Maximizing Total End Range Time is Safe and Effective for the Conservative Treatment of Frozen Shoulder Patients

Abstract

We conclude that a total end range time-maximizing rehabilitation protocol is a safe, effective treatment option for patients with frozen shoulder.

High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder

“…Similar results with the same HIS device used in this study have been reported with shoulder hypomobility [29]. In that study, patients with idiopathic or postoperative adhesive capsulitis who had reached a plateau in their recovery received outpatient PT plus the same adjunct HIS therapy as in the current study.…”

“…Patients were classified by the irritability criteria suggested by Kelley et al (Table 2) [35]. It was suggested that HIS could be disadvantageous for patients with high irritability, but in the study by Dempsey et al [29], all patients showed significantly improved ASES scores and external rotation ROM and abduction ROM, regardless of irritability status.…”

“…A study of more than 60,000 patients with secondary adhesive capsulitis in the knee due to injury or surgery reported that patients receiving an HIS device were at significantly less risk of re-hospitalization or re-operation than those receiving a low-intensity device or PT alone [28]. To our knowledge, only one study has evaluated the use of an HIS device for treating shoulder stiffness [29]. That study dealt with frozen shoulder and is addressed in the discussion.…”

A Specific Multi-Approach Intervention for Adhesive Capsulitis: A Case Report

“…Considering this assessment, to restore the rom and function of the shoulder, with the reestablishment of the scapulo-humeral rhythm we designed a multi-approach protocol combining effective strategies already used by other authors, such as laser therapy , low load prolonged stretch , exercise therapy, trigger point therapy and manual therapy [33,19,[34][35][36]. In the current case report, the treating clinicians utilized a deep pressure soft tissue mobilization technique in conjunction with lllt.…”

“…It has already been reported llps, within each patient´s tolerance level, into various rotation restrictions may result in safe, effective and timely return to elevation rom [1,19]. nevertheless, it is important to note in which phase of adhesive capsulitis the patient is to decide to whether use the technique or not since the chosen intensity must allway be "beneath the pain threshold".…”