Article

OBJECTIVE: To assess the effectiveness of joint mobilization combined with
stretching exercises in patients with frozen shoulder.
DESIGN: A randomized
controlled clinical pilot trial. SETTING: Department of Orthopedics and
Traumatology. SUBJECTS:
Thirty patients with frozen shoulder. INTERVENTION: All
participants were randomly assigned to one of two treatment groups: joint
mobilization and stretching versus stretching exercises alone. Both groups
performed a home exercise program and were treated for six weeks (18 sessions).
MAIN MEASURES: The primary outcome measures for functional assessment were the
Disabilities of the Arm, Shoulder and Hand score and the Constant score. The
secondary outcome measures were pain level, as evaluated with a visual analog
scale, and range of motion, as measured using a conventional goniometer. Patients
were assessed before treatment, at the end of the treatment, and after one year
as follow-up. RESULTS: Two-by-two repeated-measures ANOVA with Bonferroni
corrections revealed significant increases in abduction (91.9 degrees [CI:
86.1-96.7] to 172.8 degrees [CI: 169.7-175.5]), external rotation (28.1 degrees
[CI: 22.2-34.2] to 77.7 degrees [CI: 70.3-83.0]) and Constant score (39.1 [CI:
35.3-42.6] to 80.5 [75.3-86.6]) at the one-year follow-up in the joint
mobilization combined with stretching exercise group, whereas the group
performing stretching exercise alone did not show such changes. CONCLUSION: In
the treatment of patients with frozen shoulder, joint mobilization combined with
stretching exercises is better than stretching exercise alone in terms of
external rotation, abduction range of motion and function score.
CI - (c) The Author(s) 2015.
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Langue : ANGLAIS