Commentary to: Exercise classes supervised by a physiotherapist may be better at restoring functioning after frozen shoulder than individual physiotherapy

摘要

Question: Does one type of physiotherapy interventionimprove shoulder function in people with frozen shoulder morethan other types of physiotherapy interventions? Design: Randomised controlled trial with concealed allocation and blindedoutcome assessment. Setting: Physiotherapy outpatient clinics inthe United Kingdom. Participants: Inclusion criteria were: peoplewith a diagnosis of frozen shoulder (insidious onset of pain andstiffness with reduction of range of motion of at least 50% of externalrotation, and without underlying radiologic abnormality) andsymptoms present for at least 3 months. Exclusion criteria were:history of trauma to the shoulder, shoulder inflammatory jointdisease and cervical spine disease. Randomisation of 75 participantsallocated 25 to an exercise group, 24 to an individual physiotherapy,and 26 to a home exercise program.