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Frozen shoulder, also known as adhesive capsulitis, is a painful condition where the movement of the shoulder becomes limited due to thickening and inflammation of the connective tissue surrounding the shoulder joint. It most commonly affects adults aged 40-60 and is more common in women. Risk factors include recent shoulder injuries, strokes, and other health conditions. Symptoms are divided into freezing, frozen, and thawing stages. Treatment focuses on patient education, range of motion exercises, stretching, manual therapy, modalities like ice and electrical stimulation, and dry needling.

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473 views7 pages

Inservice Presentation 1

Frozen shoulder, also known as adhesive capsulitis, is a painful condition where the movement of the shoulder becomes limited due to thickening and inflammation of the connective tissue surrounding the shoulder joint. It most commonly affects adults aged 40-60 and is more common in women. Risk factors include recent shoulder injuries, strokes, and other health conditions. Symptoms are divided into freezing, frozen, and thawing stages. Treatment focuses on patient education, range of motion exercises, stretching, manual therapy, modalities like ice and electrical stimulation, and dry needling.

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Frozen Shoulder

Stephanie Rascon
What is Frozen Shoulder?
● Also called adhesive capsulitis, Is a painful condition in
which the movement of the shoulder becomes limited.
● Occurs when the strong connective tissue surrounding
the shoulder joint become thick, stiff, and inflamed
● The condition is called “frozen” shoulder because the
more pain that is felt, the less likely the shoulder will be
used.
● Lack of use causes the shoulder capsule to thicken and
becomes tight, making the shoulder even more difficult
to move-- it is “frozen” in its position.
Who is at Risk?
● AGE
○ Adults, most commonly between 40-60 years old
● GENDER
○ More common in women than men
● RECENT SHOULDER INJURY
○ Any shoulder injury or surgery that results in the need to keep the shoulder from moving.
○ Examples include a rotator cuff tear and fractures of the shoulder blade, collarbone or
upper arm.
● OTHER HEALTH DISEASES AND CONDITIONS
○ Storke, hypo/hyperthyroidism, parkinson’s disease and heart disease.
○ Stroke is a risk factor for frozen shoulder because movement of the arm and shoulder
may be limited.
○ Why other diseases and conditions increase the risk of developing frozen shoulder is not
clear.
Signs & Symptoms
Symptoms of frozen shoulder are divided into three stages

The “freezing” stage: The “frozen” stage: The “thawing” (recovery)


● In this stage, the shoulder ● In this stage, pain may stage:
becomes stiff and is painful lessen, but the shoulder ● In this stage, pain lessens,
to move. The pain slowly remains stiff. This lasts 2 to and ability to move the
increases. It may worsen at 6 months. shoulder slowly improves.
night. Inability to move the Full or near full recovery
shoulder increases. This occurs as normal strength
stage lasts 6 weeks to 9 and motion return. The
months. stage lasts 6 months to 2
years.
Treatment Interventions
● Patient Education
● PROM>AAROM>ROM of the shoulder
○ Regain ROM before strength
● Jt Mobilization
● Stretching
● Manuel Therapy
● Modalities
○ ICE PACK
○ ULTRASOUND
○ ELECTRICAL STIMULATION
● Dry needling
Video
https://youtu.be/xXsUexaQEp0

● This video demonstrates some exercises and stretches for Frozen


Shoulder
● Will Only observe one exercise
References
Frozen Shoulder (Adhesive Capsulitis): Signs, Diagnosis & Treatment. (n.d.). Retrieved December 07, 2020, from
https://my.clevelandclinic.org/health/diseases/15359-frozen-shoulder

Drjamesdunning, 24, M., & Maugustuspick. (2017, February 10). Dry Needling, Acupuncture & Exercise for Adhesive Capsulitis: Evidence &
Practice Guidelines. Retrieved December 07, 2020, from
https://osteopractor.wordpress.com/2017/02/09/dry-needling-acupuncture-exercise-for-adhesive-capsulitis-evidence-practice-guidelines/

Kelley, M. J., Shaffer, M. A., Kuhn, J. E., Michener, L. A., Seitz, A. L., Uhl, T. L., . . . Mcclure, P. (2013). Shoulder Pain and Mobility Deficits:
Adhesive Capsulitis. Journal of Orthopaedic & Sports Physical Therapy, 43(5). doi:10.2519/jospt.2013.0302

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