Do Manual Therapy Techniques Help in Patients with Frozen Shoulder?: A Systematic Literature Review

Abstract

Objectives: The objective of this review is to find out the updated manual therapy techniques for patients with frozen shoulders. Design: A systematic review of literature. Methods: Databases including Medline, PEDro, CINAHL, and the Cochrane Library were searched from 2005 to 2021. Only English language publications reporting findings in humans were included. Results: After a thorough investigation of 23 articles, 4 RCTs were found in support of the Kaltenborn technique. This technique showed better results in 2-6 weeks for reduction of pain, and enhancement of ROM and functional activity. In the case of Mulligan's technique, 3 RCTs were compiled in support of a high level of evidence. Mulligan's technique showed results in 2-3 months with positive effects on pain, ROM, and functional improvement. Immediate relief of shoulder pain and improvement of shoulder ROM were reported after the mobilization on the asymptomatic cervical and thoracic spine. Conclusion: Most of the techniques revolved around immediate relief of pain and short-term fix for the condition. Future studies and research can focus on more RCTs required on the long-term benefits of primary adhesive capsulitis.