PPT Jurnal RSST Klaten
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THE EFFECTIVENESS OF PHYSIOTHERAPEUTIC INTERVENTIONS IN TREATMENT OF FROZEN
SHOULDER/ADHESIVE CAPSULITIS : A SYSTEMATIC REVIEW
Dhieto Basuki Putra
JOURNAL READING
JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION 27 (2014) 247–273 247
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BACKGROUND & OBJECTIVE
FS is a common condition, yet its treatment remains challenging. In this review, the current best evidence for
the use of PTI is evaluated
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INTRODUCTION— FS or adhesive capsulitis is commonly encountered in
PT practice— The exact incidence and prevalence of FS is unknown,
but is often quoted to affect approximately 2%-5% of the general population and at 40–65 yrs of age
Lundberg categorized FS px into 2 subgroups :— Idiopathic/primary FS (symptoms with no identifiable
cause)— Secondary (similar presentation and progression but
resulted from a known intrinsic, extrinsic, or systemic cause
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INTRODUCTION
The most used criteria to diagnose FS : — insidious or minimal event resulting in onset— significant shoulder pain that interferes with ADL— significant night pain— significant limitations of active and passive shoulder
motion in more than 1 plane to less than 100◦ and 50% or greater than 30◦ loss of passive ER (at the side)
— painful end ROM in all movements— significant pain/weakness of the IR — normal radiological appearance— no secondary causes
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INTRODUCTION
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INTRODUCTION
— rest/education— analgesia— joint mobilization— thermotherapy— massage— therapeutic exercises— PT— acupuncture— oral and injected
corticosteroids
— laser therapy— capsular distension — manipulation under
anesthesia— nerve blocks— arthroscopic capsular
release
Many treatments have been advocated to treat FS
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METHOD
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METHOD
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RESULTS
— 39 articles describing the PTI were analyzed using Sackett’s levels of evidence and were examined for scientific rigor
— The PTI were given grades of recommendation that ranged from A to C
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RESULTS
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RESULTS
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METHODOLOGICAL LIMITATIONS
— The interpretation of the results of many studies describing therapeutic regimens is hampered by methodological flaws
— Many studies don’t provide details regarding the stage of the disease process, previous treatments, and etiological considerations
— Limited literature on the effectiveness of specific exercise regimen for the treatment of FS
— Intensity, frequency, duration of exercises and the use of PT modalities varied across studies
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CONCLUSIONS
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THANK YOU