Abstract：
BACKGROUND: Frozen shoulder is a common disorder that can lead to long-lasting impairment in shoulder-related daily activities. Traditional Chinese medicine (TCM) has played an important role in the effort to manage frozen shoulder.
OBJECTIVE: We aimed to develop an evidence-based guideline for treating frozen shoulder with traditional Chinese medicine.
METHODS: Evidence-based guideline.
METHODS: We developed this guideline based on internationally recognized and accepted guideline standards. The guideline development group used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to rate the certainty of evidence and the strength of recommendations. The benefits and harms, resources, accessibility, and other factors were fully taken into account, and the GRADE grid method was used to reach consensus on all recommendations.
RESULTS: We established a multidisciplinary guideline development panel. Based on a systematic literature search and a face-to-face meeting, nine clinical questions were identified. Finally, twelve recommendations were reached by consensus, comprehensively considering the balance of benefits and harms, certainty of evidence, costs, clinical feasibility, accessibility, and clinical acceptability.
CONCLUSIONS: This guideline panel made twelve recommendations, which covered the use of manual therapy, acupuncture, needle knife, Cheezheng Xiaotong plaster, Gutong plaster, exercise therapy and integrated TCM and Western medicine, such as combined modalities and corticosteroid injections. Most of them were weakly recommended or consensus based. The users of this guideline are most likely to be clinicians and health administrators.
OBJECTIVE: We aimed to develop an evidence-based guideline for treating frozen shoulder with traditional Chinese medicine.
METHODS: Evidence-based guideline.
METHODS: We developed this guideline based on internationally recognized and accepted guideline standards. The guideline development group used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to rate the certainty of evidence and the strength of recommendations. The benefits and harms, resources, accessibility, and other factors were fully taken into account, and the GRADE grid method was used to reach consensus on all recommendations.
RESULTS: We established a multidisciplinary guideline development panel. Based on a systematic literature search and a face-to-face meeting, nine clinical questions were identified. Finally, twelve recommendations were reached by consensus, comprehensively considering the balance of benefits and harms, certainty of evidence, costs, clinical feasibility, accessibility, and clinical acceptability.
CONCLUSIONS: This guideline panel made twelve recommendations, which covered the use of manual therapy, acupuncture, needle knife, Cheezheng Xiaotong plaster, Gutong plaster, exercise therapy and integrated TCM and Western medicine, such as combined modalities and corticosteroid injections. Most of them were weakly recommended or consensus based. The users of this guideline are most likely to be clinicians and health administrators.
摘要：
背景：冻结肩是一种常见疾病，可导致与肩关节相关的日常活动的长期损害。中医在治疗肩周炎的努力中发挥了重要作用。
目的：我们的目的是制定一个基于证据的中医治疗肩周炎的指南。
方法：循证指南。
方法：我们根据国际公认和公认的指南标准制定了本指南。指南开发小组使用了建议评估的分级，发展,和评估(等级)方法来评估证据的确定性和建议的强度。好处和危害，资源,可访问性,充分考虑了其他因素，并使用等级网格方法就所有建议达成共识。
结果：我们建立了一个多学科指南开发小组。在系统的文献检索和面对面会议的基础上，确定了9个临床问题。最后,通过协商一致达成了十二项建议，综合考虑利弊平衡，证据的确定性,成本,临床可行性，可访问性,和临床可接受性。
结论：本指南小组提出了十二项建议，涵盖了手动治疗的使用，针灸,针刀,cheeezhing消痛膏药，古通石膏,运动疗法和中西医结合，如联合方式和皮质类固醇注射。其中大多数是弱推荐或基于共识的。本指南的用户最有可能是临床医生和健康管理员。
目的：我们的目的是制定一个基于证据的中医治疗肩周炎的指南。
方法：循证指南。
方法：我们根据国际公认和公认的指南标准制定了本指南。指南开发小组使用了建议评估的分级，发展,和评估(等级)方法来评估证据的确定性和建议的强度。好处和危害，资源,可访问性,充分考虑了其他因素，并使用等级网格方法就所有建议达成共识。
结果：我们建立了一个多学科指南开发小组。在系统的文献检索和面对面会议的基础上，确定了9个临床问题。最后,通过协商一致达成了十二项建议，综合考虑利弊平衡，证据的确定性,成本,临床可行性，可访问性,和临床可接受性。
结论：本指南小组提出了十二项建议，涵盖了手动治疗的使用，针灸,针刀,cheeezhing消痛膏药，古通石膏,运动疗法和中西医结合，如联合方式和皮质类固醇注射。其中大多数是弱推荐或基于共识的。本指南的用户最有可能是临床医生和健康管理员。
