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.	中華中醫藥學會骨傷科分會. 中醫骨傷科臨床診療指南·肩關節周圍炎: T/CACM1179-2019. 上海中醫藥雜志, 2022, 56(3): 1-5.
3.	楊楠, 趙巍, 潘旸, 等. 針對臨床實踐指南科學性、透明性和適用性的評級工具研發. 中華醫學雜志, 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, Maru?ic 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. 指南解讀類文獻報告規范的制訂指南(RIGHT for INT). 中國循證醫學雜志, 2022, 22(5): 497-507.
7.	中華中醫藥學會. 肩關節周圍炎. 風濕病與關節炎, 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.	韋當, 王聰堯, 肖曉娟, 等. 指南研究與評價(AGREEⅡ)工具實例解讀. 中國循證兒科雜志, 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, G?tzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
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14.	范曼如, 申泉, 王丹琦, 等. 臨床實踐指南制訂方法—形成推薦意見的共識方法學. 中國循證心血管醫學雜志, 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.	薛慶云, 趙立連, 徐旭陽, 等. 奇正消痛貼膏治療漸凍期凍結肩的多中心隨機對照臨床試驗. 中華肩肘外科電子雜志, 2021, 9(4): 352-359.
19.	趙明雷, 楊堅, 張穎, 等. 骨通貼膏配合肩關節功能鍛煉治療肩關節周圍炎隨機對照研究. 河北中醫, 2017, 39(5): 683-687.
20.	Cotta H, Correll J. The post-traumatic frozen shoulder. Unfallchirurgie, 1982, 8(5): 294-306.
21.	人民衛生出版社(整理). 黃帝內經素問. 北京: 人民衛生出版社, 2015.
22.	Institute of Medicine. Clinical practice guidelines we can trust. Washington: National Academies Press, 2011.
23.	劉軍, 潘建科, 洪坤豪. 中醫骨傷科循證臨床實踐指南制定面臨的問題和對策. 中華中醫藥學刊, 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, 羅慜婧, 等. 國內外臨床實踐指南制訂手冊中關于患者參與要求的系統評價. 中國循證醫學雜志, 2022, 22(10): 1182-1188.

1. Karbowiak M, Holme T, Mirza M, et al. Frozen shoulder. BMJ, 2022, 377: e068547.
2. 中華中醫藥學會骨傷科分會. 中醫骨傷科臨床診療指南·肩關節周圍炎: T/CACM1179-2019. 上海中醫藥雜志, 2022, 56(3): 1-5.
3. 楊楠, 趙巍, 潘旸, 等. 針對臨床實踐指南科學性、透明性和適用性的評級工具研發. 中華醫學雜志, 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, Maru?ic 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. 指南解讀類文獻報告規范的制訂指南(RIGHT for INT). 中國循證醫學雜志, 2022, 22(5): 497-507.
7. 中華中醫藥學會. 肩關節周圍炎. 風濕病與關節炎, 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. 韋當, 王聰堯, 肖曉娟, 等. 指南研究與評價(AGREEⅡ)工具實例解讀. 中國循證兒科雜志, 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, G?tzsche 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. 臨床實踐指南制訂方法—形成推薦意見的共識方法學. 中國循證心血管醫學雜志, 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. 薛慶云, 趙立連, 徐旭陽, 等. 奇正消痛貼膏治療漸凍期凍結肩的多中心隨機對照臨床試驗. 中華肩肘外科電子雜志, 2021, 9(4): 352-359.
19. 趙明雷, 楊堅, 張穎, 等. 骨通貼膏配合肩關節功能鍛煉治療肩關節周圍炎隨機對照研究. 河北中醫, 2017, 39(5): 683-687.
20. Cotta H, Correll J. The post-traumatic frozen shoulder. Unfallchirurgie, 1982, 8(5): 294-306.
21. 人民衛生出版社(整理). 黃帝內經素問. 北京: 人民衛生出版社, 2015.
22. Institute of Medicine. Clinical practice guidelines we can trust. Washington: National Academies Press, 2011.
23. 劉軍, 潘建科, 洪坤豪. 中醫骨傷科循證臨床實踐指南制定面臨的問題和對策. 中華中醫藥學刊, 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, 羅慜婧, 等. 國內外臨床實踐指南制訂手冊中關于患者參與要求的系統評價. 中國循證醫學雜志, 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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