Fysioterapeuten 1-2022

FYSIOTERAPEUTEN 1/22 41 the condition (3). As the incidence of frozen shoulder pe- aks in the fifth and sixth decade, a high proportion of the patients are in the working population, leading to a sub- stantial economic burden to both the individual and the society (6). In addition to costs accumulating from the loss of workdays, the healthcare system’s cost from treatments of frozen shoulder is substantial (7). Although there is no Norwegian national guideline dic- tating the care and interventions that should be provided for frozen shoulder, clinical practice guidelines for the ma- nagement of the condition have been developed for physi- cal therapists both in Norway (8), and abroad (9, 10). To help guide clinicians with decision-making and to identify appropriate interventions, a dichotomization between the «pain-predominant» and the «stiffness-pre- Clinical implications • Frozen shoulder is currently treated using multiple ultrasound-guided intra-articular corticosteroid injec- tions when managed by physical therapists providing injection therapy in Norway. • The majority of the sample reports satisfactory results following 2-3 corticosteroid injections. However, mul- tiple injections for frozen shoulder have received little attention in previous research efforts, and warrant further investigation. • The use of functional outcome measures to evaluate the response to corticosteroid injections in the ma- nagement of frozen shoulder is generally limited, and interventions should be initiated to implement these measures into routine clinical practice. © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions (https://crea- tivecommons.org/licenses/by-nc/4.0/) . Published by Fysioterapeuten.

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