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Systematic Review

The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis

by 1, 1,2,3 and 1,4,*
1
Department of Sports Medicine & Science, Graduate School of Physical Education, Kyung Hee University, Yongin-si 17104, Korea
2
Department of Physical Education, Kyung Hee University, Yongin-si 17014, Korea
3
Sports Science Research Center, Kyung Hee University, Yongin-si 17014, Korea
4
Department of Sports Medicine, Kyung Hee University, Yongin-si 17014, Korea
*
Author to whom correspondence should be addressed.
Academic Editor: Koutatsu Nagai
Int. J. Environ. Res. Public Health 2022, 19(3), 1859; https://doi.org/10.3390/ijerph19031859
Received: 8 December 2021 / Revised: 3 February 2022 / Accepted: 3 February 2022 / Published: 7 February 2022
(This article belongs to the Special Issue New Trends in Sport Healthcare)
Background: Adhesive capsulitis occurs with synovial inflammation and capsular fibrosis in the glenohumeral joint, leading to restriction of joint motion and pain. Heat therapy modalities, which aim at modifying dense collagenous tissues are commonly practiced interventions for patients with adhesive capsulitis; however, the effectiveness of ultrasound deep heat therapy (UST) on adhesive capsulitis is still unclear. Purpose: This systematic review and meta-analysis study was conducted to evaluate the effects of UST on the improvement of pain and glenohumeral joint function in adhesive capsulitis compared to (1) no treatment or placebo, and (2) any other therapeutic modalities. Methods: A literature search was carried out in January 2021 in Cochrane Central Register of Controlled Trials, PubMed, EMBASE, PEDro, Web of Science, and Google Scholar. The main outcomes of interest were self-reported pain scores, disability scores, and the range of motion. This study was conducted based on the guidelines of the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) protocols, using random-effects models. Results: Seven studies were included in the systematic review with five studies forming the basis for meta-analyses. The effects of UST in patients with adhesive capsulitis were compared with placebo, shockwave therapy, corticosteroid injection, platelet-rich plasma injection, or cryotherapy. The results indicated that UST significantly improved pain scores when performed together with exercise and/or other physical modalities compared to placebo; however, whether UST provides benefits for the improvement of disability and/or the range of motion was uncertain in the present results. Conclusions: The present findings suggest that UST as a co-intervention combined with other physical modalities is an effective means of improving the overall pain in patients with adhesive capsulitis. View Full-Text
Keywords: adhesive capsulitis; frozen shoulder; ultrasound therapy; deep heat therapy; systematic review; meta-analysis adhesive capsulitis; frozen shoulder; ultrasound therapy; deep heat therapy; systematic review; meta-analysis
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MDPI and ACS Style

Sung, J.-H.; Lee, J.-M.; Kim, J.-H. The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2022, 19, 1859. https://doi.org/10.3390/ijerph19031859

AMA Style

Sung J-H, Lee J-M, Kim J-H. The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2022; 19(3):1859. https://doi.org/10.3390/ijerph19031859

Chicago/Turabian Style

Sung, Jung-Ha, Jung-Min Lee, and Jung-Hyun Kim. 2022. "The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis" International Journal of Environmental Research and Public Health 19, no. 3: 1859. https://doi.org/10.3390/ijerph19031859

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