Cochrane · systematic review · CD011275
Manual therapy and exercise for adhesive capsulitis (frozen shoulder)
Page, MJ, Green, S, Kramer, S, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
42
current version
GRADE rated
22
No studies
20
Included studies
NR
No studies 20 · 47.6%Ungraded 0 · 0%Very low 0 · 0%Low 12 · 28.6%Moderate 4 · 9.5%High 6 · 14.3%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Combination of manual therapy and exercise compared with glucocorticoid injection for adhesive capsulitis (frozen shoulder)
Population: patients with adhesive capsulitis (frozen shoulder)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Participant‐reported pain relief ≥ 30% Combination of manual therapy and exercise vs glucocorticoid injection | no estimate extracted | NR | No studies |
Overall pain (change from baseline) Combination of manual therapy and exercise vs glucocorticoid injection | no estimate extracted | 1 study · 107 participants | Moderate Downgraded: risk of bias |
Function (change from baseline) Shoulder Disabilty Questionnaire 0‐100 (lower scores = better function) Combination of manual therapy and exercise vs glucocorticoid injection | no estimate extracted | 1 study · 107 participants | Moderate Downgraded: risk of bias |
Global assessment of treatment success Complete recovery or much improvement (self‐rated) Combination of manual therapy and exercise vs glucocorticoid injection | RR 0.6 | 1 study · 108 participants | Moderate Downgraded: risk of bias |
Active shoulder abduction Combination of manual therapy and exercise vs glucocorticoid injection | no estimate extracted | NR | No studies |
Quality of life Combination of manual therapy and exercise vs glucocorticoid injection | no estimate extracted | NR | No studies |
Adverse events Combination of manual therapy and exercise vs glucocorticoid injection | RR 1.07 | 1 study · 114 participants | Moderate Downgraded: risk of bias |
Combination of manual therapy, exercise, electrotherapy and placebo injection compared with glucocorticoid injection for adhesive capsulitis (frozen shoulder)
Population: patients with adhesive capsulitis (frozen shoulder)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Participant‐reported pain relief ≥ 30% Combination of manual therapy, exercise, electrotherapy and placebo injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Overall pain (change from baseline) Shoulder Pain and Disability Questionnaire (SPADI, 0‐100) (lower scores = less pain)a Combination of manual therapy, exercise, electrotherapy and placebo injection vs glucocorticoid injection | no estimate extracted | 2 studies · 86 participants | Low Downgraded: risk of bias, inconsistency |
Function (change from baseline) Shoulder Pain and Disability Questionnaire (SPADI, 0‐100) (lower scores = better function)g Combination of manual therapy, exercise, electrotherapy and placebo injection vs glucocorticoid injection | no estimate extracted | 2 studies · 86 participants | Low Downgraded: risk of bias |
Global assessment of treatment success Combination of manual therapy, exercise, electrotherapy and placebo injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Active shoulder abduction Combination of manual therapy, exercise, electrotherapy and placebo injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Quality of life (change from baseline) SF‐36 Physical Component Score (0‐100) (lower scores = worse quality of life) Combination of manual therapy, exercise, electrotherapy and placebo injection vs glucocorticoid injection | no estimate extracted | 1 study · 49 participants | Low Downgraded: risk of bias, inconsistency |
Adverse events Combination of manual therapy, exercise, electrotherapy and placebo injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Combination of manual therapy, exercise, electrotherapy and placebo injection compared with placebo injection for adhesive capsulitis (frozen shoulder)
Population: patients with adhesive capsulitis (frozen shoulder)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Participant‐reported pain relief ≥ 30% Combination of manual therapy, exercise, electrotherapy and placebo injection vs placebo injection | no estimate extracted | NR | No studies |
Overall pain (change from baseline) Shoulder Pain and Disability Questionnaire (SPADI, 0‐100) (lower scores = less pain)a Combination of manual therapy, exercise, electrotherapy and placebo injection vs placebo injection | no estimate extracted | 2 studies · 86 participants | Low Downgraded: risk of bias |
Function (change from baseline) Shoulder Pain and Disability Questionnaire (SPADI, 0‐100) (lower scores = better function)f Combination of manual therapy, exercise, electrotherapy and placebo injection vs placebo injection | no estimate extracted | 2 studies · 86 participants | Low Downgraded: risk of bias |
Global assessment of treatment success Combination of manual therapy, exercise, electrotherapy and placebo injection vs placebo injection | no estimate extracted | NR | No studies |
Active shoulder abduction Combination of manual therapy, exercise, electrotherapy and placebo injection vs placebo injection | no estimate extracted | NR | No studies |
Quality of life (change from baseline) SF‐36 Physical Component Score (0‐100) (lower scores = worse quality of life) Combination of manual therapy, exercise, electrotherapy and placebo injection vs placebo injection | no estimate extracted | 1 study · 49 participants | Low Downgraded: risk of bias |
Adverse events Combination of manual therapy, exercise, electrotherapy and placebo injection vs placebo injection | no estimate extracted | NR | No studies |
Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection compared with glucocorticoid injection for adhesive capsulitis (frozen shoulder)
Population: patients with adhesive capsulitis (frozen shoulder)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Participant‐reported pain relief ≥ 30% Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Overall pain (change from baseline) Shoulder Pain and Disability Questionnaire (SPADI, 0‐100) (lower scores = less pain)a Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection vs glucocorticoid injection | no estimate extracted | 2 studies · 86 participants | Low Downgraded: risk of bias |
Function (change from baseline) Shoulder Pain and Disability Questionnaire (SPADI, 0‐100) (lower scores = better function)f Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection vs glucocorticoid injection | no estimate extracted | 2 studies · 86 participants | Low Downgraded: risk of bias |
Global assessment of treatment success Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Active shoulder abduction Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Quality of life (change from baseline) SF‐36 Physical Component Score (0‐100) (lower scores = worse quality of life) Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection vs glucocorticoid injection | no estimate extracted | 1 study · 44 participants | Low Downgraded: risk of bias |
Adverse events Combination of manual therapy, exercise, electrotherapy and glucocorticoid injection vs glucocorticoid injection | no estimate extracted | NR | No studies |
Combination of manual therapy and exercise following joint distension compared with sham ultrasound following joint distension for adhesive capsulitis (frozen shoulder)
Population: patients with adhesive capsulitis (frozen shoulder)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Participant‐reported pain relief ≥ 30% Combination of manual therapy and exercise following joint distension vs sham ultrasound following joint distension | no estimate extracted | NR | No studies |
Overall pain (change from baseline) Combination of manual therapy and exercise following joint distension vs sham ultrasound following joint distension | no estimate extracted | 1 study · 148 participants | High |
Function (change from baseline) SPADI 0‐100 (lower scores = better function) Combination of manual therapy and exercise following joint distension vs sham ultrasound following joint distension | no estimate extracted | 1 study · 148 participants | High |
Active shoulder abduction (change from baseline) Degrees Combination of manual therapy and exercise following joint distension vs sham ultrasound following joint distension | no estimate extracted | 1 study · 148 participants | High |
Quality of life (change from baseline) SF‐36 Physical Component Score (0‐100) (lower scores = worse quality of life) Combination of manual therapy and exercise following joint distension vs sham ultrasound following joint distension | no estimate extracted | 1 study · 148 participants | High |
Global assessment of treatment success "Success, much improved, and/or completely recovered" (self‐rated) Combination of manual therapy and exercise following joint distension vs sham ultrasound following joint distension | RR 1.33 | 1 study · 148 participants | High |
Adverse events Combination of manual therapy and exercise following joint distension vs sham ultrasound following joint distension | RR 0.99 | 1 study · 149 participants | High |
Combination of manual therapy, exercise, electrotherapy and oral NSAID compared with oral NSAID for adhesive capsulitis (frozen shoulder)
Population: patients with adhesive capsulitis (frozen shoulder)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Participant‐reported pain relief ≥ 30% Combination of manual therapy, exercise, electrotherapy and oral NSAID vs oral NSAID | no estimate extracted | NR | No studies |
Overall pain Combination of manual therapy, exercise, electrotherapy and oral NSAID vs oral NSAID | no estimate extracted | NR | No studies |
Function (change from baseline) Shoulder Pain and Disability Questionnaire (SPADI, 0‐100) (lower scores = better function) Combination of manual therapy, exercise, electrotherapy and oral NSAID vs oral NSAID | no estimate extracted | 1 study · 119 participants | Low Downgraded: risk of bias |
Global assessment of treatment success "Disappearance of shoulder complaints or some pain/limitation which does not interfere with everyday life" Combination of manual therapy, exercise, electrotherapy and oral NSAID vs oral NSAID | RR 1.45 | 1 study · 109 participants | Low Downgraded: risk of bias |
Active shoulder abduction Combination of manual therapy, exercise, electrotherapy and oral NSAID vs oral NSAID | no estimate extracted | NR | No studies |
Quality of life Combination of manual therapy, exercise, electrotherapy and oral NSAID vs oral NSAID | no estimate extracted | NR | No studies |
Adverse events Pain persisting longer than 2 hours after treatment (during the 3‐week treatment period) Combination of manual therapy, exercise, electrotherapy and oral NSAID vs oral NSAID | RR 8.85 | 1 study · 119 participants | Low Downgraded: risk of bias |