The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Material and Methods
2.1. Literature Search
2.2. Inclusion Criteria
2.3. Methodological Quality Assessment
2.4. Data Extraction
- For the assessment of pain, pain scores measured with the visual analog scale (VAS) were included. We combined data of activity pain with unspecified pain for the analysis.
- For the assessment of mobility, the shoulder range of motion (Abduction, Flexion, Internal rotation, External rotation) measured with a goniometer was included [16].
- For the assessment of disability, the Shoulder Pain and Disability Index (SPADI) consisting of 5 pain questions and 8 disability questions were included [22].
2.5. Data Synthesis
2.6. Statistical Analysis
3. Results
3.1. Literature Inclusion
3.2. Quality Assessment
3.3. Overview of the Studies
3.4. Meta-Analysis
3.4.1. Pain Score (VAS)
3.4.2. Range of Motion
3.4.3. Disability Score
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Neviaser, A.S.; Neviaser, R.J. Adhesive capsulitis of the shoulder. JAAOS J. Am. Acad. Orthop. Surg. 2011, 19, 536–542. [Google Scholar] [CrossRef] [PubMed]
- Le, H.V.; Lee, S.J.; Nazarian, A.; Rodriguez, E.K. Adhesive capsulitis of the shoulder: Review of pathophysiology and current clinical treatments. Shoulder Elbow 2017, 9, 75–84. [Google Scholar] [CrossRef] [Green Version]
- Walmsley, S.; Rivett, D.A.; Osmotherly, P.G. Adhesive capsulitis: Establishing consensus on clinical identifiers for stage 1 using the Delphi technique. Phys. Ther. 2009, 89, 906–917. [Google Scholar] [CrossRef] [PubMed]
- Kelley, M.J.; Shaffer, M.A.; Kuhn, J.E.; Michener, L.A.; Seitz, A.L.; Uhl, T.L.; Godges, J.J.; McClure, P.W.; Altman, R.D.; Davenport, T.; et al. Shoulder pain and mobility deficits: Adhesive capsulitis: Clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association. J. Orthop. Sports Phys. Ther. 2013, 43, A1–A31. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Manske, R.C.; Prohaska, D. Diagnosis and management of adhesive capsulitis. Curr. Rev. Musculoskelet. Med. 2008, 1, 180–189. [Google Scholar] [CrossRef] [Green Version]
- Carbone, S.; Gumina, S.; Vestri, A.R.; Postacchini, R. Coracoid pain test: A new clinical sign of shoulder adhesive capsulitis. Int. Orthop. 2010, 34, 385–388. [Google Scholar] [CrossRef] [Green Version]
- Tyree, K.A.; May, J. A novel approach to treatment utilizing breathing and a total motion release® exercise program in a high school cheerleader with a diagnosis of frozen shoulder: A case report. Int. J. Sports Phys. Ther. 2018, 13, 905. [Google Scholar] [CrossRef]
- Sharma, S.; Jacobs, L. Management of frozen shoulder–conservative vs surgical? Ann. R. Coll. Surg. Engl. 2011, 93, 343. [Google Scholar] [CrossRef] [Green Version]
- Heinrichs, K. Superficial thermal modalities. In Canine Rehabilitation and Physical Therapy; Saunders Elsevier: St Louis, MO, USA, 2004. [Google Scholar]
- Chen, W.-S.; Annaswamy, T.M.; Yang, W.; Wang, T.-G.; Kwon, D.R.; Chou, L.-W. Physical agent modalities. In Braddom’s Physical Medicine and Rehabilitation; Elsevier: Amsterdam, The Netherlands, 2021; pp. 338–363.e6. [Google Scholar]
- Nanneman, D. Thermal modalities: Heat and gold: A review of physiologic effects with clinical applications. AAOHN J. 1991, 39, 70–75. [Google Scholar] [CrossRef] [Green Version]
- Fischer, E.; Solomon, S. Physiological responses to heat and cold. In Therapeutic Heat and Cold, 2nd Revised ed.; Licht, S., Ed.; E. Licht: New Haven, CT, USA, 1965; Volume 2, pp. 126–169. [Google Scholar]
- Draper, D.O.; Castel, J.C.; Castel, D. Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. J. Orthop. Sports Phys. Ther. 1995, 22, 142–150. [Google Scholar] [CrossRef]
- O’Brien, W.D., Jr. Ultrasound–biophysics mechanisms. Prog. Biophys. Mol. Biol. 2007, 93, 212–255. [Google Scholar] [CrossRef] [Green Version]
- Hayes, B.T.; Merrick, M.A.; Sandrey, M.A.; Cordova, M.L. Three-MHz ultrasound heats deeper into the tissues than originally theorized. J. Athl. Train. 2004, 39, 230. [Google Scholar] [PubMed]
- Page, M.J.; Green, S.; Kramer, S.; Johnston, R.V.; McBain, B.; Buchbinder, R. Electrotherapy modalities for adhesive capsulitis (frozen shoulder). Cochrane Database Syst. Rev. 2014, 10, 10–89. [Google Scholar] [CrossRef]
- Jason, J.I.; Ganesh Sundaram, S.; Vengata Subramani, M. Physiotherapy interventions for adhesive capsulitis of shoulder: A systematic review. Int. J. Physiother. Res. 2015, 3, 1318–1325. [Google Scholar] [CrossRef]
- Moher, D.; Shamseer, L.; Clarke, M.; Ghersi, D.; Liberati, A.; Petticrew, M.; Shekelle, P.; Stewart, L.A. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst. Rev. 2015, 4, 1–9. [Google Scholar] [CrossRef] [Green Version]
- Downs, S.H.; Black, N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J. Epidemiol. Commun. Health 1998, 52, 377–384. [Google Scholar] [CrossRef] [Green Version]
- Lien-Iversen, T.; Morgan, D.B.; Jensen, C.; Risberg, M.A.; Engebretsen, L.; Viberg, B. Does surgery reduce knee osteoarthritis, meniscal injury and subsequent complications compared with non-surgery after ACL rupture with at least 10 years follow-up? A systematic review and meta-analysis. Brit. J. Sports Med. 2020, 54, 592–598. [Google Scholar] [CrossRef] [PubMed]
- Fleiss, J.L. Measuring nominal scale agreement among many raters. Psychol. Bull. 1971, 76, 378. [Google Scholar] [CrossRef]
- Williams, J.W., Jr.; Holleman, D.R., Jr.; Simel, D. Measuring shoulder function with the shoulder pain and disability index. J. Rheumatol. 1995, 22, 727–732. [Google Scholar]
- Kothari, S.Y.; Venkataraman Srikumar, N.S. Comparative efficacy of platelet rich plasma injection, corticosteroid injection and ultrasonic therapy in the treatment of periarthritis shoulder. J. Clin. Diagn. Res. JCDR 2017, 11, RC15. [Google Scholar] [CrossRef]
- Balci, T.O.; Turk, A.C.; Sahin, F.; Kotevoglu, N.; Kuran, B. Efficacy of therapeutic ultrasound in treatment of adhesive capsulitis: A prospective double blind placebo-controlled randomized trial. J. Back Musculoskelet. Rehab. 2018, 31, 955–961. [Google Scholar] [CrossRef] [PubMed]
- Gu, S.; Shi, J.; Tang, Z.; Sawhney, M.; Hu, H.; Shi, L.; Fonseca, V.; Dong, H. Comparison of glucose lowering effect of metformin and acarbose in type 2 diabetes mellitus: A meta-analysis. PLoS ONE 2015, 10, e0126704. [Google Scholar] [CrossRef]
- Higgins, J.P.; Thomas, J.; Chandler, J.; Cumpston, M.; Li, T.; Page, M.J.; Welch, V.A. (Eds.) Cochrane Handbook for Systematic Reviews of Interventions; John Wiley & Sons: Hoboken, NJ, USA, 2019. [Google Scholar]
- Zlowodzki, M.; Poolman, R.W.; Kerkhoffs, G.M.; Tornetta, P., III; Bhandari, M.; International Evidence-Based Orthopedic Surgery Working Group. How to interpret a meta-analysis and judge its value as a guide for clinical practice. Acta Orthop. 2007, 78, 598–609. [Google Scholar] [CrossRef] [PubMed]
- Wang, J.; Mannen, E.M.; Siddicky, S.F.; Lee, J.-M.; Latt, L.D. Gait alterations in posterior tibial tendonitis: A systematic review and meta-analysis. Gait Posture 2020, 76, 28–38. [Google Scholar] [CrossRef]
- Gaba, E.; Sethi, J.; Bhardwaj, M. Effect of interferential therapy over ultrasound therapy with common protocol of manual therapy in grade-II frozen shoulder. J. Exercise Sci. Physiother. 2020, 16, 23–31. [Google Scholar] [CrossRef]
- Sonal, C.; Kothari, S.; Nonica, L. Comparison of ultrasonic therapy, sodium hyaluronate injection and steroid injection in the treatment of peri-arthritis shoulder. IJPMR 2012, 23, 105–110. [Google Scholar] [CrossRef]
- Kumar, R.; Bansal, N.; Sidhu, A. An observational study to compare the outcome of local steroid injections and ultrasonic wave therapy in frozen shoulder patients. Int. J. Orthop. 2018, 4, 98–101. [Google Scholar] [CrossRef] [Green Version]
- Alarab, A.; Shameh, R.A.; Shaheen, H.; Ahmad, M.S. Shock wave therapy and ultrasound therapy plus excercises for frozen shoulder joint clients. Adv. Nurs. Patient Care Int. J. 2018, 1, 1–7. [Google Scholar]
- Ansari, S.N.; Shah, S. A comparative study to find out the effect of ultrasound with end range mobilization over cryotherapy with end range mobilization on pain in frozen shoulder. Indian J. Physiother. Occup. Ther. 2013, 7, 213. [Google Scholar] [CrossRef]
- Dogru, H.; Basaran, S.; Sarpel, T. Effectiveness of therapeutic ultrasound in adhesive capsulitis. Joint Bone Spine 2008, 75, 445–450. [Google Scholar] [CrossRef]
- Ebadi, S.; Forogh, B.; Fallah, E.; Ghazani, A.B. Does ultrasound therapy add to the effects of exercise and mobilization in frozen shoulder? A pilot randomized double-blind clinical trial. J. Bodyw. Mov. Ther. 2017, 21, 781–787. [Google Scholar] [CrossRef]
- Hamed, A.M.; El-Rahman, M. Ultrasound therapy versus piezoelectric shock wave in diabetic frozen shoulder. Bull Fac Ph Th Cairo Univ 2006, 11, 239–245. [Google Scholar]
- Landis, J.R.; Koch, G.G. The measurement of observer agreement for categorical data. Biometrics 1977, 33, 159–174. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bishop, S.; Draper, D.O.; Knight, K.L.; Feland, J.B.; Eggett, D. Human tissue-temperature rise during ultrasound treatments with the aquaflex gel pad. J. Athl. Train. 2004, 39, 126. [Google Scholar] [PubMed]
- Noten, S.; Meeus, M.; Stassijns, G.; Van Glabbeek, F.; Verborgt, O.; Struyf, F. Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder: A systematic review. Arch. Phys. Med. Rehab. 2016, 97, 815–825. [Google Scholar] [CrossRef] [PubMed]
- Griggs, S.M.; Ahn, A.; Green, A. Idiopathic adhesive capsulitis: A prospective functional outcome study of nonoperative treatment. JBJS 2000, 82, 1398. [Google Scholar] [CrossRef] [Green Version]
- Rawat, P.; Eapen, C.; Seema, K.P. Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: A randomized controlled trial. J. Hand Ther. 2017, 30, 235–241.e8. [Google Scholar] [CrossRef]
Keywords | |
---|---|
Population | (adhesive capsulitis OR frozen shoulder OR periarthiritis shoulder OR shoulder stiffness) |
AND Intervention | ((ultrasound OR ultrasonic) AND (therapy OR therapeutic) NOT (guided OR imaging)) |
AND Outcome | (pain OR range of motion OR disability) |
Assessment Items | Study | ||||||
---|---|---|---|---|---|---|---|
Hamed et al., 2006 | Dogru et al., 2008 | Ansari et al., 2013 | Ebadi et al., 2017 | Kothari et al., 2017 | Alarab et al., 2018 | Balci et al., 2018 | |
Reporting (11) | 9 | 10 | 9 | 11 | 11 | 8 | 10 |
External validity (3) | 2 | 3 | 3 | 3 | 3 | 2 | 1 |
Internal validity bias (7) | 4 | 6 | 4 | 6 | 5 | 5 | 6 |
Internal validity confounding (6) | 3 | 4 | 3 | 4 | 4 | 4 | 4 |
Power (1) | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
Total score (28) | 18 | 24 | 19 | 24 | 23 | 19 | 21 |
Study | Sample0020 (Age, Group, Exercise Type) | Gender (M/F) | Duration of Symptoms | Treatment Duration (Follow-Up) and Dosage | Outcome Measures | Main Finding |
---|---|---|---|---|---|---|
Hamed et al., 2006 | Age= 50 ± 3.4 years PSWT (n = 20), UST (n = 20) Mobilizing exercise | PSWT: 8/12 UST: 4/16 | >3 month | 24 sessions for 8 week 3 MHz | Pain (VAS) ROM (ABD, FL, ER) | ↓Pain ↑ROM |
Dogru et al., 2008 | Age= 55.3 ± 7.6 years UST (n = 25), Sham UST (n = 24), Mobilizing exercise with superficial heating | UST: 11/14 SHAM: 10/14 | >5 month | 10 sessions for 2 week (3 month) 3 MHz, 1.5 W/cm2 | Pain (VAS, SPADI) ROM (ABD, FL, IR, ER); Disability (SPADI, QoL) | ⇔ Pain ⇔ Disability; ↑ROM (except ABD) |
Ansari et al., 2013 | Age= 53.8 ± 3.9 years UST (n = 20), CTP (n = 20) End range mobilization exercise | UST: 5/15 CTP: 5/15 | >2 month | 24 sessions for 4 week Pulsed 1.5 W/cm2 | Pain (VAS) | ↓Pain |
Ebadi et al., 2017 | Age= 49.7 years UST (n = 25), Sham UST (n = 25) Stretching & strength exercise | UST: 10/15 SHAM: 10/15 | >5 month | 10 sessions for 3 week (3 month) 3 MHz, 1.5 W/cm2 | Pain (VAS) ROM (ER, IR, ABD, FL) Functional disability (Oxford Shoulder Score) | ⇔ Pain ⇔ ROM ⇔ Disability |
Kothari et al., 2017 | Age= 27–75 years PRP (n = 62), CS (n = 60), UST (n = 58) Home exercise | PRP: 34/28 CS: 29/31 UST: 23/35 | >1 month | 7 sessions for 2 week (3, 6, 12 week) 1 MHz, 1.5 W/cm2 | Pain (VAS) ROM (ABD, FL, ER, IR, EX)Functional disability (DASH) | ↓Pain ↑ROM ↓Disability |
Alarab et al., 2018 | Age= 45.3 ± 8.6 years ESWT (n = 10), UST (n = 10) Mobilizing exercise | Unknown | 2–9 month | 12 sessions for 4 week 3 MHz, 1.0 W/cm2 | Pain (VAS) ROM (ABD, FL, IR) | ↓Pain ↑ROM |
Balci et al., 2018 | Age= 55.7 ± 8.2 years UST (n = 15), Sham UST (n = 15) Pendulum, stretching, isometric, resistant exercises with superficial heating | UST: 7/8 SHAM: 7/8 | >3 month | 6 week (24 week); 18 sessions 1 MHz, 1.5 W/cm2 | Pain (VAS) ROM (ABD, FL, IR, ER) Functional disability (UCLA, SDQ) | ⇔ Pain ⇔ ROM ⇔ Disability |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
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
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 StyleSung, 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
APA StyleSung, J. -H., Lee, J. -M., & Kim, J. -H. (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(3), 1859. https://doi.org/10.3390/ijerph19031859