Effectiveness of electrophysical agents in subjects with frozen shoulder: a systematic review and meta-analysis.
This systematic review with meta-analysis aimed to assess the effectiveness of electrophysical agents in improving pain, function, disability, range of motion, quality of life, perceived stiffness, and time to recovery in subjects with frozen shoulder (FS). A thorough search of MEDLINE, Cochrane Lib...
| Published in: | Disability & Rehabilitation Vol. 46; no. 16; pp. 3513 - 3535 |
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| Main Authors: | , , , , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Aug2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178807758&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178807758 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Aug2024 vid: 46 iid: 16 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 178807758 171377433 178807758 178807758 10.1080/09638288.2023.2251880 178807758 ppf: 3513 ppct: 22 formats: tig: atl: Effectiveness of electrophysical agents in subjects with frozen shoulder: a systematic review and meta-analysis. aug: au: Brindisino, Fabrizio Girardi, Giuseppe Crestani, Mauro Fiore, Antonella Giovannico, Giuseppe Garzonio, Fabiola Venturin, Davide Struyf, Filip affil: Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise c/o Cardarelli Hospital, Campobasso, Italy sug: subj: Adhesive Capsulitis Rehabilitation Physical Therapy Treatment Outcomes Pain Functional Status Range of Motion Quality of Life Recovery Human Systematic Review Meta Analysis Medline Cochrane Library Physiotherapy Evidence Database Embase Ultrasonic Therapy Confidence Intervals Data Analysis Software Laser Therapy Electrotherapy ab: This systematic review with meta-analysis aimed to assess the effectiveness of electrophysical agents in improving pain, function, disability, range of motion, quality of life, perceived stiffness, and time to recovery in subjects with frozen shoulder (FS). A thorough search of MEDLINE, Cochrane Library, PEDro, and EMBASE yielded 1143 articles, of which 23 randomized controlled trials were included. Risk of bias (RoB) was assessed through Cochrane Risk of Bias 2 tool. The certainty of evidence was evaluated through the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). The analysis included a total of 1073 subjects. None of the studies were judged as low RoB. Potentially clinically significant differences were observed in pain at 6 weeks and 5 months after extracorporeal shockwave therapy (ESWT), and in disability up to 3 months with laser therapy, albeit with uncertain results due to the high RoB and to the study heterogeneity. Ultrasound (US) therapy did not yield significant differences in any outcomes. The certainty of evidence was very low. Based on the high heterogeneity and low quality and certainty of evidence, ESWT, laser, and US cannot be recommended for FS treatment. Caution should be exercised in interpreting the findings. Although a clinical difference in pain and disability was observed, the certainty of the evidence was low. Ultrasound therapy is not recommended in patients with frozen shoulder. Electrophysical agents may not ensure adequate therapeutic efficacy. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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