PPT Jurnal RSST Klaten

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THE EFFECTIVENESS OF PHYSIOTHERAPEUTIC INTERVENTIONS IN TREATMENT OF FROZEN SHOULDER/ADHESIVE CAPSULITIS : A SYSTEMATIC REVIEW Dhieto Basuki Putra JOURNAL READING JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION 27 (2014) 247–273 247 1

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THE EFFECTIVENESS OF PHYSIOTHERAPEUTIC INTERVENTIONS IN TREATMENT OF FROZEN

SHOULDER/ADHESIVE CAPSULITIS : A SYSTEMATIC REVIEW

Dhieto Basuki Putra

JOURNAL READING

JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION 27 (2014) 247–273 247

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BACKGROUND & OBJECTIVE

FS is a common condition, yet its treatment remains challenging. In this review, the current best evidence for

the use of PTI is evaluated

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INTRODUCTION— FS or adhesive capsulitis is commonly encountered in

PT practice— The exact incidence and prevalence of FS is unknown,

but is often quoted to affect approximately 2%-5% of the general population and at 40–65 yrs of age

Lundberg categorized FS px into 2 subgroups :— Idiopathic/primary FS (symptoms with no identifiable

cause)— Secondary (similar presentation and progression but

resulted from a known intrinsic, extrinsic, or systemic cause

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INTRODUCTION

The most used criteria to diagnose FS : — insidious or minimal event resulting in onset— significant shoulder pain that interferes with ADL— significant night pain— significant limitations of active and passive shoulder

motion in more than 1 plane to less than 100◦ and 50% or greater than 30◦ loss of passive ER (at the side)

— painful end ROM in all movements— significant pain/weakness of the IR — normal radiological appearance— no secondary causes

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INTRODUCTION

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INTRODUCTION

— rest/education— analgesia— joint mobilization— thermotherapy— massage— therapeutic exercises— PT— acupuncture— oral and injected

corticosteroids

— laser therapy— capsular distension — manipulation under

anesthesia— nerve blocks— arthroscopic capsular

release

Many treatments have been advocated to treat FS

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METHOD

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METHOD

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RESULTS

— 39 articles describing the PTI were analyzed using Sackett’s levels of evidence and were examined for scientific rigor

— The PTI were given grades of recommendation that ranged from A to C

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RESULTS

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RESULTS

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METHODOLOGICAL LIMITATIONS

— The interpretation of the results of many studies describing therapeutic regimens is hampered by methodological flaws

— Many studies don’t provide details regarding the stage of the disease process, previous treatments, and etiological considerations

— Limited literature on the effectiveness of specific exercise regimen for the treatment of FS

— Intensity, frequency, duration of exercises and the use of PT modalities varied across studies

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CONCLUSIONS

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THANK YOU