Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Effects of chiropractic in patients with shoulder adhesive capsulitis (frozen shoulder): review article.

Almeida, Alana Cardécia de; Basilio, Franciane Batista; Silva, Rodrigo Marcel Valentim da

Downloads: 5
Views: 934


Introduction: adhesive capsulitis (frozen shoulder) is a common disease that causes significant morbidity. Chiropractic care is based on technical adjustments that restore normal micro-motion to the spine, reducing neural compression cause of painful symptoms that particular dermatome. The aim of this paper is to review the scientific literature the effects of chiropractic in patients with frozen shoulder. Method: This is an integrative review article, made from primary sources. As criteria for inclusion of articles, we selected only those whose methodology was Clinical Trial Controlled Randomized, published in the period 2010 to 2016, which made reference to features and methods of the relevant chiropractic treatment of frozen shoulder, which compared a group chiropractic and another that applied conventional physiotherapy or other similar technique. Results: The search in databases totaled 18 randomized controlled trials. According to the inclusion criteria, only three articles were selected. The three studies have shown benefits of chiropractic for improvements in mobility, pain and function. Conclusion: Each article has shown benefits with the application of chiropractic techniques frozen shoulder.


Adhesive capsulitis, Frozen shoulder, Range of motion, Chiropractic, Manual therapy.


1. Uppal HS, Evans JP, Smith C. Frozen shoulder: a systematic review of therapeutic options. World J Orthop. 2015;6(2):263-8.

2. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med 2008;1:180-9.

3. Duplay E. De la periarthrite scapulo-humérale et des raideurs de l`épaule qui en sont la conséquence. Arch Gen Med 1872;20:513-542.

4. Codman EA. Tendinitis of the Short Rotators. In: The Shoulder: Rupture of the Supraspinatus Tendon and Other Lesions in or about the Subacromial Bursa. Boston MA: Thomas Todd, 1934.

5. Zuckerman JD, Rokito A. Frozen shoulder: a consensus definition. J Shoulder Elbow Surg 2011;20(2):322-5.

6. Robinson CM, Seah KT, Chee YH, Hindle P, Murray IR. Frozen shoulder. J Bone Joint Surg Br 2012;94:1-9.

7. Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J Shoulder Elbow Surg 2011;20:502-14.

8. Brantingham JW, Cassa TK, Bonnefin D, Jensen M, Globe G, Hicks M, et al. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. J Manipulative Physiol Ther 2011;34:314–346.

9. Wang JP, Huang TF, Hung SC, Ma HL, Wu JG, Chen TH. Comparison of idiopathic, post-trauma and post-surgery frozen shoulder after manipulation under anesthesia. Int Orthop 2007;31:333-7.

10. Ide J, Takagi K. Early and long-term results of arthroscopic treatment for shoulder stiffness. J Shoulder Elbow Surg 2004;13:174-9.

11. Korthals-de Bos IB, Müllner M, Hoving JL, Van Tulder MW, Rutten-van Mölken MP, Adèr HJ, et al. Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomised controlled trial Commentary: Bootstrapping simplifies appreciation of statistical inferences. Bmj. 2003;326(7395):911-914.

12. Hurwitz EL, Morgenstern H, Harber P, Kominski GF, Yu F, Adams AH. A randomized trial of chiropractic manipulation and mobilization for patients with neck pain: clinical outcomes from the UCLA neck-pain study. Am J Public Health 2002;92(10):1634-41.

13. Baltaci G, Besler A, Tunay VB, Ergun N. The effect of manual therapy in the conservative management of impingemet syndrome in shoulder. Eklem Hastalik Cerrahisi 2002;13:27-33.

14. Tanaka K, Saura R, Takahashi N, Hiura Y, Hashimoto R. Joint mobilization versus self-exercises for limited glenohumeral joint mobility: randomized controlled study of management of rehabilitation. Clin Rheumatol 2010;29:1439-44.

15. Vermeulen HM, Rozing PM, Obermann WR, Cessie S, Vlieland TPM. Comparison of high-grade and low grade mobilization techniques in the management of adhesive capsulitis of the shoulder: Randomized controlled trial. Phy Ther 2006;86:355-68.

16. Doner G, Guven Z, Atalay A, Celiker R. Evaluation of Mulligan’s technique for adhesive capsulitis of the shoulder. J Rehabil Med. 2013 Jan;45(1):87-91.

17. Yang J, Mei-Hwa J, Changa CW, Lin JJ. Effectiveness of the end-range mobilization and scapular mobilization approach in a subgroup of subjects with frozen shoulder syndrome: a randomized control trial. Man Ther. 2012;17(1):47-52.

18. Fink M, Schiller J, Buhck H. [Efficacy of a manual treatment method according to the fascial distortion model in the management of contracted (“ frozen”) shoulder]. Z Orthop Unfall. 2012 Sep;150(4):420-7.

19. Farrar JT, Pritchett Yl, Prakash A, Chappell A. The clinical importance of changes in the 0 to 10 Numeric Rating Scale for worst, least and average pain intensity: analyses of data from clinical trials of duloxetine in pain disorders. J Pain 2010;11:109-18.

20. Sjögren T, Nissinen KJ, Järvenpää SK, Ojanen MT, Vanharanta H, Malkia EA. Effects of a workplace physical exercise intervention on the intensity of low back symptoms in office workers: a cluster randomized controlled crossover design. J Back Musculoskeletal Rehabil.2006;19(1):13-24.

21. Daub CW. A case report of a patient with upper extremity symptoms: differentiating radicular and referred pain. Chiropr Osteopat. 2007;15:10.

22. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Physical Therapy 2000;80:276–91.

23. Lin JJ, Lim HK, Yang JL. Effect of shoulder tightness on glenohumeral translation, scapular kinematics, and scapulohumeral rhythm in subjects with stiff shoulders. Journal of Orthopaedic Research 2006;24:1044–51.

5a9edcd30e8825f81c77d857 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections