Evaluatıng the effectiveness of frozen shoulder treatment on the right and left sides

Hasan Kerem Alptekin, Tuğba Aydın, Enes Serkan İflazoğlu, Mirsad Alkan, Hasan Kerem Alptekin, Tuğba Aydın, Enes Serkan İflazoğlu, Mirsad Alkan

Abstract

[Purpose] To evaluate treatments with interferential current, hot pack, ultrasound therapy, stretching, strengthening and range-of-motion exercises, comparing between the right and left shoulders in terms of pain and functional capacity in patients with frozen shoulder. This was a retrospective study. [Subjects and Methods] Sixty-four patients (34 right side, 30 left side) were treated with interferential current and hot pack application for 20 min each, ultrasound therapy for 3 min, regular range-of-motion exercises, stretching exercises, strengthening with a Theraband in all directions and post-exercise proprioceptive neuromuscular facilitation techniques. All cases were evaluated with visual analogue scales for pain, passive and active range of motion, Constant score, and the shoulder disability questionnaire, at baseline and 7 and 12 weeks after baseline. [Results] Marked improvement was noted in all patients in both right and left sides after treatment, and at 7 and 12 weeks of follow-up compared with baseline. There was no significant difference between the right and left shoulder groups, in all outcome measures. [Conclusion] The combination of physical therapy, exercise, and manual techniques is effective in treating frozen shoulder. The location of the lesion in the right or left shoulder does not, in itself, affect the prognosis or treatment outcome.

Keywords: Exercise; Frozen shoulder; Interferential current.

References

    1. Pope DP, Croft PR, Pritchard CM, et al. : The frequency of restricted range of movement in individuals with self-reported shoulder pain: results from a population-based survey. Br J Rheumatol, 1996, 35: 1137–1141.
    1. Croft P, Pope D, Silman A, Primary Care Rheumatology Society Shoulder Study Group: The clinical course of shoulder pain: prospective cohort study in primary care. BMJ, 1996, 313: 601–602.
    1. Neviaser AS, Hannafin JA: Adhesive capsulitis: a review of current treatment. Am J Sports Med, 2010, 38: 2346–2356.
    1. Wong PL, Tan HC: A review on frozen shoulder. Singapore Med J, 2010, 51: 694–697.
    1. Doner G, Guven Z, Atalay A, et al. : Evalution of Mulligan’s technique for adhesive capsulitis of the shoulder. J Rehabil Med, 2013, 45: 87–91.
    1. Çelik D: Comparison of the outcomes of two different exercise programs on frozen shoulder. Acta Orthop Traumatol Turc, 2010, 44: 285–292.
    1. Harris G, Bou-Haidar P, Harris C: Adhesive capsulitis: review of imaging and treatment. J Med Imaging Radiat Oncol, 2013, 57: 633–643.
    1. Zuckerman JD, Rokito A: Frozen shoulder: a consensus definition. J Shoulder Elbow Surg, 2011, 20: 322–325.
    1. Donatelli R, Ruivo RM, Thurner M, et al. : New concepts in restoring shoulder elevation in a stiff and painful shoulder patient. Phys Ther Sport, 2014, 15: 3–14.
    1. Lin HC, Li JS, Lo SF, et al. : Isokinetic characteristics of shoulder rotators in patients with adhesive capsulitis. J Rehabil Med, 2009, 41: 563–568.
    1. Guyver PM, Bruce DJ, Rees JL: Frozen shoulder—a stiff problem that requires a flexible approach. Maturitas, 2014,78: 11–16.
    1. Dundar U, Toktaş H, Çakır T, et al. : Continuous passive motion provides good pain control in patients with adhesive capsulitis. Int J Rehabil Res, 2009, 32: 193–198.
    1. Tighe CB, Oakley WS, Jr: The prevalence of a diabetic condition and adhesive capsulitis of the shoulder. South Med J, 2008, 101: 591–595.
    1. Russell S, Jariwala A, Conlon R, et al. : A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder. J Shoulder Elbow Surg, 2014, 23: 500–507.
    1. Michlovitz SL, Harris BA, Watkins MP: Therapy interventions for improving joint range of motion: a systematic review. J Hand Ther, 2004, 17: 118–131.
    1. Sato H, Maruyama H: The effects of indirect treatment of proprioceptive neuromuscular facilitation. J Phys Ther Sci, 2009, 21: 189–193.
    1. Constant CR, Murley AH: A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 1987, (214): 160–164.
    1. Scott J, Huskisson EC: Graphic representation of pain. Pain, 1976, 2: 175–184.
    1. Itoh M, Miyashita S, Guto S, et al. : Duration of effect of the approximation technique on the dynamic control structure. J Phys Ther Sci, 2010, 22: 223–226.
    1. Marchetti PH, Silva FH, Soares EG, et al. : Upper limb static-stretching protocol decreases maximal concentric jump performance. J Sports Sci Med, 2014, 13: 945–950.
    1. Varela E, Valero R, Küçükdeveci AA, et al. UEMS-PRM Section Professional Practice Committee: Shoulder pain management. The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee. Eur J Phys Rehabil Med, 2013, 49: 743–751.
    1. Vastamäki H, Kettunen J, Vastamäki M: The natural history of idiopathic frozen shoulder: a 2- to 27-year followup study. Clin Orthop Relat Res, 2012, 470: 1133–1143.
    1. Paul A, Rajkumar JS, Peter S, et al. : Effectiveness of sustained stretching of the inferior capsule in the management of a frozen shoulder. Clin Orthop Relat Res, 2014, 472: 2262–2268.
    1. Do Moon G, Lim JY, Kim Y, et al. : Comparison of Maitland and Kaltenborn mobilization techniques for improving shoulder pain and range of motion in frozen shoulders. J Phys Ther Sci, 2015, 27: 1391–1395.
    1. Park SW, Lee HS, Kim JH: The effectiveness of intensive mobilization techniques combined with capsular distension for adhesive capsulitis of the shoulder. J Phys Ther Sci, 2014, 26: 1767–1770.
    1. Al Dajah SB: Soft tissue mobilization and PNF improve range of motion and minimize pain level in shoulder impingement. J Phys Ther Sci, 2014, 26: 1803–1805.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe