity techniques based on the pain threshold; the Cyriax approach; Mulligan technique; Maitland technique. There are research results that indicate an immediate effect of intensive mobilization on the amplitude of passive abduction. A number of studies have established the advantages of end-range and intensive mobilization compared to mid-range mobilization. At the same time, studies were found that did not establish the advantages of mobilization over therapeutic exercises, and also established the advantages of therapeutic exercises without pain compared to a complex intervention that included exercises and mobilization with exceeding the pain threshold. Thus, the question of the intensity of mobilization, the level of pain during mobilization remains relevant. Results of literature reviews noted that the Kaltenborn technique shows better results after 2-6 weeks of therapy in reducing pain, improving range of motion and functional activity; that there is moderate evidence of effectiveness of mobilization methods in the short and long term; that the Maitland technique and combined mobilization are recommended for use. In the aspect of mobilization with adhesive capsulitis, there is a question of its direction (anterior or posterior) to improve the amplitude of external rotation. At the same time, the conclusions of the last systematic review of the effectiveness of conservative methods of treatment of adhesive capsulitis indicate that there is no reliable evidence that would convincingly testify to the superiority of one method of treatment of adhesive capsulitis over another. Conclusions. The results of scientific studies indicate different conclusions regarding the effectiveness of mobilization techniques. There are works that indicate both the advantages of mobilization in adhesive capsulitis of the shoulder joint and their absence. Undisputed strong evidence in favor of one of the mobilization techniques is also lacking. Mobilization techniques can be used in physical therapy for patients with adhesive capsulitis, but more research is needed to determine the most effective intervention.

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Do Manual Therapy Techniques Help in Patients with Frozen Shoulder?: A Systematic Literature Review

Cited by 2 publications

References 35 publications

Scapula manipulation on frozen shoulder condition: a case study

Scapula manipulation on frozen shoulder condition: a case study

The Role of Mobilization Techniques in the Physical Therapy of Patients With Adhesive Capsulitis of the Shoulder Joint

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