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. 2022 May 21;4(3):e1219–e1234. doi: 10.1016/j.asmr.2022.04.001

Table 1.

Characteristics of the Studies Included

Author, Year, Study Design Participants (n),
Inclusion/exclusion criteria
Psychological Factors
Investigated
Group of Intervention (GI)
Group of Control (GC)
Outcome
Measures,
Units,
Time of Follow-Up
Bagheri et al.,
2016
Cross-sectional study
Level of evidence: IV
n = 120 (mean age 52 y; 37 men, 83 woman)

Inclusion criteria:
  • Idiopathic FS phase-II

  • Shoulder pain <3 months

Exclusion criteria:
  • History of rotator cuff tear

  • Previous shoulder surgery or fracture

  • Psychosis

Anxiety; depression // DASH score, VAS score, SF-36 (PCS component), SF-36 (MCS component), HAQ, HDQ, at baseline
De Baets et al.,
2020
Cross-sectional study
Level of evidence: IV
n = 85 (mean age 55.2 y; 26 men, 59 woman)

Inclusion criteria:
  • unilateral FSCS

  • passive ROM restriction ≥25% in at least 2 directions compared to the unaffected side

  • ER≥50% compared to the unaffected side.

  • Pain and restricted ROM ≥ 2 months

  • gradual onset of pain and stiffness.

  • be able to fill in questionnaires in Dutch.

Exclusion criteria:
  • surgery procedure for FS

  • systemic or neurological disease

Pain-related fear, pain catastrophizing, pain self-efficacy // DASH questionnaire, TSK, PCS∗, PSEQ, NPRS at baseline
Ding et al., 2014
Cross-sectional study
Level of evidence: IV
n = 254 (mean age: 52.16 ± 6.16 y; 46 men, 78 woman)
Inclusion criteria:
  • Insidious onset and last ≥3 months

  • night pain

  • tenderness around the joint capsule

  • ER restriction

  • normal radiographic or just a little joint fluid in magnetic resonance imaging.

Exclusion criteria:
  • concomitant disorders that could influence disease activity or psychological status

  • secondary FS, trauma, arthritis

  • the relapse of FS or both shoulders affected

  • cervical spondylosis

Anxiety; depression GI: n = 124 FSCS
GC:n = 130 healthy people
VAS, sleep disturbances, SST, SPADI, ROM, HAQ,
HADS-D, HADS-A at baseline
Ebrahimzadeh et al.,
2019
Cross-sectional study
Level of evidence: IV
n = 120 (mean age 52 SD 17 y; 37 men, 83 women)
Inclusion criteria:
  • FSCS

  • phase II FS

  • shoulder pain ≥ 3 months

Exclusion criteria:
  • history of psychosis

  • diagnosed rotator cuff tear

  • previous shoulder surgery or fracture

Anxiety; depression // VAS, DASH, HADS-D, HADS-A at baseline
Toprak et al.,
2018
Cross-sectional study
Level of evidence: IV
n = 148 (25-65 years old)

Inclusion criteria:
  • Age range 25–65 y

  • insidious onset of pain and stiffness with a clinical reduction in ROM, principally ER reduction >50%

  • no radiological abnormalities

  • presence of pain

Exclusion criteria:
  • history of shoulder surgery or trauma

  • other shoulder pathology

  • history of psychiatric disorders

  • local corticosteroid injection or any physiotherapy intervention to the affected shoulder within the last 6 months

  • cerebrovascular accident affecting the shoulder

  • concomitant disorders unwillingness to participate in the study

Anxiety; depression GI: n = 76 FSCS patients (mean age 59.32 ± SD 13.91 y; 21 men, 55 women)
GC: n=72 healthy patients (mean age 58.50 ± SD 8.74 y; 18 men, 54 women)
VAS, BDI, BAI, WHO-QoL bref, PSQI
De Baets et al.,
2020
Prognostic study
Level of evidence: IV
n = 20 (mean age 56 ± 8 y, 6 men, 14 women)

Inclusion criteria:
  • Adults with unilateral, FSCS

  • passive ROM restriction≥25% in minimum 2 directions

  • unaffected shoulder

  • ER restriction of at least 50%

  • pain and restricted ROM last≥2 months

  • A gradual onset of the perceived pain and stiffness

  • Be able to fill in questionnaires in Dutch

Exclusion criteria:
  • Previous surgical procedure for FS

  • Partial/full thickness rotator cuff tear seen on magnetic resonance arthrogarphy

  • Systemic, neurological, or psychiatric disease

Pain-related fear, pain catastrophizing patients were treated with Ultrasound-guided intra-articular corticosteroid injections (80 mg Depomedrol and 6 cc Lidocaine HCl 1%) via posterior at baseline, 6 and 12 weeks;
patient education (manual), joint mobilizations, mobility and stretching exercises,
home-management training, and neuromuscular training
Outcome measures: DASH, GH ABD and ER ROM (goniometry), NRS-stiffness, NRS-pain, TSK, PCS∗, CHL thickness, IGR perimeter
Follow-up: baseline and 4 months

ABD, abduction; BAI, Beck Anxiety Inventory; BDI, Beck Depression Inventory; CHL, coraco-humeral ligament; DASH, Disability of the Arm, Shoulder and Hand; ER, external rotation; FS, frozen shoulder; FSCS, Frozen Shoulder Contracture Syndrome; GH, glenohumeral; HADS-A, Hamilton Anxiety and depression Scale-Anxiety; HADS-D, Hamilton Anxiety and depression Scale-Depression; HAQ, Hamilton Anxiety Questionnaire; HDQ, Hamilton Depression Questionnnaire; IGR, inferior glenohumeral recess perimeter; IR, internal rotation; MCS, Mental Component Summary; NPRS, Numeric Pain Rating Scale; NRS, Numeric Rating Scale; PCS, Physical Component Summary; PCS∗, Pain Catastrophyzing Scale; PSEQ, Pain Self-Efficacy Questionnaire; PSQI, Pittsburgh Sleep Quality Index; ROM, range of movement; SF-36, Health Survey Short Form, 36 question; SPADI, Shoulder Pain and Disability Index; SST, Simple Shouder Test; TSK, Tampa Scale of Kinesiophobia; VAS, visual analog scale; WHO-QoL bref, World Health Organization Quality of Life Scale short form; Y, years.