Joint mobilization versus self-exercises for limited glenohumeral joint mobility: randomized controlled study of management of rehabilitation

Abstract

To clarify the optimal management of rehabilitative intervention for limited glenohumeral joint mobility (LGHM) arising from adhesive capsulitis, particularly focusing on the frequency of sessions for joint mobilization and the self-exercise compliance, the functional results of 120 patients with LGHM were prospectively investigated as follows: Differences in improved angle of the shoulder joint (IA) and the time required to reach the range of motion plateau point (T) were compared by (1) age, (2) gender, (3) handedness, (4) duration before rehabilitative intervention, (5) frequency of sessions for joint mobilization by physical therapists in the hospital setting, and (6) self-exercise compliance in the home setting. The lengths of therapy and follow-up were 4.6 and 5.9 months, respectively. IA significantly decreased in the 71-year-old and above group. There were no significant differences in IA between male and female. IA of the dominant-handed group was significantly higher than that of the non-dominant-handed group. There were no significant differences in T in each item. IA of the group that had experienced more than 7 months of the condition was significantly low. Although the frequency of joint mobilization by physical therapists in the hospital setting showed no relationship with IA or T, IA was significantly higher and T was significantly shorter in the group that performed self-exercise every day than in the groups that performed less. In conclusion, early intervention and self-exercise in the home setting are more important factors than session frequency of joint mobilization in the hospital setting for the successful management of rehabilitation for LGHM.

Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review

“…For studies that divided participants into two or more groups according to i) baseline characteristics [17,18] or ii) successful versus unsuccessful outcome [19], mean differences plus standard deviation and/or 95% confidence intervals (CI) for each group, and if available between groups are presented. Where studies have performed accuracy statistics for a clinical prediction rule, details of the former are presented [20,21].…”

“…Three of the controlled trials randomized participants into 2 or more groups, all of whom received some form of physiotherapy [18,22,23]; two divided participants into two groups according to differences in baseline characteristics and administered the same physiotherapy treatment to both groups [17,24]. …”

Are Delayed Operations Effective for Patients With Rotator Cuff Tears and Concomitant Stiffness? An Analysis of Immediate Versus Delayed Surgery on Outcomes

“…Despite the weakness regarding monitoring, it has been proved that self-exercise in the home setting is a more important factor than the session frequency of joint mobilization in the hospital setting in rehabilitation for limited glenohumeral joint mobility. 35 Fifth, the 6-month preoperative rehabilitation period seemed too long. Earlier assessment of rehabilitation may have decreased the dropout rate.…”

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

“…Tanaka et al 124 attempted to identify the preferred management for limited glenohumeral motion focusing on frequency of sessions for joint mobilization and self-exercise compliance. One hundred ten patients (52 male, 58 female) with an average age of 63.7 years were enrolled in the study.…”