title: Effectiveness of the end-range mobilization and scapular mobilization approach in a subgroup of subjects with frozen shoulder syndrome: a randomized control trial.
abstract: Treatment strategies targeting abnormal shoulder kinematics may prevent pathology or if the pathology develops, shorten its duration. We examined the effectiveness of the end-range mobilization/scapular mobilization treatment approach (EMSMTA) in a subgroup of subjects with frozen shoulder syndrome (FSS). Based on the kinematics criteria from a prediction method, 34 subjects with FSS were recruited. Eleven subjects were assigned to the control group, and 23 subjects who met the criteria were randomly assigned to the criteria-control group with a standardized physical therapy program or to the EMSMTA group. Subjects attended treatment sessions twice a week for 8 weeks. Range of motion (ROM), disability score, and shoulder complex kinematics were obtained at the beginning, 4 weeks, and 8 weeks. Subjects in the EMSMTA group experienced greater improvement in outcomes compared with the criteria-control group at 4 weeks (mean difference=0.2 of normalized hand-behind-back reach) and 8 weeks (mean difference=22.4 degrees humeral external rotation, 0.31 of normalized hand-behind-back reach, 7.5 disability, 5 degrees tipping and 0.32 rhythm ratio). Similar improvements were found between the EMSMTA group and control group. The EMSMTA was more effective than a standardized physical therapy program in a subgroup of subjects who fit the criteria from a prediction method.
authors.affiliation: Department of Physical Medicine & Rehabilitation, National Taiwan University Hospital, No.1 Changde Street, Zhongzheng District, Taipei City 100, Taiwan.
authors.forename: Jing-lan
authors.initials: JL
authors.lastname: Yang
authors.forename: Mei-Hwa
authors.initials: MH
authors.lastname: Jan
authors.forename: Chein-wei
authors.initials: CW
authors.lastname: Chang
authors.forename: Jiu-jenq
authors.initials: JJ
authors.lastname: Lin
mesh_terms: D000328:Adult; D001696:Biomechanical Phenomena; D002062:Bursitis / Q000175:diagnosis / Q000534:rehabilitation*; D016001:Confidence Intervals; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis / Q000534:rehabilitation*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012016:Reference Values; D012540:Scapula / Q000503:physiopathology*; D012720:Severity of Illness Index; D019534:Shoulder Impingement Syndrome / Q000175:diagnosis / Q000534:rehabilitation; D016896:Treatment Outcome