Treatment of adhesive capsulitis of the shoulder with a static progressive stretch device: a prospective, randomized study.

Ibrahim MI, Johnson AJ, Pivec R, Issa K, Naziri Q, Kapadia BH, Mont MA
Journal of long-term effects of medical implants · 2012 · doi:10.1615/jlongtermeffmedimplants.2013007061 · PMID:23662659
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This randomized trial found that adding a static progressive stretch orthosis to physical therapy yielded significantly greater improvements in shoulder range of motion and DASH scores for adhesive capsulitis patients compared to physical therapy alone.

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This prospective, randomized study evaluated the efficacy of a static progressive stretch orthosis combined with physical therapy for treating shoulder adhesive capsulitis in 60 patients. The experimental group demonstrated significantly greater improvements in active and passive range of motion, as well as lower pain and disability scores, compared to the control group receiving physical therapy alone. These superior outcomes were observed within four weeks of initiating treatment, highlighting the device's potential to accelerate functional recovery. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Stress relaxation and static progressive stretch (SPS) are techniques that may be used to nonoperatively restore joint range of motion in the setting of adhesive capsulitis. The purpose of this study was to prospectively compare standard physical therapy alone to a combination of physical therapy with a static progressive stretch orthosis in the treatment of shoulder adhesive capsulitis. A prospective, randomized, blinded, controlled study was conducted with a total of 60 patients diagnosed with shoulder adhesive capsulitis (30 patients in the control group, 30 patients in the treatment group). The control group received physical therapy for 4 weeks, while the experimental group received physical therapy and were treated with a static progressive stretch shoulder device for 4 weeks. Active and passive abduction, passive external rotation, DASH scores, and VAS pain scores were recorded for all patients at 4, 12, and 24 weeks follow-up. Use of a static progressive stretch orthosis compared to physical therapy alone demonstrated a significantly greater mean improvement in all range-of-motion categories. Mean passive abduction was 162° with the orthosis versus 136° with physical therapy alone. Mean active abduction was 141° and 114°, respectively. Mean external rotation was 73° and 52°, respectively. DASH scores were significantly better when a static progression stretch orthosis was used (5 vs.15 points). Use of a static progressive stretch orthosis for patients with shoulder adhesive capsulities resulted in significantly better range of motion and DASH scores within 1 month of beginning treatment than physical therapy alone.
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Journal of Long-Term Effects of Medical Implants Published 4 issues per year ISSN Print: 1050-6934 ISSN Online: 1940-4379 Treatment of Adhesive Capsulitis of the Shoulder with a Static Progressive Stretch Device: A Prospective, Randomized Study ABSTRACT Stress relaxation and static progressive stretch (SPS) are techniques that may be used to nonoperatively restore joint range of motion in the setting of adhesive capsulitis. The purpose of this study was to prospectively compare standard physical therapy alone to a combination of physical therapy with a static progressive stretch orthosis in the treatment of shoulder adhesive capsulitis. A prospective, randomized, blinded, controlled study was conducted with a total of 60 patients diagnosed with shoulder adhesive capsulitis (30 patients in the control group, 30 patients in the treatment group). The control group received physical therapy for 4 weeks, while the experimental group received physical therapy and were treated with a static progressive stretch shoulder device for 4 weeks. Active and passive abduction, passive external rotation, DASH scores, and VAS pain scores were recorded for all patients at 4, 12, and 24 weeks follow-up. Use of a static progressive stretch orthosis compared to physical therapy alone demonstrated a significantly greater mean improvement in all range-of-motion categories. Mean passive abduction was 162° with the orthosis versus 136° with physical therapy alone. Mean active abduction was 141° and 114°, respectively. Mean external rotation was 73° and 52°, respectively. DASH scores were significantly better when a static progression stretch orthosis was used (5 vs.15 points). Use of a static progressive stretch orthosis for patients with shoulder adhesive capsulities resulted in significantly better range of motion and DASH scores within 1 month of beginning treatment than physical therapy alone. - Donatelli Robert, Ruivo R.M., Thurner Michael, Ibrahim Mahmoud Ibrahim, New concepts in restoring shoulder elevation in a stiff and painful shoulder patient, Physical Therapy in Sport, 15, 1, 2014. Crossref - Forsythe Brian, Lavoie-Gagne Ophelie, Patel Bhavik H., Lu Yining, Ritz Ethan, Chahla Jorge, Okoroha Kelechi R., Allen Answorth A., Nwachukwu Benedict U., Efficacy of Arthroscopic Surgery in the Management of Adhesive Capsulitis: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials, Arthroscopy: The Journal of Arthroscopic & Related Surgery, 37, 7, 2021. Crossref - Kalson N. S., Borthwick L. A., Mann D. A., Deehan D. J., Lewis P., Mann C., Mont M. A., Morgan-Jones R., Oussedik S., Williams F. M. K., Toms A., Argenson J. N., Bellemans J., Bhave A., Furnes O., Gollwitzer H., Haddad F. S., Hofmann S., Krenn V., International consensus on the definition and classification of fibrosis of the knee joint, The Bone & Joint Journal, 98-B, 11, 2016. Crossref - Marik Tambra L., Roll Shawn C., Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review, The American Journal of Occupational Therapy, 71, 1, 2017. Crossref - Harvey Lisa A, Katalinic Owen M, Herbert Robert D, Moseley Anne M, Lannin Natasha A, Schurr Karl, Stretch for the treatment and prevention of contractures, Cochrane Database of Systematic Reviews, 2017, 2, 2017. Crossref - Lychagin Alexey V., Bogatov Viktor B., Tselishcheva Evgeniya Yu., Muzychenkov Alexey V., Results of Shoulder Adhesive Capsulitis Treatment With the Use of Platelet Rich Plasma and Nucleotide Drugs: A Comparative Study, Traumatology and Orthopedics of Russia, 28, 4, 2022. Crossref

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