Clinical guidelines for diagnosis and treatment of frozen shoulder in traditional Chinese medicine: a guideline interpretation_Chinese Journal of Evidence-Based Medicine

Authors：

QIN Xiaokuan ¹ , SUN Kai ^1,2 , LIU Jun ³ , LIU Jianping ⁴ ,  WEI Xu ^1,2 ,  ZHU Liguo ^1,2

1. Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, P. R. China;
2. Beijing Key Laboratory of Chinese Medicine Zhenggu Technology, Beijing 100102, P. R. China;
3. Guangdong Second Hospital of Chinese Medicine, Guangzhou 510095, P. R. China;
4. Beijing University of Chinese Medicine, Beijing 100029, P. R. China;

Corresponding author：

WEI Xu, Email: weixu.007@163.com; ZHU Liguo, Email: zhlg95@aliyun.com

Keywords：

Frozen shoulder; Chinese medicine; Clinical practice guideline; Guideline interpretation

DOI：

10.7507/1672-2531.202309144

Video：

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China Association of Chinese Medicine officially issued the clinical guidelines for diagnosis and treatment of frozen shoulder in traditional Chinese medicine (T/CACM 1416-2022) on November 14^th, 2022. The guideline covers clinical diagnosis, treatment, prevention and care of frozen shoulder. This paper introduces the background of this guideline and interprets its contents of clinical diagnosis, treatment and prevention. It helps the applicable population deepen their understanding and standardization of traditional Chinese medicine in the prevention and treatment of frozen shoulder, and provides references for the development of relevant guidelines in traditional Chinese medicine orthopedics in the future.

Citation： QIN Xiaokuan, SUN Kai, LIU Jun, LIU Jianping, WEI Xu, ZHU Liguo. Clinical guidelines for diagnosis and treatment of frozen shoulder in traditional Chinese medicine: a guideline interpretation. Chinese Journal of Evidence-Based Medicine, 2024, 24(5): 536-542. doi: 10.7507/1672-2531.202309144 Copy

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2.	中华中医药学会骨伤科分会. 中医骨伤科临床诊疗指南·肩关节周围炎: T/CACM1179-2019. 上海中医药杂志, 2022, 56(3): 1-5.
3.	杨楠, 赵巍, 潘旸, 等. 针对临床实践指南科学性、透明性和适用性的评级工具研发. 中华医学杂志, 2022, 102(30): 2329-2337.
4.	Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-E842.
5.	Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
6.	周奇, 邢丹, 李沁原, 等. 指南解读类文献报告规范的制订指南(RIGHT for INT). 中国循证医学杂志, 2022, 22(5): 497-507.
7.	中华中医药学会. 肩关节周围炎. 风湿病与关节炎, 2013, 2(2): 73-75.
8.	Qin X, Sun K, Ao Y, et al. Traditional Chinese medicine for frozen shoulder: an evidence-based guideline. J Evid Based Med, 2023, 16(2): 246-258.
9.	WHO. Handbook for guideline development (second edition). 2014.
10.	韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREEⅡ)工具实例解读. 中国循证儿科杂志, 2013, 8(4): 316-319.
11.	Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
12.	Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
13.	Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394.
14.	范曼如, 申泉, 王丹琦, 等. 临床实践指南制订方法—形成推荐意见的共识方法学. 中国循证心血管医学杂志, 2019, 11(6): 647-653.
15.	Kelley MJ, Shaffer MA, Kuhn JE, et al. Shoulder pain and mobility deficits: adhesive capsulitis clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association. JOSPT, 2013, 43(5): A1-A31.
16.	Suh CH, Yun SJ, Jin W, et al. Systematic review and meta-analysis of magnetic resonance imaging features for diagnosis of adhesive capsulitis of the shoulder. Eur Radiol, 2019, 29(2): 566-577.
17.	Qin X, Zhang B, Feng Y, et al. Outcomes of visualized puncture needle and small needle-knife therapy in primary frozen shoulder based on multimodal ultrasound imaging. J Healthc Eng, 2022, 2022: 1076112.
18.	薛庆云, 赵立连, 徐旭阳, 等. 奇正消痛贴膏治疗渐冻期冻结肩的多中心随机对照临床试验. 中华肩肘外科电子杂志, 2021, 9(4): 352-359.
19.	赵明雷, 杨坚, 张颖, 等. 骨通贴膏配合肩关节功能锻炼治疗肩关节周围炎随机对照研究. 河北中医, 2017, 39(5): 683-687.
20.	Cotta H, Correll J. The post-traumatic frozen shoulder. Unfallchirurgie, 1982, 8(5): 294-306.
21.	人民卫生出版社(整理). 黄帝内经素问. 北京: 人民卫生出版社, 2015.
22.	Institute of Medicine. Clinical practice guidelines we can trust. Washington: National Academies Press, 2011.
23.	刘军, 潘建科, 洪坤豪. 中医骨伤科循证临床实践指南制定面临的问题和对策. 中华中医药学刊, 2017, 35(5): 1063-1065.
24.	COMET. A core outcome set for clinical trials of frozen shoulder. 2020.
25.	高一城, 夏如玉, 罗慜婧, 等. 国内外临床实践指南制订手册中关于患者参与要求的系统评价. 中国循证医学杂志, 2022, 22(10): 1182-1188.

1. Karbowiak M, Holme T, Mirza M, et al. Frozen shoulder. BMJ, 2022, 377: e068547.
2. 中华中医药学会骨伤科分会. 中医骨伤科临床诊疗指南·肩关节周围炎: T/CACM1179-2019. 上海中医药杂志, 2022, 56(3): 1-5.
3. 杨楠, 赵巍, 潘旸, 等. 针对临床实践指南科学性、透明性和适用性的评级工具研发. 中华医学杂志, 2022, 102(30): 2329-2337.
4. Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ: advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18): E839-E842.
5. Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
6. 周奇, 邢丹, 李沁原, 等. 指南解读类文献报告规范的制订指南(RIGHT for INT). 中国循证医学杂志, 2022, 22(5): 497-507.
7. 中华中医药学会. 肩关节周围炎. 风湿病与关节炎, 2013, 2(2): 73-75.
8. Qin X, Sun K, Ao Y, et al. Traditional Chinese medicine for frozen shoulder: an evidence-based guideline. J Evid Based Med, 2023, 16(2): 246-258.
9. WHO. Handbook for guideline development (second edition). 2014.
10. 韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREEⅡ)工具实例解读. 中国循证儿科杂志, 2013, 8(4): 316-319.
11. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
12. Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
13. Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394.
14. 范曼如, 申泉, 王丹琦, 等. 临床实践指南制订方法—形成推荐意见的共识方法学. 中国循证心血管医学杂志, 2019, 11(6): 647-653.
15. Kelley MJ, Shaffer MA, Kuhn JE, et al. Shoulder pain and mobility deficits: adhesive capsulitis clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association. JOSPT, 2013, 43(5): A1-A31.
16. Suh CH, Yun SJ, Jin W, et al. Systematic review and meta-analysis of magnetic resonance imaging features for diagnosis of adhesive capsulitis of the shoulder. Eur Radiol, 2019, 29(2): 566-577.
17. Qin X, Zhang B, Feng Y, et al. Outcomes of visualized puncture needle and small needle-knife therapy in primary frozen shoulder based on multimodal ultrasound imaging. J Healthc Eng, 2022, 2022: 1076112.
18. 薛庆云, 赵立连, 徐旭阳, 等. 奇正消痛贴膏治疗渐冻期冻结肩的多中心随机对照临床试验. 中华肩肘外科电子杂志, 2021, 9(4): 352-359.
19. 赵明雷, 杨坚, 张颖, 等. 骨通贴膏配合肩关节功能锻炼治疗肩关节周围炎随机对照研究. 河北中医, 2017, 39(5): 683-687.
20. Cotta H, Correll J. The post-traumatic frozen shoulder. Unfallchirurgie, 1982, 8(5): 294-306.
21. 人民卫生出版社(整理). 黄帝内经素问. 北京: 人民卫生出版社, 2015.
22. Institute of Medicine. Clinical practice guidelines we can trust. Washington: National Academies Press, 2011.
23. 刘军, 潘建科, 洪坤豪. 中医骨伤科循证临床实践指南制定面临的问题和对策. 中华中医药学刊, 2017, 35(5): 1063-1065.
24. COMET. A core outcome set for clinical trials of frozen shoulder. 2020.
25. 高一城, 夏如玉, 罗慜婧, 等. 国内外临床实践指南制订手册中关于患者参与要求的系统评价. 中国循证医学杂志, 2022, 22(10): 1182-1188.

Chinese Journal of Evidence-Based Medicine

Clinical guidelines for diagnosis and treatment of frozen shoulder in traditional Chinese medicine: a guideline interpretation

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