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An overview of effective and potential new conservative interventions in patients with frozen shoulder

Michel G. C. A. M. Mertens, Mira Meeus (UGent) , Olivier Verborgt, Eric H. M. Vermeulen, Ruud Schuitemaker, Karin M. C. Hekman, Donald H. van der Burg and Filip Struyf
(2022) RHEUMATOLOGY INTERNATIONAL. 42(6). p.925-936
Author
Organization
Abstract
Frozen shoulder (FS) is a pathology that is difficult to understand and difficult to manage. Over the last ten years, contradictory and new evidence is provided regarding the recovery and its natural course. This narrative review provides new information about the diagnosis and conservative treatment of patients with FS and ongoing research hypotheses that might provide new insights in the pathology and treatment options. FS has a characteristic course. People with Diabetes Mellitus and thyroid disorders have a higher risk of developing a FS. The diagnosis FS is based on pattern recognition and physical examination. Additionally, 'rule-in' and 'rule-out' criteria can be used to increase the likelihood of the frozen shoulder diagnosis. Recommended and most common physical therapy interventions are mobilization techniques and exercises, in which tissue irritability can guide its intensity. In addition, physical therapy is often complementary with patient education and pharmacotherapy. The latest evidence-based practice related to FS is proprioceptive neuromuscular facilitation and mirror therapy. In addition, interventions like pain neuroscience education, high-intensity interval training and lifestyle changes are still hypothetical. Finally, better insight in the involvement of biochemical processes, function of myofibroblasts and matrix metalloproteinases can provide better understanding in the pathophysiology and will be addressed in current review.
Keywords
Frozen shoulder, Conventional treatment, Ongoing research, Review, Diagnosis, INTRAARTICULAR CORTICOSTEROID INJECTION, BLOOD-GLUCOSE LEVELS, ADHESIVE CAPSULITIS, MATRIX-METALLOPROTEINASE, PHYSICAL-THERAPY, NATURAL-HISTORY, END-PRODUCTS, PAIN, MANAGEMENT, DIAGNOSIS

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MLA
Mertens, Michel G. C. A. M., et al. “An Overview of Effective and Potential New Conservative Interventions in Patients with Frozen Shoulder.” RHEUMATOLOGY INTERNATIONAL, vol. 42, no. 6, 2022, pp. 925–36, doi:10.1007/s00296-021-04979-0.
APA
Mertens, M. G. C. A. M., Meeus, M., Verborgt, O., Vermeulen, E. H. M., Schuitemaker, R., Hekman, K. M. C., … Struyf, F. (2022). An overview of effective and potential new conservative interventions in patients with frozen shoulder. RHEUMATOLOGY INTERNATIONAL, 42(6), 925–936. https://doi.org/10.1007/s00296-021-04979-0
Chicago author-date
Mertens, Michel G. C. A. M., Mira Meeus, Olivier Verborgt, Eric H. M. Vermeulen, Ruud Schuitemaker, Karin M. C. Hekman, Donald H. van der Burg, and Filip Struyf. 2022. “An Overview of Effective and Potential New Conservative Interventions in Patients with Frozen Shoulder.” RHEUMATOLOGY INTERNATIONAL 42 (6): 925–36. https://doi.org/10.1007/s00296-021-04979-0.
Chicago author-date (all authors)
Mertens, Michel G. C. A. M., Mira Meeus, Olivier Verborgt, Eric H. M. Vermeulen, Ruud Schuitemaker, Karin M. C. Hekman, Donald H. van der Burg, and Filip Struyf. 2022. “An Overview of Effective and Potential New Conservative Interventions in Patients with Frozen Shoulder.” RHEUMATOLOGY INTERNATIONAL 42 (6): 925–936. doi:10.1007/s00296-021-04979-0.
Vancouver
1.
Mertens MGCAM, Meeus M, Verborgt O, Vermeulen EHM, Schuitemaker R, Hekman KMC, et al. An overview of effective and potential new conservative interventions in patients with frozen shoulder. RHEUMATOLOGY INTERNATIONAL. 2022;42(6):925–36.
IEEE
[1]
M. G. C. A. M. Mertens et al., “An overview of effective and potential new conservative interventions in patients with frozen shoulder,” RHEUMATOLOGY INTERNATIONAL, vol. 42, no. 6, pp. 925–936, 2022.
@article{01J70Q5BCC00HB6NPCEMGNT6R2,
  abstract     = {{Frozen shoulder (FS) is a pathology that is difficult to understand and difficult to manage. Over the last ten years, contradictory and new evidence is provided regarding the recovery and its natural course. This narrative review provides new information about the diagnosis and conservative treatment of patients with FS and ongoing research hypotheses that might provide new insights in the pathology and treatment options. FS has a characteristic course. People with Diabetes Mellitus and thyroid disorders have a higher risk of developing a FS. The diagnosis FS is based on pattern recognition and physical examination. Additionally, 'rule-in' and 'rule-out' criteria can be used to increase the likelihood of the frozen shoulder diagnosis. Recommended and most common physical therapy interventions are mobilization techniques and exercises, in which tissue irritability can guide its intensity. In addition, physical therapy is often complementary with patient education and pharmacotherapy. The latest evidence-based practice related to FS is proprioceptive neuromuscular facilitation and mirror therapy. In addition, interventions like pain neuroscience education, high-intensity interval training and lifestyle changes are still hypothetical. Finally, better insight in the involvement of biochemical processes, function of myofibroblasts and matrix metalloproteinases can provide better understanding in the pathophysiology and will be addressed in current review.}},
  author       = {{Mertens, Michel G. C. A. M. and Meeus, Mira and  Verborgt, Olivier and  Vermeulen, Eric H. M. and  Schuitemaker, Ruud and  Hekman, Karin M. C. and  van der Burg, Donald H. and  Struyf, Filip}},
  issn         = {{0172-8172}},
  journal      = {{RHEUMATOLOGY INTERNATIONAL}},
  keywords     = {{Frozen shoulder,Conventional treatment,Ongoing research,Review,Diagnosis,INTRAARTICULAR CORTICOSTEROID INJECTION,BLOOD-GLUCOSE LEVELS,ADHESIVE CAPSULITIS,MATRIX-METALLOPROTEINASE,PHYSICAL-THERAPY,NATURAL-HISTORY,END-PRODUCTS,PAIN,MANAGEMENT,DIAGNOSIS}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{925--936}},
  title        = {{An overview of effective and potential new conservative interventions in patients with frozen shoulder}},
  url          = {{http://doi.org/10.1007/s00296-021-04979-0}},
  volume       = {{42}},
  year         = {{2022}},
}
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