Frozen Shoulder: Difference between revisions
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<div class="noeditbox">Welcome to [[ | <div class="noeditbox">Welcome to [[Texas State University Evidence-based Practice Project|Texas State University's Evidence-based Practice project space]]. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div><div class="editorbox"> | ||
'''Original Editors ''' | '''Original Editors''' | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== Search Strategy == | == Search Strategy == | ||
add text here related to databases searched, keywords, and search timeline <br> | add text here related to databases searched, keywords, and search timeline <br> | ||
== Definition/Description == | == Definition/Description == | ||
Adhesive capsulitis is also known as frozen shoulder. It involves progressive stiffness of the glenohumeral joint.<ref name="Brue">Brue S et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg Sports Traumatol Arthrosc. 2007. 15:1048-1054.</ref> Adhesive capsulitis can be primary when it is idiopathic or secondary when it results from a known cause or surgical event. <ref name="Walmsley">Walmsley S et al. Adhesive Capsulitis: Establishing Consensus on Clinical Identifiers for Stage 1 Using the Delphi Technique. Physical Therapy. September, 2009. 89(9): 906-917.</ref><br> | |||
== Epidemiology /Etiology == | == Epidemiology /Etiology == | ||
Adhesive capsulitis has been reported to affect 2-3% of the general population and up to 30% of people with type II diabetes. It is more common in women aged 40-60. <ref name="Walmsley" /> While recurrence in the same shoulder is rare, contra-lateral shoulder involvement has been estimated between 20-30%.<ref name="Brue" /> Other identified risk factors include cervical disk disease, iimmobilization of the shoulder, cardiovascular disease, pulmonary disease, hyperthyroidism, and autoimmune diseases. <ref name="Jewell">Jewell DV et al. Interventions Associated With an Increased or Decreased Likelihood of Pain Reduction and Improved Function in Patients With Adhesive Capsulitis: A Retrospective Cohort Study. Physical Therapy. May, 2009. 89(5): 419-428.</ref><br> | |||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
Patients may report progressive difficulty with dressing, grooming, and performing overhead activities. Literature describes adhesive capsulitis occuring in three overlapping phases. The first phase, the painful stage, involves painful shoulder motion and sleep being interrupted. The second state, the frozen or adhesive stage, is characterized by reduced pain and loss of joint motion. During the third stage, the resolution or thawing stage, pain is resolved and motion is gradually returned. <ref name="Jewell" /><ref name="Walmsley" /> Adhesive capsulitis is thought to be self-limiting with the average recovery taking 3 years, though some authors report 50% of patients have pain or stiffness at 7 years. <ref name="Brue" /><br> | |||
== Differential Diagnosis == | == Differential Diagnosis == | ||
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== Examination == | == Examination == | ||
add text here <br> | add text here <br> | ||
== Medical Management (current best evidence) == | == Medical Management (current best evidence) == | ||
add text here <br> | add text here <br> | ||
== Physical Therapy Management (current best evidence) == | == Physical Therapy Management (current best evidence) == | ||
add text here <br> | add text here <br> | ||
== Key Research == | == Key Research == | ||
add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | ||
== Resources <br> | == Resources <br> == | ||
add appropriate resources here <br> | add appropriate resources here <br> | ||
== Clinical Bottom Line == | == Clinical Bottom Line == | ||
add text here <br> | add text here <br> | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | ||
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<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | <rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | ||
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== References == | == References == | ||
see [[Adding References|adding references tutorial]]. | see [[Adding References|adding references tutorial]]. | ||
<references /> | <references /> | ||
[[Category:Texas_State_University_EBP_Project|Template:TXSTEBP]] | [[Category:Texas_State_University_EBP_Project|Template:TXSTEBP]] | ||
Revision as of 01:43, 6 November 2010
Original Editors
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Search Strategy[edit | edit source]
add text here related to databases searched, keywords, and search timeline
Definition/Description[edit | edit source]
Adhesive capsulitis is also known as frozen shoulder. It involves progressive stiffness of the glenohumeral joint.[1] Adhesive capsulitis can be primary when it is idiopathic or secondary when it results from a known cause or surgical event. [2]
Epidemiology /Etiology[edit | edit source]
Adhesive capsulitis has been reported to affect 2-3% of the general population and up to 30% of people with type II diabetes. It is more common in women aged 40-60. [2] While recurrence in the same shoulder is rare, contra-lateral shoulder involvement has been estimated between 20-30%.[1] Other identified risk factors include cervical disk disease, iimmobilization of the shoulder, cardiovascular disease, pulmonary disease, hyperthyroidism, and autoimmune diseases. [3]
Characteristics/Clinical Presentation[edit | edit source]
Patients may report progressive difficulty with dressing, grooming, and performing overhead activities. Literature describes adhesive capsulitis occuring in three overlapping phases. The first phase, the painful stage, involves painful shoulder motion and sleep being interrupted. The second state, the frozen or adhesive stage, is characterized by reduced pain and loss of joint motion. During the third stage, the resolution or thawing stage, pain is resolved and motion is gradually returned. [3][2] Adhesive capsulitis is thought to be self-limiting with the average recovery taking 3 years, though some authors report 50% of patients have pain or stiffness at 7 years. [1]
Differential Diagnosis[edit | edit source]
add text here
Examination[edit | edit source]
add text here
Medical Management (current best evidence)[edit | edit source]
add text here
Physical Therapy Management (current best evidence)[edit | edit source]
add text here
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
- ↑ 1.0 1.1 1.2 Brue S et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg Sports Traumatol Arthrosc. 2007. 15:1048-1054.
- ↑ 2.0 2.1 2.2 Walmsley S et al. Adhesive Capsulitis: Establishing Consensus on Clinical Identifiers for Stage 1 Using the Delphi Technique. Physical Therapy. September, 2009. 89(9): 906-917.
- ↑ 3.0 3.1 Jewell DV et al. Interventions Associated With an Increased or Decreased Likelihood of Pain Reduction and Improved Function in Patients With Adhesive Capsulitis: A Retrospective Cohort Study. Physical Therapy. May, 2009. 89(5): 419-428.
