Exercise classes supervised by a physiotherapist may be better at restoring function after frozen shoulder than individual physiotherapy.

Abstract

the Constant Score measured at 6 weeks, 6 months and 12 months, with a score of 100 denoting the highest level of functioning. Secondary outcome measures included the Oxford Shoulder Score, the Hospital Anxiety and Disability Scale and shoulder range of motion. Results: A total of 61 participants (81%) completed the study. Across the 12 months, the Constant Score increased significantly more in the exercise group, by 11 units (95% CI 5 to 17 units), compared with individual physiotherapy, and by 20 units (95% CI 14 to 26 units), compared with home exercise. The Constant Score increased significantly more in individual physiotherapy, by 10 units (95% CI 4 to 16 units), compared with home exercise. The improvement in Oxford Shoulder Score was significantly more in the exercise group than in the individual physiotherapy or home exercise groups. The improvements in the Hospital Anxiety and Disability Scale anxiety scores and range of motion were significantly greater in both physiotherapy groups than in the home exercise group. Conclusion: An exercise class supervised by a physiotherapist may be more effective at restoring function for patients with frozen shoulder than individual musculoskeletal physiotherapy or a home exercise program alone. [95% CIs calculated by the CAP Editor.]