Post-surgical physiotherapy in frozen shoulder: a review

Willmore, E. G., Millar, N. L. and van der Windt, D. (2022) Post-surgical physiotherapy in frozen shoulder: a review. Shoulder and Elbow, 14(4), pp. 438-451. (doi: 10.1177/1758573220965870) (PMID:35846406) (PMCID:PMC9284307)

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Abstract

Despite its prevalence, the optimal management of frozen shoulder is unclear. A range of conservative measures are often undertaken with varying degrees of success. In cases of severe and persistent symptoms, release procedures which could include any combination of manipulation under anaesthetic, arthroscopic capsular release or hydrodilatation are frequently offered, none of which has been shown to offer superior outcome over the others. When surgical release is performed a period of rehabilitation is normally recommended but no best practice guidelines exist resulting in considerable variations in practice which may or may not directly affect patient outcome. During this narrative review, we hypothesise that these differing responses to treatment (both conservative and surgical options) are potentially the result of different causal mechanisms for frozen shoulder and may also suggest that post-release rehabilitation may need to take this into account.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Millar, Professor Neal
Authors: Willmore, E. G., Millar, N. L., and van der Windt, D.
College/School:College of Medical Veterinary and Life Sciences > School of Infection & Immunity
Research Centre:College of Medical Veterinary and Life Sciences > School of Infection & Immunity > Centre for Immunobiology
Journal Name:Shoulder and Elbow
Publisher:SAGE Publications
ISSN:1758-5732
ISSN (Online):1758-5740
Published Online:27 October 2020

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