Despite the availability of numerous treatment modalities for frozen shoulder, spanning from nonsurgical approaches to surgical interventions, a consensus regarding the most effective treatment remains elusive. Current studies emphasize that pain in frozen shoulder affects central nervous system activity and leads to changes in cortical structures, which are responsible for processing sensory information (like pain) and controlling motor functions (like movement). These cortical changes highlight the importance of including the central nervous system in the management of frozen shoulder. It is therefore recommended that treatment should provide more effective management by focusing not only on the shoulder region but also on the cortical areas thought to be affected.

中文翻译：

---

整合分级运动意象训练是否增强了多模式物理治疗计划对肩周炎患者的疗效？一项随机对照试验。


尽管肩周炎有多种治疗方法，从非手术方法到手术干预，但关于最有效治疗方法的共识仍然难以达成。目前的研究强调，肩周炎疼痛会影响中枢神经系统活动并导致皮质结构发生变化，皮质结构负责处理感觉信息（如疼痛）和控制运动功能（如运动）。这些皮质变化突出了将中枢神经系统纳入肩周炎管理的重要性。因此，建议治疗应提供更有效的管理，不仅要关注肩部区域，还要关注被认为受影响的皮质区域。