PMID- 30658049
OWN - NLM
STAT- MEDLINE
DCOM- 20200520
LR  - 20200520
IS  - 1938-1344 (Electronic)
IS  - 0190-6011 (Linking)
VI  - 49
IP  - 3
DP  - 2019 Mar
TI  - A Manual Therapy and Home Stretching Program in Patients With Primary Frozen 
      Shoulder Contracture Syndrome: A Case Series.
PG  - 192-201
LID - 10.2519/jospt.2019.8194 [doi]
AB  - BACKGROUND: Manual therapy has been demonstrated to reduce pain and improve 
      function in patients with frozen shoulder contracture syndrome (FSCS), but no 
      evidence exists to support one form of manual therapy over another. This case 
      series describes both short- and long-term outcomes after a manual therapy 
      program and home stretching exercises based on specific impairments in shoulder 
      mobility and level of tissue irritability in patients with FSCS. CASE 
      DESCRIPTION: Eleven patients with primary FSCS were treated with an individually 
      tailored, multimodal manual therapy approach once weekly for 12 visits, coupled 
      with home stretching exercises once a day, 5 days per week. Pain, disability, 
      range of motion (ROM), and muscle strength of the affected shoulder were assessed 
      at baseline, posttreatment, at 6 months, and at 9 months. OUTCOMES: Significant 
      improvements in self-reported pain, disability, shoulder ROM, and strength were 
      reported following treatment. Additionally, 4 of 11 patients showed pain 
      improvements that exceeded the minimal clinically important difference (MCID) on 
      the visual analog scale postintervention, and 8 of 11 showed pain improvements at 
      6 and 9 months. Moreover, 7 of 11 patients showed improvements in Disabilities of 
      the Arm, Shoulder and Hand (DASH) questionnaire scores exceeding the MCID 
      postintervention and at 6 months, and 8 of 11 exceeded the MCID at 9 months. 
      DISCUSSION: Clinically meaningful changes in shoulder pain and disability, ROM, 
      or muscle strength were observed in 11 patients with primary FSCS treated with an 
      individually tailored approach of both manual therapy techniques and stretching 
      exercises, accounting for tissue irritability. LEVEL OF EVIDENCE: Therapy, level 
      5. J Orthop Sports Phys Ther 2019;49(3):192-201. Epub 18 Jan 2019. 
      doi:10.2519/jospt.2019.8194.
FAU - Duenas, Lirios
AU  - Duenas L
FAU - Balasch-Bernat, Merce
AU  - Balasch-Bernat M
FAU - Aguilar-Rodriguez, Marta
AU  - Aguilar-Rodriguez M
FAU - Struyf, Filip
AU  - Struyf F
FAU - Meeus, Mira
AU  - Meeus M
FAU - Lluch, Enrique
AU  - Lluch E
LA  - eng
PT  - Journal Article
DEP - 20190118
PL  - United States
TA  - J Orthop Sports Phys Ther
JT  - The Journal of orthopaedic and sports physical therapy
JID - 7908150
SB  - IM
MH  - Adult
MH  - Bursitis/physiopathology/*therapy
MH  - Combined Modality Therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Muscle Strength/physiology
MH  - Muscle Stretching Exercises/*methods
MH  - Musculoskeletal Manipulations/*methods
MH  - Range of Motion, Articular
MH  - Self Report
MH  - Shoulder Pain/etiology/therapy
MH  - Treatment Outcome
OTO - NOTNLM
OT  - case series
OT  - frozen shoulder
OT  - manipulation
OT  - mobilization
OT  - pain
EDAT- 2019/01/19 06:00
MHDA- 2020/05/21 06:00
CRDT- 2019/01/19 06:00
PHST- 2019/01/19 06:00 [pubmed]
PHST- 2020/05/21 06:00 [medline]
PHST- 2019/01/19 06:00 [entrez]
AID - 10.2519/jospt.2019.8194 [doi]
PST - ppublish
SO  - J Orthop Sports Phys Ther. 2019 Mar;49(3):192-201. doi: 10.2519/jospt.2019.8194. 
      Epub 2019 Jan 18.