Shoulder kinematic features using arm elevation and rotation tests for classifying patients with frozen shoulder syndrome who respond to physical therapy

Yang, Jing-Lan; Chang, Chen‐Yi; Chen, Shiau-Yee; Lin, Jiu-Jenq

doi:10.1016/j.math.2007.07.006

Cited by 30 publications

(34 citation statements)

References 24 publications

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“…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].…”

Section: Resultsmentioning

confidence: 99%

“…However a common omission was clarification that somatic referred pain from the cervical spine, distinct from radiculopathy, was excluded as a source of shoulder pain; one study [21] excluded patients with nerve root signs and another excluded patients with cervical spondylosis [24], three studies [19,22,23] stated that the cervical spine was excluded as a source of referral, but only one study [22] stated the mechanism by which this decision was made. One study purposely did not exclude participants with cervical spine pathology [25].…”

Section: Resultsmentioning

confidence: 99%

“…One study purposely did not exclude participants with cervical spine pathology [25]. Five studies only included participants with adhesive capsulitis [18,19,24-26], four studies only included participants with subacromial impingement syndrome [20,22,23,27], one study only included participants with posterior inferior instability of the shoulder [17] and one study only included participants with a positive posterior impingement sign and the presence of a posterosuperior glenoid labral lesion on MRI [28]. One study [29] used the International Classification of Diseases (ICD-9) codes [30] to divide “musculoskeletal shoulder pain” into 8 disease categories.…”

Section: Resultsmentioning

confidence: 99%

“…One study [31] within this review investigated and demonstrated an association between good appointment attendance and better outcome (n = 5252, p < 0.001). Home exercises were prescribed in ten studies; six reported rates of compliance [17-19,22,25,31]. Two studies within this review investigated the association between home exercise compliance and outcome.…”

Section: Resultsmentioning

confidence: 99%

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

Chester

Shepstone

Daniell

et al. 2013

BMC Musculoskelet Disord

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BackgroundPeople suffering from musculoskeletal shoulder pain are frequently referred to physiotherapy. Physiotherapy generally involves a multimodal approach to management that may include; exercise, manual therapy and techniques to reduce pain. At present it is not possible to predict which patients will respond positively to physiotherapy treatment. The purpose of this systematic review was to identify which prognostic factors are associated with the outcome of physiotherapy in the management of musculoskeletal shoulder pain.MethodsA comprehensive search was undertaken of Ovid Medline, EMBASE, CINAHL and AMED (from inception to January 2013). Prospective studies of participants with shoulder pain receiving physiotherapy which investigated the association between baseline prognostic factors and change in pain and function over time were included. Study selection, data extraction and appraisal of study quality were undertaken by two independent assessors. Quality criteria were selected from previously published guidelines to form a checklist of 24 items. The study protocol was prospectively registered onto the International Prospective Register of Systematic Reviews.ResultsA total of 5023 titles were retrieved and screened for eligibility, 154 articles were assessed as full text and 16 met the inclusion criteria: 11 cohort studies, 3 randomised controlled trials and 2 controlled trials. Results were presented for the 9 studies meeting 13 or more of the 24 quality criteria. Clinical and statistical heterogeneity resulted in qualitative synthesis rather than meta-analysis. Three studies demonstrated that high functional disability at baseline was associated with poor functional outcome (p ≤ 0.05). Four studies demonstrated a significant association (p ≤ 0.05) between longer duration of shoulder pain and poorer outcome. Three studies, demonstrated a significant association (p ≤ 0.05) between increasing age and poorer function; three studies demonstrated no association (p > 0.05).ConclusionAssociations between prognostic factors and outcome were often inconsistent between studies. This may be due to clinical heterogeneity or type II errors. Only two baseline prognostic factors demonstrated a consistent association with outcome in two or more studies; duration of shoulder pain and baseline function. Prior to developing a predictive model for the outcome of physiotherapy treatment for shoulder pain, a large adequately powered prospective cohort study is required in which a broad range of prognostic factors are incorporated.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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

Chester

Shepstone

Daniell

et al. 2013

BMC Musculoskelet Disord

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show abstract

“…If change was < = 20%, the patient was categorized in the nonresponsive group. We chose 20% change in FLEX-SF as the responsive criterion because the patients generally felt satisfied with 20% improvement from our investigation in the clinic [27]. …”

Section: Methodsmentioning

confidence: 99%

Effects and predictors of shoulder muscle massage for patients with posterior shoulder tightness

Yang

Chen

Hsieh

et al. 2012

BMC Musculoskelet Disord

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Background Clinical approaches like mobilization, stretching, and/or massage may decrease shoulder tightness and improve symptoms in subjects with stiff shoulders. We investigated the effect and predictors of effectiveness of massage in the treatment of patients with posterior shoulder tightness. Methods A randomized controlled trial was conducted in a hospital-based outpatient practice (orthopedic and rehabilitation). Forty-three women and 17 men (mean age = 54 years, range 43-73 years) with posterior shoulder tightness participated and were randomized into massage and control groups (n = 30 per group). A physical therapist provided the massage on the posterior deltoid, infraspinatus, and teres minor of the involved shoulder for 18 minutes [about 6 minutes for each muscle] two times a week for 4 weeks. For the control group, one therapist applied light hand touch on the muscles 10 minutes two times a week for 4 weeks. Glenohumeral internal rotation ROM, functional status, and muscle tightness were the main outcomes. Additionally, the potential factors on the effectiveness of massage were analyzed by multivariate logistic regression. For this analysis, patients with functional score improvement at least 20% after massage were considered responsive, and the others were considered nonresponsive. Results Fifty-two patients completed the study (29 for the massage and 23 for the control). The overall mean internal rotation ROM increased significantly in the massage group compared to the control (54.9° v.s. 34.9°; P ≤ 0.001). There were 21 patients in the responsive group and 8 in the nonresponsive group. Among the factors, duration of symptoms, functional score, and posterior deltoid tightness were significant predictors of effectiveness of massage. Conclusions Massage was an effective treatment for patients with posterior shoulder tightness, but was less effective in patients with longer duration of symptoms, higher functional limitation, and less posterior deltoid tightness. Trial registration This clinical trial is registered at Trial Registration "Trial registration: Clinicaltrials.gov NCT01022827 ".

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Current evidence on physical therapy in patients with adhesive capsulitis: what are we missing?

Struyf

Meeus

2013

Clin Rheumatol

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Shoulder kinematic features using arm elevation and rotation tests for classifying patients with frozen shoulder syndrome who respond to physical therapy

Cited by 30 publications

References 24 publications

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

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

Effects and predictors of shoulder muscle massage for patients with posterior shoulder tightness

Current evidence on physical therapy in patients with adhesive capsulitis: what are we missing?

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