Is there any advantage between using continuous passive motion and conventional physical therapy in patients with primary adhesive capsulitis?: A systematic review and meta-analysis Review

  

Authors:	Baradaran, A.; Ebrahimzadeh, M. H.; Sabzevari, S.; Baradaran, A.; Razi, S.; Kachooei, A. R.
Review Title:	Is there any advantage between using continuous passive motion and conventional physical therapy in patients with primary adhesive capsulitis?: A systematic review and meta-analysis
Abstract:	Background: We are unsure if continuous passive motion (CPM) has any role in the nonoperative management of the Primary Stiff Shoulder (frozen shoulder). We hypothesized that there is no difference in pain improvement, range of motion, and function with or without CPM in patients with a primary stiff shoulder. Method: We searched the databases for clinical trials comparing CPM versus no-CPM physiotherapy. In the final step, we reviewed five randomized clinical trials. We collected the data of Constant Shoulder Score (CSS), the visual analog scale of pain, shoulder pain and disability index (SPADI), and range of motion (flexion, abduction, external and internal rotation). We used a random-effects model to analyze the data. Results: Five studies with a total of 224 patients were included. There were 113 patients in the CPM arm and 111 in the control arm. Both the CPM and control groups showed significant improvements in all measured parameters compared to the first visit after 8–24 weeks. Meta-analysis of pooled data showed significant differences in pain improvement, forward flexion, and CSS favoring the CPM. Still, there was no significant difference in abduction, external and internal rotation, and SPADI. Discussion: The CPM seems to be slightly effective in improving pain and motion in the short term, but its long-term efficacy is still under question. The extra cost and time must be considered when offering the CPM. © 2023 Elsevier Ltd
Keywords:	range of motion; review; outcome assessment; physical therapy; systematic review; intermethod comparison; rehabilitation; analgesia; visual analog scale; physiotherapy; meta analysis; randomized controlled trial (topic); abduction; joint mobility; movement therapy; humeroscapular periarthritis; shoulder pain and disability index; human; adhesive capsulitis; frozen shoulder; continuous passive motion; primary stiff shoulder; constant murley (score)
Journal Title:	Journal of Bodywork and Movement Therapies
Volume:	36
ISSN:	1360-8592
Publisher:	Elsevier Inc.
Date Published:	2023-10-01
Start Page:	133
End Page:	141
Language:	English
DOI:	10.1016/j.jbmt.2023.06.005
PROVIDER:	scopus
PUBMED:	37949549
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85163456335&doi=10.1016%2fj.jbmt.2023.06.005&partnerID=40&md5=a2181072ac2fe138ee96f7bd7dde3095
Notes:	Review -- Source: Scopus

https://synapse.mskcc.org/synapse/works/has_related_data_chk/208061