Skip to main content

Manual therapy and exercise for adhesive capsulitis: a systematic review with meta-analysis.

Authors: Kaitlin Kirker, Melanie O'Connell, Lisa Bradley, Rosa Elena Torres-Panchame, Michael MasaracchioJournal: The Journal of manual & manipulative therapyPublished: October 11, 2023DOI: 10.1080/10669817.2023.2180702
Q2 JournalSJR: 0.789h-index: 25SCImago
Limited EvidenceSystematic Reviewn=16 participants

In Plain Language: frozen shoulder, explained

The study examined the effectiveness of manual therapy and exercise in treating adhesive capsulitis, commonly known as frozen shoulder. Researchers found that these interventions did not significantly reduce pain, disability, or improve range of motion in the short or long term. The findings are important as they highlight the need for clearer guidelines on treatment dosages for better patient outcomes.

Key Findings: what this systematic review found about frozen shoulder

  • ✓No significant effects on pain or disability were observed.
  • ✓Evidence quality ranged from very low to low across studies.
  • ✓Lack of consistent study designs hindered strong treatment recommendations.

What This Means for You

For individuals considering reflexology or similar treatments for frozen shoulder, this study indicates that traditional methods may not lead to significant improvements. Patients should consult their healthcare provider for a comprehensive treatment plan tailored to their specific needs.

What This Means for Practitioners

Reflexology practitioners can use these findings to inform clients about the limited efficacy of manual therapy and exercise treatments for frozen shoulder, emphasizing the importance of personalized care and potentially integrating other therapeutic approaches.

Study Design: how this systematic review was run

Blinding
open label
Control
none
Duration
varied
Sample Size
16 participants

Limitations: what it cannot tell you about frozen shoulder

The study's main limitations include the variability in study designs and a lack of standardized protocols for manual therapy and exercise interventions.

Read Full Paper↗

Frozen shoulder: common questions

What does this study say about frozen shoulder?

For individuals considering reflexology or similar treatments for frozen shoulder, this study indicates that traditional methods may not lead to significant improvements. Patients should consult their healthcare provider for a comprehensive treatment plan tailored to their specific needs.

What did this study find?

No significant effects on pain or disability were observed. Evidence quality ranged from very low to low across studies. Lack of consistent study designs hindered strong treatment recommendations.

How strong is this evidence?

This is a systematic review and we rate its evidence limited. It covers 16 participants. It was published in The Journal of manual & manipulative therapy, a Q2 journal. This study is indexed here for context; it did not test reflexology itself.

What are the limitations of this study?

The study's main limitations include the variability in study designs and a lack of standardized protocols for manual therapy and exercise interventions.

Related Research

Looking for a reflexologist?

Find practitioners who can help with the conditions studied in this research.

Find a Reflexologist