Evidence map›Paper›PMID 38643086›Full record

Trial reportBMC musculoskeletal disorders2024

Efficacy of a high-intensity home stretching device and traditional physical therapy in non-operative management of adhesive capsulitis - a prospective, randomized control trial.

David E Teytelbaum, Neil S Kumar, Craig S Dent, Spencer Neaville, Deborah H Warren, Peter Simon, Christopher E Baker

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05384093 (Outcomes of Treatment Using the ERMI Shoulder Flexionater®), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.9field-weighted citation impact, top 10% 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.

NCT05384093 narecruitingnot on this map

Outcomes of Treatment Using the ERMI Shoulder Flexionater®

TypeinterventionalSponsorFoundation for Orthopaedic Research and EducationRan2019 to 2026Enrolled210ConditionsAdhesive Capsulitis of ShoulderArmsHigh Intensity Stretch Device
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
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

7 authors at 3 institutions in 1 country.

David E TeytelbaumFoundation for Orthopaedic Research and Education, Tampa, FL, USA.
Neil S KumarFlorida Orthopaedic Institute, 13020 Telecom Parkway North, Temple Terrace, Tampa, FL, 33637, USA.
Craig S DentFoundation for Orthopaedic Research and Education, Tampa, FL, USA.
Spencer NeavilleFoundation for Orthopaedic Research and Education, Tampa, FL, USA.
Deborah H WarrenFoundation for Orthopaedic Research and Education, Tampa, FL, USA.
Peter SimonFoundation for Orthopaedic Research and Education, Tampa, FL, USA.
Christopher E BakerFlorida Orthopaedic Institute, 13020 Telecom Parkway North, Temple Terrace, Tampa, FL, 33637, USA. chrisbaker78@gmail.com.
Foundation for Orthopaedic Research and Education · USFlorida Orthopaedic Institute · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHistorically, in-person physical therapy serves as a foundational component of nonoperative treatment of adhesive capsulitis (AC). This study compares the effectiveness of an at-home high-intensity stretch (HIS) device to traditional physical therapy (PT) and to PT in combination with the HIS device. We hypothesize that the HIS device will be as effective as PT alone or as combination therapy in the first-line treatment of AC and use of the HIS device will exhibit improvement at higher rate.

methodsThirty-four patients with idiopathic adhesive capsulitis and a minimum of 12 months follow-up were included in this study. Patients were randomized into one of the three groups: HIS device, PT alone, or HIS device + PT. Passive range of motion (ROM), American Shoulder and Elbow Surgeons (ASES), and Simple Shoulder Test (SST) scores were measured. Additionally, patient satisfaction, compliance and complications were recorded. Paired t-test, ANOVA and Chi-squared tests were used in analysis.

resultsFinal ROM in all planes improved for all groups compared to baseline (p < 0.001), with only HIS device group able to restore > 95% of contralateral ROM in all planes at final follow-up. Patients with PT alone were on average slowest to improve ROM from baseline, at 3 months, 6 months, and 1 year in all planes except internal rotation. ASES and SST scores improved for all groups when compared to baseline (p < 0.001). Use of HIS-device resulted in greater improvement in SST and ASES Total scores compared to PT alone (p = 0.045, and p = 0.048, respectively).

conclusionsUse of an at-home high-intensity stretching device for conservative treatment of idiopathic adhesive capsulitis improves outcomes in ROM and in ASES and SST scores both when used as an adjunct to physical therapy and when used alone.

trial registrationThe study protocol was registered at www. CLINICALTRIALS: gov (20/05/2022, NCT05384093).

Indexed as

BursitisShoulder JointHumansPhysical Therapy ModalitiesProspective StudiesRange of Motion, ArticularTreatment OutcomeAdhesive capsulitisHigh-intensity stretching devicePhysical therapy

Identifiers

PMID38643086
PMCPMC11031861
OpenAlexW4394976921

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.