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here - The Chartered Society of Physiotherapy

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Author(s): Ginn and Cohen (2005)<br />

Question ii.iii. Which should we use for both stages <strong>of</strong> contracted (frozen) shoulder: outpatient physiotherapy (with passive mobilisations) and<br />

home exercises or a subacromial steroid injection?<br />

Settings: Secondary care in Australia.<br />

No <strong>of</strong><br />

studies<br />

Quality assessment<br />

Design Limitations Inconsistency Indirectness Imprecision<br />

Patients' global impression <strong>of</strong> change (follow-up 5 weeks)<br />

1 randomised<br />

trials<br />

no serious<br />

limitations<br />

1 Critical, but unvalidated outcome.<br />

no serious<br />

inconsistency<br />

no serious<br />

indirectness<br />

no serious<br />

imprecision<br />

Other<br />

considerations<br />

none<br />

140<br />

Summary <strong>of</strong> findings<br />

No <strong>of</strong> patients Effect<br />

out-pt physiotherapy (with mobs)<br />

and home exs v. steroid injection<br />

22/26 (84.6%)<br />

control<br />

Relative<br />

(95% CI)<br />

Absolute<br />

Importance<br />

Quality<br />

17/22<br />

77 more per 1000 (from<br />

(77.3%) RR 1.1 (0.83 131 fewer to 348 more) <br />

to 1.45)<br />

HIGH CRITICAL1<br />

77.3%<br />

77 more per 1000 (from<br />

131 fewer to 348 more)

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