Cochrane · systematic review · CD011324

Electrotherapy modalities 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
21
current version
GRADE rated
8
No studies
13
Included studies
NR
No studies 13 · 61.9%Ungraded 0 · 0%Very low 2 · 9.5%Low 2 · 9.5%Moderate 4 · 19%High 0 · 0%

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

Low‐level laser therapy (LLLT) compared to placebo for adhesive capsulitis (frozen shoulder)

Population: patients with adhesive capsulitis (frozen shoulder)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain relief ≥ 30%
Low‐level laser therapy (LLLT) vs placebo
no estimate extractedNRNo studies
Overall pain
Low‐level laser therapy (LLLT) vs placebo
no estimate extractedNRNo studies
Function
Low‐level laser therapy (LLLT) vs placebo
no estimate extractedNRNo studies
Global assessment of treatment success 'Excellent' or 'good' result (self‐rated)
Low‐level laser therapy (LLLT) vs placebo
RR 8 [2.11, 30.34]1 study · 40 participantsLow
Downgraded: imprecision, indirectness
Active shoulder abduction
Low‐level laser therapy (LLLT) vs placebo
no estimate extractedNRNo studies
Quality of life
Low‐level laser therapy (LLLT) vs placebo
no estimate extractedNRNo studies
Adverse events
Low‐level laser therapy (LLLT) vs placebo
no estimate extracted1 study · 40 participantsLow
Downgraded: imprecision, indirectness

Pulsed electromagnetic field therapy (PEMF) compared to placebo for adhesive capsulitis (frozen shoulder)

Population: patients with adhesive capsulitis (frozen shoulder)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain relief ≥ 30% Complete resolution of SPADI pain
Pulsed electromagnetic field therapy (PEMF) vs placebo
RR 19.19 [1.25, 294.21]1 study · 32 participantsVery low
Downgraded: risk of bias
Overall pain
Pulsed electromagnetic field therapy (PEMF) vs placebo
no estimate extractedNRNo studies
Function Total recovery of joint function
Pulsed electromagnetic field therapy (PEMF) vs placebo
RR 14.24 [0.91, 221.75]1 study · 32 participantsVery low
Downgraded: risk of bias
Global assessment of treatment success
Pulsed electromagnetic field therapy (PEMF) vs placebo
no estimate extractedNRNo studies
Active shoulder abduction
Pulsed electromagnetic field therapy (PEMF) vs placebo
no estimate extractedNRNo studies
Quality of life
Pulsed electromagnetic field therapy (PEMF) vs placebo
no estimate extractedNRNo studies
Adverse events
Pulsed electromagnetic field therapy (PEMF) vs placebo
no estimate extractedNRNo studies

Low‐level laser therapy (LLLT) plus exercise compared to exercise for adhesive capsulitis (frozen shoulder)

Population: patients with adhesive capsulitis (frozen shoulder)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain relief ≥ 30%
Low‐level laser therapy (LLLT) plus exercise vs exercise
no estimate extractedNRNo studies
Overall pain 0‐100 visual analogue scale (lower score = less pain)
Low‐level laser therapy (LLLT) plus exercise vs exercise
no estimate extracted1 study · 63 participantsModerate
Downgraded: imprecision
Function Shoulder Disabilty Questionnaire 0‐100 (lower scores = better function)
Low‐level laser therapy (LLLT) plus exercise vs exercise
no estimate extracted1 study · 63 participantsModerate
Downgraded: imprecision
Global assessment of treatment success
Low‐level laser therapy (LLLT) plus exercise vs exercise
no estimate extractedNRNo studies
Active shoulder abduction Degrees
Low‐level laser therapy (LLLT) plus exercise vs exercise
no estimate extracted1 study · 63 participantsModerate
Downgraded: imprecision
Quality of life
Low‐level laser therapy (LLLT) plus exercise vs exercise
no estimate extractedNRNo studies
Adverse events
Low‐level laser therapy (LLLT) plus exercise vs exercise
no estimate extracted1 study · 63 participantsModerate
Downgraded: imprecision