{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T13:13:36Z","timestamp":1792934016079,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T00:00:00Z","timestamp":1597708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The primary objective of this study is to evaluate, using ultrasound measurements, the correlation between coracohumeral ligament (CHL) thickness and restricted shoulder range of motion (ROM) in patients with adhesive capsulitis (AC). The secondary objective is to investigate the correlation between CHL thickness and disease duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Clinical research of a tertiary care hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Overall, 65 patients with clinically diagnosed AC were enrolled. Ultrasound measurements of CHL thickness in the axial oblique plane were obtained under maximal external rotation of the glenohumeral joint. Both Shoulder Pain and Disability Index (SPADI) and shoulder ROM were prospectively evaluated by an experienced investigator. CHL thickness was compared with shoulder ROM and SPADI. The association between CHL thickness and disease duration was also investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Simple linear regression analysis showed significant inverse correlation between CHL thickness and shoulder ROM including external rotation (ER) (r\u2009=\u2009\u22120.335, <jats:italic>P<\/jats:italic>\u2009=\u2009.006) and internal rotation (IR) (r\u2009=\u2009\u22120.409, <jats:italic>P<\/jats:italic>\u2009=\u2009.001). CHL thickness also correlated with disease duration (r\u2009=\u2009\u22120.352, <jats:italic>P<\/jats:italic>\u2009=\u2009.004). Multiple linear regression analysis demonstrated that CHL thickness was significantly associated with restricted ER (r\u2009=\u2009\u22120.293, <jats:italic>P<\/jats:italic>\u2009=\u2009.02) and IR (r\u2009=\u2009\u22120.363, <jats:italic>P<\/jats:italic>\u2009=\u2009.003) after adjusting for age and disease duration. On the other hand, CHL thickness showed no significant correlation with abduction (r\u2009=\u2009\u22120.210, <jats:italic>P<\/jats:italic>\u2009=\u2009.09), flexion (r\u2009=\u2009\u22120.170, <jats:italic>P<\/jats:italic>\u2009=\u2009.176), or total SPADI score (r\u2009=\u20090.176, <jats:italic>P<\/jats:italic>\u2009=\u2009.16). Moreover, CHL was significantly thicker in patients with disease duration &gt;6 months (<jats:italic>P<\/jats:italic>\u2009=\u2009.004, difference in means: 0.55\u2009mm, 95% confidence interval: \u22120.922, \u22120.183).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>CHL was significantly thicker in later\u2010stage AC. CHL thickness correlated negatively with ER and IR of the shoulder. Furthermore, CHL thickening could be observed in the early stage of the disease course. These imaging findings may assist in confirming the diagnosis of AC, leading to early intervention and treatment options.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12432","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T09:30:50Z","timestamp":1591349450000},"page":"461-469","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Evaluating Correlations of <scp>Coracohumeral Ligament<\/scp> Thickness with Restricted Shoulder Range of Motion and Clinical Duration of Adhesive Capsulitis with Ultrasound Measurements"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9212-104X","authenticated-orcid":false,"given":"Pin\u2010Yi","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Taipei Veterans General Hospital  Taipei 11217 Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po\u2010Cheng","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation National Yang Ming University  Taipei Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation National Taiwan University Hospital, Bei\u2010Hu Branch  Taipei 10845 Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu\u2010Ning","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Taipei Veterans General Hospital  Taipei 11217 Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian\u2010Ru","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Taipei Veterans General Hospital  Taipei 11217 Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen\u2010Liang","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Taipei Veterans General Hospital  Taipei 11217 Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation National Yang Ming University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia\u2010Chi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Taipei Veterans General Hospital  Taipei 11217 Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation National Yang Ming University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,18]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Ruptures of the Supraspinatus Tendon and Other Lesions on or about the Subacromial Bursa","author":"Codman EA","year":"1934"},{"key":"e_1_2_7_3_1","first-page":"211","article-title":"Adhesive capsulitis of the shoulder","volume":"27","author":"Neviaser JS","year":"1945","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.07.008"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199207000-00023"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800103"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B5.7559688"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971100-00009"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2008.07.012"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.6173"},{"key":"e_1_2_7_11_1","first-page":"9384974","article-title":"A thickened coracohumeral ligament and superomedial capsule limit internal rotation of the shoulder joint: report of three cases","volume":"2016","author":"Koide M","year":"2016","journal-title":"Case Rep Orthop"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.09.016"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2332031219"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2013.10.017"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-005-0020-5"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0028704"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40477-017-0262-5"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.1993.12.8.445"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-005-0957-0"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-006-0136-y"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790110108"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790040403"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-7-12"},{"key":"e_1_2_7_24_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2015150888"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001812010373"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0b013e31805930f4"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200003000-00012"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3181595c22"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.102561"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.01.016"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496918772367"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12880-016-0159-3"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.5603\/FM.a2017.0031"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpmrj.12432","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12432","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.12432","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12432","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T07:55:35Z","timestamp":1693554935000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.12432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,18]]},"references-count":35,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1002\/pmrj.12432"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.12432","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,18]]},"assertion":[{"value":"2019-11-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}