Standardized Index of Shoulder Function: Validation of an effective Tool for Assessing Disability in Frozen Shoulder Patients

2013 ◽  
Vol 7 (4) ◽  
pp. 7
Author(s):  
Suman Ojha ◽  
Anu Bansal
Keyword(s):  
Frozen Shoulder ◽  
Shoulder Function ◽  
Standardized Index

Comparative Efficacy and Patient- Specific Moderating Factors of Nonsurgical Treatment Strategies for Frozen Shoulder: An Updated Systematic Review and Network Meta-analysis

2020 ◽  
pp. 036354652095629
Author(s):  
Jie Zhang ◽  
Shuchang Zhong ◽  
Tongcai Tan ◽  
Juebao Li ◽  
Shuang Liu ◽  
...  
Keyword(s):  
Pain Relief ◽  
Steroid Injection ◽  
Meta Analysis ◽  
Frozen Shoulder ◽  
Shoulder Function ◽  
Functional Improvement ◽  
Patient Specific ◽  
Extracorporeal Shockwave Therapy ◽  
Shockwave Therapy ◽  
Moderating Factors

Background: Frozen shoulder is a common shoulder disorder characterized by pain and restriction. Various nonsurgical treatments have been reported, but there is no consensus about their comparative efficacy and the effects of moderators. Purpose: To compare the efficacy of different nonsurgical interventions and identify potential patient-specific moderating factors for frozen shoulder. Study Design: Systematic review and network meta-analysis. Methods: PubMed, Embase, Cochrane Library, and Web of Science databases were searched from their inception to February 18, 2019. The search was supplemented by manual review of relevant reference lists. Randomized controlled trials of participants with frozen shoulder that compared nonsurgical interventions were selected. Measured outcomes included pain, shoulder function in daily activities, and range of motion. Results: Of 3136 records identified, 92 trials were eligible, evaluating 32 nonsurgical interventions in 5946 patients. Intra-articular injection improved pain (pooled standardized mean difference [95% CI]: steroid injection, 1.68 [1.03-2.34]; capsular distension, 2.68 [1.32-4.05]) and shoulder function (steroid injection, 2.16 [1.52-2.81]; distension, 2.89 [1.71-4.06]) to a greater extent than placebo. Capsular distension and extracorporeal shockwave therapy showed the highest ranking for pain relief and functional improvement, respectively. Laser therapy also showed benefits for pain relief (3.02 [1.84-4.20]) and functional improvement (3.66 [1.65-5.67]). Subgroup analyses by disease stages revealed that steroid injection combined with physical therapy provided more benefits during the freezing phase, whereas joint manipulation provided more benefits in the adhesive phase. Adjunctive therapies, female sex, and diabetes were also identified as moderators of effectiveness. Conclusion: Capsular distension is a highly recommended choice for treatment of frozen shoulder, contributing greatly to pain relief and functional improvement; steroid injection is also a prevailing effective intervention. Among new options, extracorporeal shockwave therapy and laser therapy show potential benefits for multiple outcomes. Individualized optimal intervention should be considered, given that treatment effect is moderated by factors including the disease stage, time of assessment, adjunctive therapies, female sex, and diabetes.

scholarly journals The Effectiveness of Acupuncture in the Treatment of Frozen Shoulder: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Eyal Ben-Arie ◽  
Pei-Yu Kao ◽  
Yu-Chen Lee ◽  
Wen-Chao Ho ◽  
Li-Wei Chou ◽  
...  
Keyword(s):  
Systematic Review ◽  
External Rotation ◽  
Meta Analysis ◽  
Frozen Shoulder ◽  
Pain Reduction ◽  
Shoulder Function ◽  
Cochrane Library ◽  
Level Of Evidence ◽  
Evidence Grade

Background. Frozen shoulder (FS) is associated with pain, reduced range of motion (ROM), and shoulder function. The condition occurs in 2–5% of the population, and it is especially common around the age of 50 years. FS symptoms will recover after 1–4 years. Many patients turn to acupuncture in order to alleviate the FS symptoms. Objective. In this review, we will investigate the efficiency of acupuncture as a FS treatment. Methods. A literature search of acupuncture and FS-related keywords was performed in the following databases: PubMed, Cochrane Library, Embase, and Web of Science. Thirteen publications were included for a systematic review, and a meta-analysis was done using the following measurements: visual analogue scale (VAS) for pain, Constant-Murley Shoulder Outcome Score (CMS) for shoulder function, and active shoulder ROM including flexion, abduction, and external rotation. The Cochrane Collaboration’s risk of bias tool and quality of evidence GRADE recommendations and STRICTA 2010 were used to grade the included publications. Results. A meta-analysis on VAS pain score showed significant pain reduction, restoring CMS shoulder function, and flexion ROM in favor of acupuncture versus the control. In external rotation and abduction ROM, a meta-analysis was not significant. The most used acupoints are Jian Yu (LI15) and Jian Liao (TB14). Conclusions. The results indicate that acupuncture could be safe and effective for pain reduction, restoring shoulder function, and restoring flexion ROM for FS patients in the short term and midterm. However, the level of evidence was very low. More high-quality and longer studies are needed in order to robust the evidence.

scholarly journals Effectiveness of interventions for the management of primary frozen shoulder

2021 ◽  
Vol 2 (9) ◽  
pp. 773-784
Author(s):  
Saleema S. Rex ◽  
Lucksy Kottam ◽  
Catriona McDaid ◽  
Stephen Brealey ◽  
Joseph Dias ◽  
...  
Keyword(s):  
Supportive Care ◽  
Steroid Injection ◽  
Controlled Trial ◽  
Frozen Shoulder ◽  
Shoulder Function ◽  
World Health ◽  
Arthroscopic Capsular Release ◽  
Patient Reported ◽  
Treatment Comparisons ◽  
Health Organization

Aims This systematic review places a recently completed multicentre randomized controlled trial (RCT), UK FROST, in the context of existing randomized evidence for the management of primary frozen shoulder. UK FROST compared the effectiveness of pre-specified physiotherapy techniques with a steroid injection (PTSI), manipulation under anaesthesia (MUA) with a steroid injection, and arthroscopic capsular release (ACR). This review updates a 2012 review focusing on the effectiveness of MUA, ACR, hydrodilatation, and PTSI. Methods MEDLINE, Embase, PEDro, Science Citation Index, Clinicaltrials.gov, CENTRAL, and the World Health Organization (WHO) International Clinical Trials Registry were searched up to December 2018. Reference lists of included studies were screened. No language restrictions applied. Eligible studies were RCTs comparing the effectiveness of MUA, ACR, PTSI, and hydrodilatation against each other, or supportive care or no treatment, for the management of primary frozen shoulder. Results Nine RCTs were included. The primary outcome of patient-reported shoulder function at long-term follow-up (> 6 months and ≤ 12 months) was reported for five treatment comparisons across four studies. Standardized mean differences (SMD) were: ACR versus MUA: 0.21 (95% confidence interval (CI) 0.00 to 0.42), ACR versus supportive care: -0.13 (95% CI -1.10 to 0.83), and ACR versus PTSI: 0.33 (95% CI 0.07 to 0.59) and 0.25 (95% CI -0.34 to 0.85), all favouring ACR; MUA versus supportive care: 0 (95% CI -0.44 to 0.44) not favouring either; and MUA versus PTSI: 0.12 (95% CI -0.14 to 0.37) favouring MUA. None of these differences met the threshold of clinical significance agreed for the UK FROST and most confidence intervals included zero. Conclusion The findings from a recent multicentre RCT provided the strongest evidence that, when compared with each other, neither PTSI, MUA, nor ACR are clinically superior. Evidence from smaller RCTs did not change this conclusion. The effectiveness of hydrodilatation based on four RCTs was inconclusive and there remains an evidence gap. Cite this article: Bone Jt Open 2021;2(9):773–784.

scholarly journals Simple Home Program for Frozen Shoulder to Improve Patients' Assessment of Shoulder Function and Health Status

1999 ◽  
Vol 12 (4) ◽  
pp. 270-277 ◽  
Author(s):  
J. W. O'Kane ◽  
S. Jackins ◽  
J. A. Sidles ◽  
K. L. Smith ◽  
F. A. Matsen
Keyword(s):  
Health Status ◽  
Frozen Shoulder ◽  
Shoulder Function ◽  
Home Program

scholarly journals Heterogeneous assessment of shoulder disorders: Validation of the Standardized Index of Shoulder Function

2010 ◽  
Vol 42 (10) ◽  
pp. 967-972 ◽  
Author(s):  
A Dupeyron ◽  
A Gelis ◽  
P Sablayrolles ◽  
PJ Bousquet ◽  
M Julia ◽  
...  
Keyword(s):  
Shoulder Function ◽  
Shoulder Disorders ◽  
Standardized Index

scholarly journals Thawing frozen shoulder by steroid injection

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668447 ◽  
Author(s):  
Narendran Pushpasekaran ◽  
Narender Kumar ◽  
RK Chopra ◽  
Diganta Borah ◽  
Sumit Arora
Keyword(s):  
Steroid Injection ◽  
Constant Score ◽  
Frozen Shoulder ◽  
Shoulder Function ◽  
Injection Technique ◽  
Early Recovery ◽  
Additional Advantage ◽  
Early Improvement ◽  
Beneficial Effects ◽  
A Prospective Study

Background: Frozen shoulder is not an uncommon disorder, and steroid injection into the glenohumeral (GH) joint is one of the most well-known approaches for the frozen shoulder. However, their results have been varied with beneficial effects or no additional advantage. With the understanding about the pathological changes taking place in frozen shoulder and the biomechanics involved, we wanted to evaluate the short- and long-term efficacy of steroid injection by a novel three-site (NTS) injection technique and compare it with the single-site injection (SSI). Material and methods: This was a prospective study with 85 patients including all stages and randomized into two groups. SSI group received steroid injection through posterior approach. NTS group received the same dose of steroid in diluted doses at three sites (posterior capsule, subacromial and subcoracoid). Second sitting was repeated after 3 weeks. Both groups had received the same physiotherapy. The patients were evaluated by CONSTANT score at initial, 3 week, 6 week and 6 month. Results: NTS group patients had significant pain relief and early improvement in activities of daily living ( p < 0.005). Both groups had improvement in shoulder movements but with NTS group, early near-normal scores were attained and sustained after 6 months. About 43% in SSI group could not attain near-normal levels and had relapses. Conclusion: The three-site approach to steroid instillation in frozen shoulder is a safe method and provides early recovery and better improvement in shoulder function with less relapses.

Translocation Relative to Range

Methodology ◽  
2008 ◽  
Vol 4 (3) ◽  
pp. 132-138 ◽  
Author(s):  
Michael Höfler
Keyword(s):  
Risk Difference ◽  
Binary Outcomes ◽  
Number Needed To Treat ◽  
Likert Scales ◽  
Psychological Science ◽  
The Absolute ◽  
The Difference ◽  
Variance Parameters ◽  
Standardized Index ◽  
Maximum Possible Magnitude

A standardized index for effect intensity, the translocation relative to range (TRR), is discussed. TRR is defined as the difference between the expectations of an outcome under two conditions (the absolute increment) divided by the maximum possible amount for that difference. TRR measures the shift caused by a factor relative to the maximum possible magnitude of that shift. For binary outcomes, TRR simply equals the risk difference, also known as the inverse number needed to treat. TRR ranges from –1 to 1 but is – unlike a correlation coefficient – a measure for effect intensity, because it does not rely on variance parameters in a certain population as do effect size measures (e.g., correlations, Cohen’s d). However, the use of TRR is restricted on outcomes with fixed and meaningful endpoints given, for instance, for meaningful psychological questionnaires or Likert scales. The use of TRR vs. Cohen’s d is illustrated with three examples from Psychological Science 2006 (issues 5 through 8). It is argued that, whenever TRR applies, it should complement Cohen’s d to avoid the problems related to the latter. In any case, the absolute increment should complement d.

Frozen Shoulder und Schulter-Hand-Syndrom bei Diabetes mellitus

2008 ◽  
Vol 28 (04) ◽  
pp. 210-212
Author(s):  
R. Schiel
Keyword(s):  
Diabetes Mellitus ◽  
Frozen Shoulder ◽  
Antiinflammatorische Medikamente

Zusammenfassung„Frozen Shoulder” wird ausgelöst durch Degenerationen des Sehnen- und Bandapparates oder Kapselschrumpfung des Schultergelenks. Es resultiert eingeschränkte Beweglichkeit mit intraartikulären Kontrakturen und Kontrakturen der Muskel-Sehnen-Einheiten oder extraartikulären Adhäsionen. Gelegentlich ist der Verlauf assoziiert mit entzünd-lichen Veränderungen, Schmerzen und einem Schulter-Hand-Syndrom. Bei Patienten mit Langzeit-Diabetes treten „Frozen Shoulder” oder Schulter-Hand-Syndrom gehäuft und früher auf. Ursache sind Alterationen der kollagenen Bindegewebsstrukturen. Bei akuter Schmerzsymptomatik werden antiinflammatorische Medikamente, z.T. auch in-traartikuläre Applikationen von Kortikosteroiden, empfohlen. Es soll Schmerzlinderung erfolgen, Bewegungsfähigkeit hergestellt und Physiotherapie angewendet werden. Weiterhin werden intraartikuläre Glukokortikoidinjektionen, Gelenkkapseldistensionen und bei refraktären Be-schwerden Injektionen in subakromiale Schleimbeutel an-gewandt. Eine relativ neue Therapieoption, zu der erste Da-ten publiziert wurden, stellt die Gabe von Triamcinolonace-tat dar.

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