[Evaluation of clinical reports in treating periarthritis of shoulder by manipulation with the theory of evidence based medicine].
OBJECTIVE
To explore the effect of treating periarthritis of shoulder with manipulation through evaluating clinical reports with the theory of evidence-based medicine (EMB).


METHODS
By retrieval of some main medical literature databases in the past 5 years, 242 articles on treating periarthritis of shoulder with manipulation were available. Selected by admission standard, 10 of them were evaluated with EBM theory.


RESULTS
Both single-application and union-application of manipulation were effective to periarthritis of shoulder, but the evaluated articles were all low-quality articles.


CONCLUSIONS
Because of low quality clinic test and larvaceous publication bias, the extant evidence is not enough to recommend replacing other therapeutic methods by manipulation. The low quality of evaluated articles suggests that there exist some methodology problems in the clinic test on treating periarthritis of shoulder with manipulation.
Hu
Jun
J
Tuina Department, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. jasonhwu@133sh.com
Yan
Jun-Tao
JT
D002681:China; D019317:Evidence-Based Medicine / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008516:Medicine, Chinese Traditional; D026201:Musculoskeletal Manipulations / Q000379:methods; D010489:Periarthritis / Q000628:therapy*; D011785:Quality Assurance, Health Care; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D012782:Shoulder / Q000098:blood supply / Q000503:physiopathology