Frozen Shoulder: Diagnosis and Management

Wise, Sean R.; Seales, Paul; Houser, Alex P.; Weber, Chase B.

doi:10.1249/jsr.0000000000001097

Cited by 3 publications

(1 citation statement)

References 51 publications

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“…Although frozen shoulder is a self-limiting condition, it has a prolonged course and causes signi cant pain, which greatly affects the daily lives of patients [5,24]. Early and effective treatment can reduce pain, shorten the duration of the disease, and enhance the quality of life for patients.…”

Section: Discussionmentioning

confidence: 99%

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

Yang,

Chen,

et al. 2024

Preprint

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Objective To evaluate the efficacy of platelet-rich plasma (PRP) combined with arthroscopic release in the treatment of frozen shoulder. Method A retrospective analysis was conducted on 50 frozen shoulder patients admitted to the Orthopedics Department of Wuhan Third Hospital from January 2019 to January 2023. The two groups were divided according to the difference in postoperative medication injection: the PRP group (25 patients) and the triamcinolone acetonide (TC) group (25 patients). The basic information of the two groups of patients was documented and compared. The Visual Analog Scale (VAS), Constant-Murley Shoulder Function Score (CMS), the Rotator Cuff Quality-of-life Measure (RC-QOL) , and the range of motion of active forward flexion, abduction, and external rotation of the shoulder were recorded and compared before surgery and at 1 month, 3 months, 6 months, and 12 months after surgery. Results There were no significant differences in basic demographic information, such as age, sex, disease course, affected side, between the two groups of patients. Moreover, there were no statistically significant differences in the preoperative VAS score, CMS, or joint range of motion between the two groups of patients. Compared to the preoperative values, both groups of patients exhibited significant differences in the VAS score and CMS at each observation time point after surgery. Additionally, there was no statistically significant difference in CMS at 1 month and 3 months after surgery. At 6 months and 12 months after surgery, the patients in the PRP group had significantly higher CMS scores compared to those in the triamcinolone acetonide group. Within 6 months after surgery, the PRP group exhibited better range of motion in all directions compared to the triamcinolone acetonide group, with statistically significant differences. The RC-QOL scores of patients in the PRP group were higher than those in the triamcinolone acetonide group at 6 and 12 months after surgery. Conclusion PRP combined with arthroscopic release can effectively alleviate pain in frozen shoulder and improve shoulder joint function, making it an effective treatment plan.

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Section: Discussionmentioning

confidence: 99%

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

Yang,

Chen,

et al. 2024

Preprint

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The Different Effects of 2 Consecutive Glenohumeral Injections of Corticosteroids on Pain Reduction and Range-of-Motion Improvement in Frozen-Phase Frozen Shoulder

Wang,

Chen,

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Rehabilitation in subjects with frozen shoulder: a survey of current (2023) clinical practice of Italian physiotherapists

Brindisino,

Girardi,

Crestani

et al. 2024

BMC Musculoskelet Disord

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Objective Frozen Shoulder (FS) is a musculoskeletal pathology that leads to disability, functional decline, and a worsening in quality of life. Physiotherapists are the primary professionals involved in the treatment of FS, and it is essential to determine if their practice aligns with evidence-based suggestions. Aim The aim is to assess the knowledge, skills, and operational strategies of Italian physiotherapists regarding FS and compare them with the existing literature. Methods A web-based, anonymous, and voluntary cross-sectional survey was developed and administered to Italian physiotherapists to evaluate their clinical practices. Results A total of 501 physiotherapists (38.5% female), completed the survey. More than half were under 35 years old (67.8%), declared working in private practice settings or being self-employed (57.1%), and were primarily engaged with musculoskeletal patients (81.8%). For subjects with FS at their first access, 21.4% identified X-rays as the most useful imaging technique to recognize pathologies beyond rehabilitation competence. In terms of general management, the majority reported working with an orthopaedic or physiatrist (47.5%) or in a multidisciplinary team (33.5%). Regarding manual therapy techniques, 63.3% of physiotherapists preferred intense degree mobilization, posterior direction, and moderate pain at the end of the range of motion for low irritable/high stiffness FS; however, there is a lack of consensus for managing very irritable/low stiffness FS. The majority of physiotherapists (57.7%) concurred that stretching improves the balance between metalloproteinase and its inhibitors. Additionally, 48.3% of physiotherapists selected mobile phone videos and messages to improve patients’ compliance with exercises at home and for motivational/educational purposes. Discussion and Conclusion The clinical practices of Italian physiotherapists in FS subjects sometimes deviate from evidence-based recommendations. While some discrepancies may be attributed to the existing uncertainties in the literature regarding knowledge and management strategies for FS patients, the authors recommend a stronger adherence to evidence-based practice.

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Frozen Shoulder: Diagnosis and Management

Cited by 3 publications

References 51 publications

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

The effect of platelet-rich plasma combined with arthroscopic release in the treatment of frozen shoulder

The Different Effects of 2 Consecutive Glenohumeral Injections of Corticosteroids on Pain Reduction and Range-of-Motion Improvement in Frozen-Phase Frozen Shoulder

Rehabilitation in subjects with frozen shoulder: a survey of current (2023) clinical practice of Italian physiotherapists

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