Comparison of Treatments for Frozen Shoulder
Author(s) -
Dimitris Challoumas,
Mairiosa Biddle,
Michael McLean,
Neal L. Millar
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.29581
Subject(s) - medicine , physical therapy , meta analysis , medline , randomized controlled trial , data extraction , guideline , modalities , scopus , random effects model , evidence based medicine , physical medicine and rehabilitation , alternative medicine , pathology , sociology , political science , law , social science
Key Points Question Are any treatment modalities for frozen shoulder associated with better outcomes than other treatments? Findings In this meta-analysis of 65 studies with 4097 participants, intra-articular corticosteroid was associated with increased short-term benefits compared with other nonsurgical treatments, and its superiority appeared to last for as long as 6 months. The addition of a home exercise program and/or electrotherapy or passive mobilizations may be associated with added benefits. Meaning The results of this study suggest that intra-articular corticosteroid should be offered to patients with frozen shoulder at first contact.
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