{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:03:45Z","timestamp":1789625025593,"version":"build-2803163510"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"\n Objective<\/jats:title>\n To compare 4-week short-term outcomes associated with adding supervised joint mobilization to ultrasound-guided suprascapular nerve block (SSNB) plus home exercise in patients with frozen shoulder and to explore factors associated with poor treatment response.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This single-center retrospective cohort study included 124 patients with frozen shoulder who received SSNB between January 2024 and December 2024. The basic-treatment group received SSNB plus home exercise (\n n<\/jats:italic>\n \u2009=\u200958), and the combined-treatment group received the same basic treatment plus supervised joint mobilization (\n n<\/jats:italic>\n \u2009=\u200966). VAS pain score, shoulder range of motion, Constant-Murley Score (CMS), Shoulder Pain and Disability Index (SPADI), clinical response, and adverse events were evaluated at baseline and\/or at 4 weeks. Continuous 4-week outcomes were analyzed by ANCOVA with adjustment for the corresponding baseline value and age; poor response was additionally analyzed by logistic regression adjusted for age and baseline VAS.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n After adjustment for the corresponding baseline value and age, compared with the basic-treatment group, the combined-treatment group had a lower VAS score [adjusted mean difference (AMD), \u22120.78; 95% CI, \u22121.37 to \u22120.19;\n P<\/jats:italic>\n \u2009=\u20090.010], greater forward flexion, abduction, and external rotation (AMD, 4.78\u00b0, 4.03\u00b0, and 3.38\u00b0, respectively; all\n P<\/jats:italic>\n \u2009&lt;\u20090.05), and a lower SPADI total score (AMD, \u22126.80; 95% CI, \u221211.08 to \u22122.53;\n P<\/jats:italic>\n \u2009=\u20090.002). The adjusted between-group difference in CMS total score was not statistically significant (AMD, 3.42; 95% CI, \u22120.50 to 7.35;\n P<\/jats:italic>\n \u2009=\u20090.087). The overall response rate was 89.39% in the combined-treatment group and 70.69% in the basic-treatment group; after adjustment for age and baseline VAS, combined treatment was associated with lower odds of poor response (adjusted OR, 0.319; 95% CI, 0.117\u20130.868;\n P<\/jats:italic>\n \u2009=\u20090.025). Adverse-event rates did not differ significantly between groups (\n P<\/jats:italic>\n \u2009=\u20090.147).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n In this single-center retrospective cohort, adding supervised joint mobilization to SSNB plus home exercise was associated with better 4-week pain, range-of-motion, and SPADI outcomes after adjustment for age and corresponding baseline values; the adjusted CMS difference was not statistically significant. These findings represent short-term associations and do not establish causality or long-term benefit.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fmed.2026.1943410","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:32:21Z","timestamp":1789623141000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Short-term outcomes of adding supervised joint mobilization to ultrasound-guided suprascapular nerve block plus home exercise for frozen shoulder: a single-center retrospective cohort study"],"prefix":"10.3389","volume":"13","author":[{"given":"Xi","family":"Chen","sequence":"first","affiliation":[{"name":"School of Medicine, Tongji University","place":["Shanghai, China"]},{"name":"Department of Anesthesiology, Jing'an District Central Hospital","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Zhangzhou Zhengxing Hospital","place":["Zhangzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Yangpu Hospital, Tongji University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Medicine, Tongji University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kangxiang","family":"Guo","sequence":"additional","affiliation":[{"name":"School of Medicine, Tongji University","place":["Shanghai, China"]},{"name":"Department of Rehabilitation Medicine, Hengdian Wenrong Hospital","place":["Dongyang, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1038\/s41572-022-00386-2","article-title":"Frozen shoulder","volume":"8","author":"Millar","year":"2022","journal-title":"Nat Rev Dis Primers"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e062377","DOI":"10.1136\/bmjopen-2022-062377","article-title":"Diabetes as a risk factor for the onset of frozen shoulder: a systematic review and meta-analysis","volume":"13","author":"Dyer","year":"2023","journal-title":"BMJ Open"},{"key":"B3","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1186\/s12891-024-07614-8","article-title":"Factors associated with frozen shoulder in adults: a retrospective study","volume":"25","author":"Abudula","year":"2024","journal-title":"BMC Musculoskelet 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