The Times of Follow-Up and Outcomes in the Clinical Trials of Manual Therapy for Primary Adhesive Capsulitis
Item
- Title
- The Times of Follow-Up and Outcomes in the Clinical Trials of Manual Therapy for Primary Adhesive Capsulitis
- Author(s)
- Viora, A
- Abstract
- Background: Primary adhesive capsulitis is recognised to be a self-limiting disabling condition causing pain and reduction of active and passive ROM of the shoulder; lasting normally 18 to 24 months. The glenohumeral joint capsule is recognized to undergo a process of inflammation and fibrosis without an apparent cause. Recommendations have been made in the literature for the use of manual mobilization techniques to regain normal extensibility of the glenohumeraljoint capsule and shoulder soft- tissue. Aims and objectives: To highlight if clinical trials that want to test the effectiveness of manual therapy for adhesive capsulitis have undergone a process with follow-up times longer than 24 months; summarize and analyse the follow-up times related to the outcomes; identify methodological errors and make suggestions for future research. Design: Structured literature review. Methods: A systematic search was conducted on four different databases: PubMed, Science Direct, Google Scholar and Wiley Online Library. Title, abstract and main body of the studies retrieved were screened. Data of the studies that met the inclusion criteria were extracted with an extraction table and PEDro scoring system was used to identify bias and methodological errors. Results: 422 studies were identified from the search strategy. 8 studies met the inclusion and exclusion criteria and were included for this review. lndividual PEDro scores vary greatly across studies, randomization and concealed allocation repofting were the predominant methodological errors in the included studies. Discussion: Results for the treatment of adhesive capsulitis with manual therapy remain controversial. Baseline ROM measurements are not homogeneous across studies as well as a stage-based therapy approach and the length of follow-ups. Follow-ups don't seem to be long enough to determine if the treatment approach would give positive outcomes; and none of the included studies has the presence of a sham control group. Conclusions: Future clinical trials that would like to explore the effectiveness of manual therapy in the treatment of primary adhesive capsulitis are suggested to have follow-up times longer than 24 months, to structure the study in a stage- based fashion and to have clear ROM measurements at baseline.
- presented at
- European School of Osteopathy
- Date Accepted
- 2017
- Date Submitted
- 4.12.2017 17:06:21
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16071
- Inst-Identifier
- 1229
- Recommended
- 0
- Item sets
- Thesis
Viora, A, “The Times of Follow-Up and Outcomes in the Clinical Trials of Manual Therapy for Primary Adhesive Capsulitis”, Osteopathic Research Web, accessed May 5, 2025, https://www.osteopathicresearch.org/s/orw/item/260