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Salaffi F, Stancati A, Sivestri CA, Ciapetti A, Grassi W (2004). Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale, European Journal of Pain, 8, 283–291. Shehab D, Adnam N (2000). Comparative effectiveness of ultrasound and transcutaneous electrical stimulation in periarticular shoulder pain, Physiotherapy Canada, 52, 3, 208–10, 214. Tashjian RZ, DeLoach J, Porucznik CA, Powell AP (2009). Minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) for visual analogue scales (VAS) measuring pain in patients treated for rotator cuff disease, Journal of Shoulder and Elbow Surgery, 18, 927–932. Terwee CB, de Winter AF, Scholten RJ, Jans MP, Devillé W, van Schaardenburg D, Bouter LM (2005), Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder, Archives of Physical Medicine and Rehabilitation, 86, 1356–61. Tveita EK, Ekeberg OM, Juel NG, Bautz-Holter E (2008). Responsiveness of the Shoulder Pain and Disability Index in patients with adhesive capsulitis, BMC Musculoskeletal Disorders, 9, 161– 186, [Online], Available: http://www.biomedcentral.com/1471-2474/9/161 [Accessed 25 January 2009]. Valadie AL, Joce CM, Pink MM, Ekman EF, Jobe FW (2000). Anatomy of provocative tests for impingement syndrome of the shoulder, Journal of Shoulder and Elbow Surgery, 9, 1, 36–45. Walker-Bone KBM, Palmer KT, Reading I, Coggon D, Cooper, C (2004). Prevalence and impact of musculoskeletal disorders of the upper limb in the general population, Arthritis and Rheumatism, 51, 4, 642–651. Watson T. Interferential (IFT) Therapy: Introduction & IFT Production [Online], Available: http://www.electrotherapy.org/modalities/ift.htm [Accessed 21 April 2010]. 29
2. Systematic review and meta-analysis of treatment interventions (comparisons involving standard physiotherapy) This section gives an overview of the systematic review and meta-analysis of treatment interventions (comparisons involving standard physiotherapy) and concludes by enumerating the responses to the questionnaire survey. We have kept it as light and readable as possible, but it is unavoidably complex because it is derived from methodologically stringent processes which underpin our recommendations for management. If you are not at all interested in the methods, you may choose to skip straight to the recommendations (starting on page 66 for text, and 78 for summary table). Conversely, if you would like more information on the methods than is given here, you can read pages 1 to 6 for a light general background or, for greater depth, APPENDIX A. Also, there are signposts throughout this section to detailed supporting information in the APPENDICES. 2.1 Results of search and filtering processes After de-duplication our search, which addressed both standard and more specialised physiotherapy interventions, retrieved 749 citations, most with abstracts. Primary filtering left 84 citations. The secondary filtering process excluded 66 of these (APPENDIX C: Table of excluded studies; APPENDIX D: References to table of excluded studies). Thus 18 trials remained, 14 of which included standard physiotherapy, the focus of the first module (version 1.X) of the guidelines. (See Table 2.1). Intervention (or comparison) Number of reports Standard physiotherapy 14 Acupuncture 1 Corticosteroid injection 5 Hyaluronate injection 2 Capsular distension 5 Manipulation under anaesthetic 2 Supervised neglect 1 TABLE 2.1. Included trials by intervention (or comparison). Some reports are included in more than one category. To the 14 trials including standard physiotherapy, which we had derived from our own search, we added five trials on contracted (frozen) shoulder identified in Green, Buchbinder and Hetrick 30
Page 1 and 2: Eviidence-based clliiniicall guiide
Page 3 and 4: TABLE of CONTENTS Including main fi
Page 5 and 6: Acknowledgements The Guidelines Dev
Page 7 and 8: In the UK in particular, this leave
Page 9 and 10: Protocol As a measure against intro
Page 11 and 12: equired respondents to state whethe
Page 13 and 14: References to Introduction Buchbind
Page 15 and 16: Movements at the shoulder joint are
Page 17 and 18: descriptor, ‘long-life disease’
Page 19 and 20: then monarticular rheumatoid arthri
Page 21 and 22: Differential diagnosis between cont
Page 23 and 24: 1.2a), the tester can limit trunk r
Page 25 and 26: An overview of treatment options Th
Page 27 and 28: Manual mobilisations Background: Ma
Page 29 and 30: attributed to SWD and PSWD (see abo
Page 31 and 32: 1.8. References to Part 1 Buchbinde
Page 33: Kelley MJ, McClure PJ, Leggin BG (2
Page 37 and 38: 2.2. Methodological quality of tria
Page 39 and 40: Trial Eligibility criteria specifie
Page 41 and 42: 36 FIGURE 2.1 Functional outcome, m
Page 43 and 44: the 95% CI, a similarly directional
Page 45 and 46: study sample. This effect was not s
Page 47 and 48: Adjusted threshold for MCID (calcul
Page 49 and 50: Patient-completed section of ASES,
Page 51 and 52: Interpretation: There was no substa
Page 53 and 54: Adverse events, short term (5 weeks
Page 55 and 56: 50 FIGURE 2.8 Functional outcome (S
Page 57 and 58: 52 FIGURE 2.12 Passive external rot
Page 59 and 60: Interpretation: A clinically import
Page 61 and 62: physiotherapy in the pooled study s
Page 63 and 64: separately, whereas Ryans et al (20
Page 65 and 66: Adjusted threshold for MCID: MCID n
Page 67 and 68: Adjusted threshold for MCID (based
Page 69 and 70: Jüni P, Witschi A, Bloch R, Egger
Page 71 and 72: 3. Recommendations for management o
Page 73 and 74: the population, muscle function ret
Page 75 and 76: 3.1.6. In secondary care, should we
Page 77 and 78: outcomes, at this time point and lo
Page 79 and 80: physiotherapy with passive mobilisa
Page 81 and 82: Recommendation: Probably add outpat
Page 83 and 84: Physiotherapy versus other physioth
Page 85 and 86:
Physiotherapy versus other treatmen
Page 87 and 88:
Adding physiotherapy to other treat
Page 89 and 90:
Facilitators Barriers CSP accredita
Page 91 and 92:
4. Recommendations for research App
Page 93 and 94:
Ginn KA, Cohen ML (2005). Exercise
Page 95 and 96:
APPENDIX A: Methods i. Types of stu
Page 97 and 98:
vi. Search methods for identificati
Page 99 and 100:
We excluded those which: excluded
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ix. Grading the quality of evidence
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GRADE Working Group (2004) Grading
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Notes More patients in the placebo
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Accepted outcomes Period of data co
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showed any advantage which was clin
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Intervention/ Comparison(s) Accepte
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Notes Group averages (means?) were
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Accepted outcome(s) Period of data
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Intervention/ Comparison(s) Accepte
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APPENDIX C: Table of excluded studi
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1st Author Year Target condition In
Page 123 and 124:
1st Author Year Target condition In
Page 125 and 126:
Cleland J, Durall CJ (2002). Physic
Page 127 and 128:
Thomas E, van der Windt DAWM, Hay E
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Improvement in pain score (follow-u
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Author(s): Ginn and Cohen (2005) (a
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Improvement in VAS for night pain (
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Author(s): Vermeulen et al (2006) (
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Author(s): Leung and Cheing (2008)
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Author(s): Leung and Cheing (2008)
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Improvement in VAS for night pain (
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Author(s): Ginn and Cohen (2005) Qu
Page 145 and 146:
Author(s): Ginn and Cohen (2005) Qu
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iii. Physiotherapy versus combinati
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Improvement in passive external rot
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Improvement in pain (global) on 10-
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v. Adding physiotherapy elements to
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Passive external rotation (follow-u
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Improvement in pain (follow-up 6 we
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APPENDIX F: Delphi panellists Our i
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Comments/suggestion 23 The use of y
Page 163 and 164:
APPENDIX I: Guidelines Development
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