Facultad de Enfermería y Fisioterapia Salus Infirmorum

Comparison of Treatments for Frozen Shoulder A Systematic Review and Meta-analysis / (Record no. 13062)

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control field 20210315161406.0
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007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION
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International Standard Serial Number 1552-3365
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Transcribing agency Salus Infirmorum
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Title Comparison of Treatments for Frozen Shoulder A Systematic Review and Meta-analysis /
Statement of responsibility, etc. Dimitris Challoumas; Mairiosa Biddle ; Michael McLean ; Neal L. Millar
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General note PDF en biblioteca
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Bibliography, etc. note Bibliografía: p. 23-28
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Summary, etc. IMPORTANCE There are a myriad of available treatment options for patients with frozen shoulder, which can be overwhelming to the treating health care professional.<br/>OBJECTIVE To assess and compare the effectiveness of available treatment options for frozen shoulder to guide musculoskeletal practitioners and inform guidelines.<br/>DATA SOURCES Medline, EMBASE, Scopus, and CINHAL were searched in February 2020.<br/>STUDY SELECTION Studies with a randomized design of any type that compared treatment modalities for frozen shoulder with other modalities, placebo, or no treatment were included.<br/>DATA EXTRACTION AND SYNTHESIS Data were independently extracted by 2 individuals. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Random-effects models were used.<br/>MAIN OUTCOMES AND MEASURES Pain and function were the primary outcomes, and external rotation range of movement (ER ROM) was the secondary outcome. Results of pairwise metaanalyses were presented as mean differences (MDs) for pain and ER ROM and standardized mean differences (SMDs) for function. Length of follow-up was divided into short-term (12 weeks), mid-term (>12 weeks to 12 months), and long-term (>12 months) follow-up.<br/>RESULTS From a total of 65 eligible studies with 4097 participants that were included in the systematic review, 34 studies with 2402 participants were included in pairwise meta-analyses and 39 studies with 2736 participants in network meta-analyses. Despite several statistically significant results in pairwise meta-analyses, only the administration of intra-articular (IA) corticosteroid was<br/>associated with statistical and clinical superiority compared with other interventions in the shortterm for pain (vs no treatment or placebo: MD, −1.0 visual analog scale [VAS] point; 95% CI, −1.5 to −0.5 VAS points; P < .001; vs physiotherapy: MD, −1.1 VAS points; 95% CI, −1.7 to −0.5 VAS points; P < .001) and function (vs no treatment or placebo: SMD, 0.6; 95% CI, 0.3 to 0.9; P < .001; vs physiotherapy: SMD 0.5; 95% CI, 0.2 to 0.7; P < .001). Subgroup analyses and the network metaanalysis demonstrated that the addition of a home exercise program with simple exercises and stretches and physiotherapy (electrotherapy and/or mobilizations) to IA corticosteroid may be associated with added benefits in the mid-term (eg, pain for IA coritocosteriod with home exercise vs no treatment or placebo: MD, −1.4 VAS points; 95% CI, −1.8 to −1.1 VAS points; P < .001).<br/>CONCLUSIONS AND RELEVANCE The findings of this study suggest that the early use of IA corticosteroid in patients with frozen shoulder of less than 1-year duration is associated with better outcomes. This treatment should be accompanied by a home exercise program to maximize the chance of recovery
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Related parts -- 2020, v. 3, n.12; p. 1-28
Title Jama Network Open
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Source of classification or shelving scheme Universal Decimal Classification
Koha item type Artículo de revista
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Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection code Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Universal Decimal Classification     Non-fiction Revistas y artículos Revistas y artículos 18/02/2021   PP 5705 18/02/2021 18/02/2021 Artículo de revista

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