Evidence map›Paper›PMID 34487209›Full record

ReviewRheumatology international2022

An overview of effective and potential new conservative interventions in patients with frozen shoulder.

Michel Gcam Mertens, Mira Meeus, Olivier Verborgt, Eric H M Vermeulen, Ruud Schuitemaker, Karin M C Hekman, Donald H van der Burg, Filip Struyf

Abstract readReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. The diagnostic value of physical examination tests in adhesive capsulitis: a systematic review.European journal of physical and rehabilitation medicine · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Rat models of frozen shoulder: Classification and evaluation.Animal models and experimental medicine · 2025
    Review
  11. Article
  12. Article
  13. [Comparison of mid-term effectiveness between diabetic secondary stiff shoulder and primary frozen shoulder after arthroscopic shoulder capsular release combined with acromiohumeral distance restoration].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  14. Article
  15. Frozen shoulder.Nature reviews. Disease primers · 2022
    Review
  16. A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Michel Gcam MertensResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Wilrijk, Belgium.ORCID 0000-0002-7170-3518
Mira MeeusResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Wilrijk, Belgium.ORCID 0000-0002-2022-5114
Olivier VerborgtResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Wilrijk, Belgium.ORCID 0000-0003-4143-8204
Eric H M VermeulenDepartment of Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-9295-7130
Ruud SchuitemakerSchuitemaker en Van Schaik Fysiotherapie en Manuele Therapie, Amsterdam, The Netherlands.ORCID 0000-0002-2743-1762
Karin M C HekmanMedisch Centrum Jan Van Goyen, Amsterdam, The Netherlands.ORCID 0000-0002-6088-4464
Donald H van der BurgFysiotherapie Oost Nederland (FYON), Enschede, The Netherlands.ORCID 0000-0001-6931-1278
Filip StruyfResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Wilrijk, Belgium. filip.struyf@uantwerpen.be.ORCID 0000-0002-9128-9684
University of Antwerp · BELeiden University Medical Center · NLSaxion · NLZiekenhuis Amstelland · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frozen shoulder (FS) is a pathology that is difficult to understand and difficult to manage. Over the last ten years, contradictory and new evidence is provided regarding the recovery and its natural course. This narrative review provides new information about the diagnosis and conservative treatment of patients with FS and ongoing research hypotheses that might provide new insights in the pathology and treatment options. FS has a characteristic course. People with Diabetes Mellitus and thyroid disorders have a higher risk of developing a FS. The diagnosis FS is based on pattern recognition and physical examination. Additionally, 'rule-in' and 'rule-out' criteria can be used to increase the likelihood of the frozen shoulder diagnosis. Recommended and most common physical therapy interventions are mobilization techniques and exercises, in which tissue irritability can guide its intensity. In addition, physical therapy is often complementary with patient education and pharmacotherapy. The latest evidence-based practice related to FS is proprioceptive neuromuscular facilitation and mirror therapy. In addition, interventions like pain neuroscience education, high-intensity interval training and lifestyle changes are still hypothetical. Finally, better insight in the involvement of biochemical processes, function of myofibroblasts and matrix metalloproteinases can provide better understanding in the pathophysiology and will be addressed in current review.

Indexed as

BursitisMuscle Stretching ExercisesConservative TreatmentHumansPainPhysical Therapy ModalitiesConventional treatmentDiagnosisFrozen shoulderOngoing researchReview

Identifiers

PMID34487209
OpenAlexW3197238240

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.