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The Effect of Manual Physical Therapy on Improvement in the Range of Motion of Frozen Shoulder Patients: A Meta-Analysis of Cases in South Korea

  • Kim, Chan Myeong (Korea Safety Health Environment Foundation, Work Environment Health Center) ;
  • Lee, Jong Kyung (Department of Physical Therapy, Graduate School, Daegu Catholic University) ;
  • Hwang, Jong Ha (Department of Physical Therapy, Graduate School, Daegu Catholic University) ;
  • Lee, Jae Kwang (Denudeun Hospital)
  • Received : 2021.09.15
  • Accepted : 2021.10.25
  • Published : 2021.10.31

Abstract

Purpose: The main purpose of this meta-analysis was to identify the degree of effect size and variables for the impact of manual physical therapy on the improvement in the range of motion of frozen shoulder patients. Methods: This study collected 8 studies published between 1st January 2010 and 31st December 2020. The analysis of the results verified 49 effect size data and the random effect model was chosen. Results: First, the full case showed the largest mean effect size of 2.485 (p<0.001). Second, the size of the effect based on manual therapy and modality therapy showed an effect size of 4.178 (p<0.001). Third, the outcome group included 6 variables. The external rotation (2.818) variable group showed the largest mean effect size, followed by internal rotation (2.748), flexion (2.643), abduction (2.356), and adduction (2.356). Six outcomes were significant and the mean effect sizes of all the varied groups were above large size. The number of participants showed a 20 or less effect size of 2.478 (p>0.737). The number of intervention periods showed 4 weeks 20 or more effect size of 2.782 (p>0.294). Finally, the 'Trim and Fill' result confirmed that the calibration effect size was 1.471 (p<0.001). Conclusion: This study verified that manual physical therapy had a substantial effect on the improvement of the range of motion of patients with frozen shoulders and that the effects were dependent on the methods of outcomes.

Keywords

References

  1. Bjelle A. Epidemiology of shoulder problems. Baillieres Clin Rheumatol. 1989;3(3):437-51. https://doi.org/10.1016/S0950-3579(89)80003-2
  2. Rawat P, Eapen C, Seema KP. Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: a randomized controlled trial. J Hand Ther. 2017;30(3):235-41. https://doi.org/10.1016/j.jht.2016.10.007
  3. Van der Windt DA, Koes BW, de Jong BA et al. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-64. https://doi.org/10.1136/ard.54.12.959
  4. Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975;4(4):193-6. https://doi.org/10.3109/03009747509165255
  5. Buchbinder R, Hoving JL, Green S et al. Short course prednisolone for adhesive capsulitis (frozen shoulder or stiff painful shoulder): a randomised, double blind, placebo controlled trial. Ann Rheum Dis. 2004;63(11):1460-9. https://doi.org/10.1136/ard.2003.018218
  6. Jain TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. J Back Musculoskelet Rehabil. 2014;27(3):247-73. https://doi.org/10.3233/bmr-130443
  7. Asheghan M, Aghda AK, Hashemi E et al. Investigation of the effectiveness of acupuncture in the treatment of frozen shoulder. Mater Sociomed. 2016;28(4):253. https://doi.org/10.5455/msm.2016.28.253-257
  8. Goldman AB, Dines DM, Warren RF. Shoulder arthrography: technique, diagnosis, and clinical correlation. Massachusetts, Little Brown & Company, 1982;139-48.
  9. Salter RB. Textbook of disorders and injuries of the musculoskeletal system: an introduction to orthopaedics, fractures and joint injuries, rheumatology. 2nd ed. Baltimore, Williams and Wilkins, 1983;240-4.
  10. Kim SM, Lee HO, Bae SS. Effects on frozen shoulder as seen in the comparison hold-relax technique and ROM exercise. J Kor Phys Ther. 1995;7(1):51-9.
  11. Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg. 2005;14(1):16-21. https://doi.org/10.1016/j.jse.2004.04.004
  12. Jeon CB, Choi SJ, Oh HJ et al. The effects of high intensity laser therapy on pain and function of patients with frozen shoulder. J Kor Phys Ther. 2017;29(4):207-10. https://doi.org/10.18857/jkpt.2017.29.4.207
  13. Hand GCR, Athanasou NA, Matthews T et al. The pathology of frozen shoulder. J Bone Joint Surg Br. 2007;89(7):928-32.
  14. Levy O, Rath E, Atar D. Combined treatment for adhesive capsulitis of the shoulder. Harefuah. 1997;133(9):357-9.
  15. Jerosch J, Nasef NM, Peters O et al. Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis. Knee Surg Sports Traumatol Arthrosc. 2013;21(5):1195-202. https://doi.org/10.1007/s00167-012-2124-1
  16. Wadsworth CT. Frozen shoulder. Phys Ther. 1986;66(12):1878-83. https://doi.org/10.1093/ptj/66.12.1878
  17. Atchison JW, Tolchin RB, Ross BS et al. Manipulation, traction, and massage. In: Braddom RL, eds, Physical Medicine and Rehabilitation, Elsevier, 2021;316-37.
  18. Fryer G. Muscle energy technique: an evidence-informed approach. Int J Osteopath Med. 2011;14(1):3-9. https://doi.org/10.1016/j.ijosm.2010.04.004
  19. Maitland GD. The slump test: examination and treatment. Aust J Physiother. 1985;31(6):215-9. https://doi.org/10.1016/s0004-9514(14)60634-6
  20. McKenzie RA, May S. The lumbar spine: mechanical diagnosis and therapy. Waikanae, Spine, 1981;560-3.
  21. Stanek J, Sullivan T, Davis S. Comparison of compressive myofascial release and the graston technique for improving ankle-dorsiflexion range of motion. J Athl Train. 2018;53(2):160-7. https://doi.org/10.4085/1062-6050-386-16
  22. Chen YW, Wang HH. The effectiveness of acupressure on relieving pain: a systematic review. Pain Manag Nurs. 2014;15(2):539-50. https://doi.org/10.1016/j.pmn.2012.12.005
  23. Cohn J. Statistical power analysis for the behavioral sciences. NJ, Lawrence Earlbam Associates, 1988:25-6.
  24. Kim CM. Meta-analysis of the effects of various physical therapy method about shoulder adhesive capsulitis: the cases of domestic research. J Kor Phys Ther. 2020;32(5):277-82. https://doi.org/10.18857/jkpt.2020.32.5.277
  25. Hwang SD. Understanding of meta-analysis. Seoul, Hakjisa, 2014:197-8.
  26. Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56(2):455-63. https://doi.org/10.1111/j.0006-341X.2000.00455.x
  27. Desjardins-Charbonneau A, Roy JS, Dionne CE et al. The efficacy of manual therapy for rotator cuff tendinopathy: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2015;45(5):330-50. https://doi.org/10.2519/jospt.2015.5455
  28. Ma SY, Je HD, Jeong JH et al. Effects of whole-body cryotherapy in the management of adhesive capsulitis of the shoulder. Arch Phys Med Rehabil. 2013;94(1):9-16. https://doi.org/10.1016/j.apmr.2012.07.013
  29. Camarinos J, Marinko L. Effectiveness of manual physical therapy for painful shoulder conditions: a systematic review. J Man Manip Ther. 2009;17(4):206-15. https://doi.org/10.1179/106698109791352076
  30. Wilk KE. Current concepts in the rehabilitation of athletic shoulder injuries. In: Wilk KE, eds, The Athlete's Shoulder, New York, Churchill Livingstone, 1994;335-54.
  31. Kaltenborn FM, Evjenth O, Morgan D. Manual mobilization of the extremity joints: basic examination and treatment techniques. Olaf Norlis. 1989;1-48.
  32. Mulligan BR. Spinal mobilisations with leg movement (further mobilisations with movement). J Man Manip Ther. 1995;3(1):25-7. https://doi.org/10.1179/jmt.1995.3.1.25
  33. Yoon JG, Park HJ, Chung BI. Comparison of the mulligan method and electrotherapy in pain reduction and ROM increase in patients with frozen shoulder. PTK. 2000;7(2):66-75.
  34. Vicenzino B, Wright A. Effects of a novel manipulative physiotherapy technique on tennis elbow: a single case study. Man Ther. 1995;1(1):30-5. https://doi.org/10.1054/math.1995.0247
  35. Wright A. Hypoalgesia post-manipulative therapy: a review of a potential neurophysiological mechanism. Man Ther. 1995;1(1):11-6. https://doi.org/10.1054/math.1995.0244
  36. Edmon SL. Manipulation and mobilization extremity and spinal techniques. St Louis, Mosby Co, 1993:1-23.
  37. Peek AL, Miller C, Heneghan NR. Thoracic manual therapy in the management of non-specific shoulder pain: a systematic review. J Man Manip Ther. 2015;23(4):176-87. https://doi.org/10.1179/2042618615Y.0000000003
  38. Borenstein M, Hedges LV, Higgins JPT et al. Introduction to meta-analysis. NJ, John Wiley & Sons, 2021:421.