Is there any benefit of adding a central nervous system-focused intervention to a manual therapy and home stretching program for people with frozen shoulder? A randomized controlled trial.

Humans Bursitis Central Nervous System Exercise Therapy Musculoskeletal Manipulations / adverse effects Physical Therapy Modalities / adverse effects Range of Motion, Articular Shoulder Pain / therapy Treatment Outcome
Exercise frozen shoulder manual therapy motor imagery physical therapy tactile discrimination training

Journal

Journal of shoulder and elbow surgery
ISSN: 1532-6500
Titre abrégé: J Shoulder Elbow Surg
Pays: United States
ID NLM: 9206499

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 31 10 2022
revised: 08 02 2023
accepted: 20 02 2023
medline: 19 6 2023
pubmed: 1 4 2023
entrez: 31 3 2023
Statut: ppublish

Résumé

Frozen shoulder (FS) is a highly disabling pathology of poorly understood etiology, which is characterized by the presence of intense pain and progressive loss of range of motion. The aim of this study was to evaluate the effect of adding a central nervous system (CNS)-focused approach to a manual therapy and home stretching program in people with FS. A total of 34 patients with a diagnosis of primary FS were randomly allocated to receive a 12-week manual therapy and home stretching program or manual therapy and home stretching program plus a CNS-focused approach including graded motor imagery and sensory discrimination training. The Shoulder Pain and Disability Index score, self-perceived shoulder pain (visual analog scale score), shoulder range of motion, and the Patient-Specific Functional Scale score were measured at baseline, after a 2-week washout period just before starting treatment, after treatment, and at 3 months' follow-up. No significant between-group differences in any outcome were found either after treatment or at 3 months' follow-up. A CNS-focused approach provided no additional benefit to a manual therapy and home stretching program in terms of shoulder pain and function in people with FS.

Sections du résumé

BACKGROUND BACKGROUND
Frozen shoulder (FS) is a highly disabling pathology of poorly understood etiology, which is characterized by the presence of intense pain and progressive loss of range of motion. The aim of this study was to evaluate the effect of adding a central nervous system (CNS)-focused approach to a manual therapy and home stretching program in people with FS.
METHODS METHODS
A total of 34 patients with a diagnosis of primary FS were randomly allocated to receive a 12-week manual therapy and home stretching program or manual therapy and home stretching program plus a CNS-focused approach including graded motor imagery and sensory discrimination training. The Shoulder Pain and Disability Index score, self-perceived shoulder pain (visual analog scale score), shoulder range of motion, and the Patient-Specific Functional Scale score were measured at baseline, after a 2-week washout period just before starting treatment, after treatment, and at 3 months' follow-up.
RESULTS RESULTS
No significant between-group differences in any outcome were found either after treatment or at 3 months' follow-up.
CONCLUSION CONCLUSIONS
A CNS-focused approach provided no additional benefit to a manual therapy and home stretching program in terms of shoulder pain and function in people with FS.

Identifiants

DOI: 10.1016/j.jse.2023.02.134 PMID: 37001795
pubmed: 37001795
pii: S1058-2746(23)00291-4
doi: 10.1016/j.jse.2023.02.134
pii:
doi:

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1401-1411

Informations de copyright

Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.

Auteurs

Silvia Mena-Del Horno (S)

Department of Physiotherapy, University of Valencia, Valencia, Spain; Universidad Internacional de Valencia, Valencia, Spain.

Mercè Balasch-Bernat (M)

Department of Physiotherapy, University of Valencia, Valencia, Spain; Physiotherapy in Motion, Multi-speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain. Electronic address: merce.balasch@uv.es.

Adriaan Louw (A)

Evidence in Motion, San Antonio, TX, USA; Physical Therapy Department, St. Ambrose University, Davenport, IA, USA.

Alejandro Luque-Suarez (A)

Facultad de Ciencias de la Salud, Universidad de Malaga, Malaga, Spain; Instituto de la Investigación Biomedica de Malaga (IBIMA), Malaga, Spain.

Pablo Rodríguez-Brazzarola (P)

Department of Languages and Computer Sciences, Universidad de Malaga, Malaga, Spain.

Santiago Navarro-Ledesma (S)

Department of Physiotherapy, Faculty of Health Sciences, Campus of Melilla, University of Granada, Melilla, Spain.

Carlos Murillo (C)

Department of Rehabilitation Sciences, Ghent University, Gent, Belgium.

Lirios Dueñas (L)

Department of Physiotherapy, University of Valencia, Valencia, Spain; Physiotherapy in Motion, Multi-speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain.

Enrique Lluch (E)

Department of Physiotherapy, University of Valencia, Valencia, Spain; Physiotherapy in Motion, Multi-speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain; Departments of Human Physiology and Rehabilitation Sciences, "Pain in Motion" International Research Group, Brussels, Belgium.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Is there any benefit of adding a central...
questionsmedicales.fr › Maladies ostéomusculaires › Maladies articulaires › Bursite › Is there any benefit of adding a central...
questionsmedicales.fr › Système nerveux › Système nerveux central › Is there any benefit of adding a central...
questionsmedicales.fr › Thérapeutique › Techniques de physiothérapie › Traitement par les exercices physiques › Is there any benefit of adding a central...
questionsmedicales.fr › Thérapeutique › Techniques de physiothérapie › Manipulations de l'appareil locomoteur › Is there any benefit of adding a central...
questionsmedicales.fr › Thérapeutique › Techniques de physiothérapie › Is there any benefit of adding a central...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système locomoteur › Amplitude articulaire › Is there any benefit of adding a central...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Arthralgie › Scapulalgie › Is there any benefit of adding a central...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Is there any benefit of adding a central...