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Year : 2022  |  Volume : 1  |  Issue : 2  |  Page : 79-87

Evidence-based physiotherapy for adhesive capsulitis—Current evidences, challenges, and future directions: Systematic review

Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, KIMSDU, Karad, Maharashtra, India

Correspondence Address:
Dr. Sandeep B Shinde
Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, KIMSDU, Malkapur, Karad, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jahas.jahas_21_22

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Slow-onset shoulder pain, localized discomfort close to the deltoid insertion, an inability to sleep on the affected side, limited or restricted glenohumeral elevation and external rotation, and a normal radiological appearance are the primary symptoms of frozen shoulder. Although there is no known cause, variety of interventions have been used primarily due to the prolonged state of pain and disability. This systematic review evaluates and addresses the evidence-based physiotherapy management and challenges respectively for early and complete recovery of adhesive capsulitis patients. Six databases were searched for this systematic review and all were randomized control trials. Each study’s risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool. This systematic review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and Patient, Intervention, Comparison, and Outcomes design. Studies from 2000 to 2022 were considered for this systematic review. A total of 568 participants from 14 studies were included in the systematic review. Utilizing outcome measures such as visual analog scale, shoulder pain and disability index, SF-36, shoulder kinematics, and shoulder function questionnaire, the effectiveness of physiotherapy management was evaluated in these 14 research studies. The most frequent results included improvements in shoulder function, pain relief, and range of motion. According to the research cited in the current systematic review, patients with adhesive capsulitis respond very favorably to a combination of mobilization, proprioceptive neuromuscular technique, task-specific training, and modalities.

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