Article

OBJECTIVE: To systematically review the literature for efficacy of isolated
articular mobilization techniques in patients with primary adhesive capsulitis
(AC) of the shoulder. DATA SOURCES: PubMed and Web of Science were searched for
relevant studies published before November 2014. Additional references were
identified by manual screening of the reference lists.
STUDY SELECTION: All
English language randomized controlled trials evaluating the efficacy of
mobilization techniques on range of motion (ROM) and pain in adult patients with
primary AC of the shoulder were included in this systematic review. Twelve
randomized controlled trials involving 810 patients were included. DATA
EXTRACTION: Two reviewers independently screened the articles, scored
methodologic quality, and extracted data for analysis. The review was conducted
and reported according to the Preferred Reporting Items for Systematic Reviews
and Meta-Analyses statement. All studies were assessed in duplicate for risk of
bias using the Physiotherapy Evidence Database Scale for randomized controlled
trials. DATA SYNTHESIS: The efficacy of 7 different types of mobilization
techniques was evaluated. Angular mobilization (n=2), Cyriax approach (n=1), and
Maitland technique (n=6) showed improvement in pain score and ROM. With respect
to translational mobilizations (n=1), posterior glides are preferred to restore
external rotation. Spine mobilizations combined with glenohumeral stretching and
both angular and translational mobilization (n=1) had a superior effect on active
ROM compared with sham ultrasound. High-intensity mobilization (n=1) showed less
improvement in the Constant Murley Score than a neglect group. Finally, positive
long-term effects of the Mulligan technique (n=1) were found on both pain and
ROM. CONCLUSIONS: Overall, mobilization techniques have beneficial effects in
patients with primary AC of the shoulder. Because of preliminary evidence for
many mobilization techniques, the Maitland technique and combined mobilizations
seem recommended at the moment.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS