Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
Department of Physiology, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
J Back Musculoskelet Rehabil. 2021;34(2):195-205. doi: 10.3233/BMR-200186.
Adhesive capsulitis is a debilitating condition which causes the capsule of the gleno-humeral joint to thicken and contract progressively. The effectiveness of various non-operative methods has been demonstrated to improve the pain, range of motion (ROM) and functional status of patients with adhesive capsulitis.
This study aims to review recent evidence on the efficacy of physiotherapy interventions in the treatment of adhesive capsulitis.
PubMed, Physiotherapy Evidence Database (PEDro), Science Direct and Cochrane databases were searched for studies published since 2013. The search terms included: Frozen shoulder, adhesive capsulitis, physical therapy, rehabilitation, manual therapy, mobilization, exercise, education, and electrotherapy. The search was limited to studies published in English and studies that used human subjects.
Quality scores of 33 articles were reviewed according to the Sackett's critical appraisal criteria and the grades of recommendation were determined for physiotherapy interventions used in the studies.
The empirical evidence suggests that certain physical therapy techniques and modalities are strongly recommended for pain relief, improvement of ROM, and functional status in patients with adhesive capsulitis, while others are either moderately or mildly recommended. However, the efficacy of one treatment modality over another is uncertain. The poor methodological rigors demonstrated in most of the reviewed studies emphasize the urgent need of properly conducted, adequately sampled randomized controlled trials with adequate follow up to determine the superior combination of treatment.
粘连性肩关节囊炎是一种使人虚弱的疾病，会导致盂肱关节囊逐渐增厚和收缩。各种非手术方法的有效性已被证明可以改善粘连性肩关节囊炎患者的疼痛、活动范围 (ROM) 和功能状态。
本研究旨在回顾近年来物理治疗干预治疗粘连性肩关节囊炎的疗效证据。
在 PubMed、Physiotherapy Evidence Database (PEDro)、Science Direct 和 Cochrane 数据库中搜索了自 2013 年以来发表的研究。搜索词包括：冻结肩、粘连性肩关节囊炎、物理治疗、康复、手法治疗、松动、运动、教育和电疗。搜索范围仅限于发表在英语期刊上的研究以及使用人类受试者的研究。
根据 Sackett 的批判性评估标准对 33 篇文章的质量评分进行了审查，并确定了研究中使用的物理治疗干预措施的推荐等级。
经验证据表明，某些物理治疗技术和方法强烈推荐用于缓解疼痛、改善 ROM 和粘连性肩关节囊炎患者的功能状态，而其他方法则适度或轻度推荐。然而，一种治疗方法优于另一种的疗效尚不确定。大多数综述研究中表现出的较差方法学严谨性强调了迫切需要进行适当设计、充分抽样的随机对照试验，并进行充分随访，以确定治疗的最佳组合。
