Optimum Health Physical Therapy - QUALITY Of Care Matters! We Are Here For YOU
RSS

Recent Posts

Avoid slips and falls in icy conditions
Frozen Shoulder
Staying in Shape This Summer !
Tension Headaches

Categories

Fitness
frozen shoulder
Heaches
mobility
neck
Pain
Physical Therapy
shape
shoulder
staying in shape
stiffness
Tension
tightness
powered by

My Blog

Frozen Shoulder

Frozen Shoulder
Adhesive capsulitis, also known as frozen shoulder, is a condition characterized by pain and significant loss of both active range of motion (AROM) and passive range of motion (PROM) of the shoulder. While many classification systems are proposed in the literature, frozen shoulder is most commonly classified as either primary or secondary. Primary frozen shoulder is idiopathic in nature, and radiographs appear normal. Secondary frozen shoulder develops due to some disease process, which can further be classified as systemic, extrinsic, or intrinsic. Systemic secondary frozen shoulder develops due to underlying systemic connective tissue disease processes, and causes include diabetes mellitus, hypo- or hyperthyroidism, hypoadrenalism. Extrinsic secondary frozen shoulder occurs from pathology not related to the shoulder, such as cardiopulmonary disease, CVA, cervical disc pathology, humeral fracture, and Parkinsons. Intrinsic secondary frozen shoulder results from known shoulder pathology, including but not
limited to rotator cuff tendinopathy, GH arthropathy, and AC arthropathy.
Frozen shoulder usually affects patients aged 40-70, with females affected more than males, and no predilection for race. There is a higher incidence of frozen shoulder among patients with diabetes (10-20%), compared with the general population (2-5%). There is an even greater incidence among patients with insulin dependent diabetes (36%), with increased frequency of bilateral shoulder involvement.
 
Problem List(identify impairment(s) and/or dysfunction(s)
Impairments:
1. Pain
2. Impaired joint play and ROM in capsular pattern
3. Postural deviations such as protracted scapula and anterior tipping of the scapula and rounded shoulders
4. Decreased arm swing during gait
5. General muscle weakness, poor endurance in glenohumeral (GH) musculature with resultant overuse of the scapular muscles.
 
Prognosis:Adhesive capsulitis can last 12 to 18 months, with 3 distinct phases. The first phase can last 2-9 months, the second phase 4-12 months and the last phase, the thawing phase, from 6-9 months.
 
Goals (measurable parameters and specific timelines to be included on evaluation form):
The patient will:
1. Demonstrate knowledge of self management of symptoms
2. Demonstrate independent knowledge of home exercise program
3. Increase ROM of all affected motions to equal ROM on the unaffected side
4. Demonstrate normal postural alignment
5. Demonstrate normal UE motion during gait
6. Demonstrate highest level of muscular performance on involved UE and scapular musculature.
 
Interventions most commonly used for this case type/diagnosis:
This section is intended to capture the most commonly used interventions for this case type/diagnosis. It is not intended to be either inclusive or exclusive of appropriate interventions.
1. ROM exercises including pendulum exercises, PROM, AAROM, AROM
2. TENS for pain relief
3. Strengthening exercises within pain free range
4. Joint mobilization: grades I-II used in the early stages to inhibit pain and to improve joint nutrition, grades III-IV to increase tissue extensibility
5. Moist heat
6. Stretching
7. Muscle reeducation to regain normal GH and scapulothoracic biomechanics.
 
Frequency & Duration:
Frequency and duration of treatment are both dependent on the stage that the patient is in. In the initial stages, physical therapy (PT) 2-3 times per week for instruction in home exercise program, patient education, postural awareness education so the patient is able to self manage symptoms and prevent secondary impairments in the UE and shoulder girdle musculature. In the later stages, when the patient is thawing, PT 3-4 times per week.
 
Patient / family education:
1. Time Frames of healing and of each stage
2. Pathology and natural history of the disorder
3. Role of PT in rehabilitation
4. Home exercise program including strengthening and AROM/AAROM/PROM
5. Pain management techniques.

53 Comments to Frozen Shoulder:

Comments RSS
mobile mechanic sydney on Friday, June 13, 2014 7:07 AM
It is extremely helpful for me. Thank you for taking the time to discuss this,Commercial Real Estate Review. I feel strongly about it and love learning more on this topic. If possible, as you gain expertise, would you mind updating your blog with more information.
Reply to comment


2 day first aid course on Friday, June 13, 2014 7:18 AM
I used to be suggested this blog by way of my cousin. I am now not sure whether or not this submit is written by way of him as nobody else recognise such exact about my difficulty. You are incredible! Thank you.....
Reply to comment


Steev on Tuesday, July 08, 2014 5:19 AM
Nice post...We agree with you. For your kind information, we would love to tell you that we offere TENS units that are extraordinary at relieving back pain, neck pain, arthritis aches, migraines, joint pain, sports injuries, and many other types of chronic and acute pain.
Reply to comment


building collapse on Thursday, September 04, 2014 4:46 AM
thank for sharing this with all of us. Of course, what a great site and informative posts, I will bookmark this site. Great article!
Reply to comment


Pamela J. on Tuesday, September 23, 2014 1:18 PM
This specific Payday/Installment Mortgage credit will permit you to using individuals sudden charges or it could be this sort of sudden earnest circumstance. On the off chance that you have having getting an expenses which will can't hang on till your seeking after payday upgrade can come, could be obtained in so you would You be able to Payday trade changes in for cold hard currency expansion to utilize our Payday/Installment Mortgage credit in the event that you are acquired simply the measure of on the off chance that you are sensible.
Reply to comment


foot reflexology london on Saturday, January 03, 2015 2:36 PM
I’m extremely impressed AND ALSO your current way inside words-at all likewise because of the layout In the same way portion of a weblog. you make use of in 2010 have managed to be able to catch the attention involving quite a few It seems, keep It up!!!!!!
Reply to comment


lafayette co physical therapy on Friday, March 13, 2015 11:51 AM
Thank you for taking the time to discuss this, You have discussed very well,, I think Physical therapy will help you to get rid of frozen therapy...
Reply to comment


Tents on Saturday, April 15, 2017 2:53 AM
it is an informative post. thank you so much for share.
Reply to comment


MP Customize on Monday, April 17, 2017 8:41 PM
it is an informative post. thank you so much for share.
Reply to comment


Lawrence Parks on Tuesday, September 05, 2017 2:17 AM
Firstly thank you so much for sharing this informative article with us.You explained it very well and i think Physical therapy is the best solution for relief our body pain and it works very fast.
Reply to comment


best resume builder company on Saturday, September 09, 2017 12:46 AM
Frozen shoulder is known as the great disease for the holding and supporting of the shoulder.It make a worst part and can be clerify by the different type of disease.There are also a type of un known disease which cannot be describe.
Reply to comment


www on Wednesday, October 18, 2017 1:52 AM
Great article!
Reply to comment


www on Wednesday, October 18, 2017 1:55 AM
Really very impressive and helpful for all,keep it up. Mainly sharing about model intensive workshop billings model preparing some advice,keep it up.
Reply to comment


www on Wednesday, October 18, 2017 1:56 AM
Great site!
Reply to comment


www on Wednesday, October 18, 2017 1:57 AM
Great content!
Reply to comment


www on Sunday, December 17, 2017 12:40 PM
Great site!
Reply to comment


www on Sunday, December 17, 2017 1:25 PM
Great site!
Reply to comment


www on Monday, December 18, 2017 11:27 AM
Great site!
Reply to comment


www on Monday, December 18, 2017 11:41 AM
Great article!
Reply to comment


www on Tuesday, December 19, 2017 3:37 AM
Great site!
Reply to comment


www on Tuesday, December 19, 2017 10:00 AM
Great site!
Reply to comment


www sizegenetics on Monday, January 08, 2018 12:01 PM
Great article!
Reply to comment


website on Monday, January 08, 2018 12:40 PM
Great job!
Reply to comment


patch on Monday, January 08, 2018 1:30 PM
great article!
Reply to comment


vigrx on Monday, January 08, 2018 1:43 PM
Great site!
Reply to comment


top 5 enhancement pills on Monday, March 19, 2018 10:36 AM
Great article!
Reply to comment


www on Monday, March 19, 2018 10:57 AM
Great job1
Reply to comment


www on Monday, March 19, 2018 10:57 AM
Great article!
Reply to comment


Top 5 on Thursday, March 22, 2018 6:12 AM
Awesome site!
Reply to comment


reveiws on Thursday, March 22, 2018 6:22 AM
Great site!
Reply to comment


x4labs review on Thursday, May 03, 2018 2:25 PM
Great site!
Reply to comment


vigrx plus review on Thursday, May 03, 2018 2:35 PM
Great site!
Reply to comment


prosolution reveiw on Thursday, May 10, 2018 10:46 AM
Great site!
Reply to comment


prosolution review on Thursday, May 10, 2018 11:07 AM
Great site!
Reply to comment


prosolution review on Thursday, May 10, 2018 11:14 AM
Awesome site!
Reply to comment


prosolution review on Thursday, May 10, 2018 11:22 AM
Great job!
Reply to comment


prosolution revewi on Thursday, May 10, 2018 11:30 AM
Great article!
Reply to comment


vigrx plus review on Thursday, May 10, 2018 11:40 AM
Great job!
Reply to comment


vigrx plus review on Thursday, May 10, 2018 11:48 AM
Great site!
Reply to comment


vigrx plus review on Thursday, May 10, 2018 12:10 PM
Great job!
Reply to comment


vigrx plus review on Thursday, May 10, 2018 12:18 PM
Great site!
Reply to comment


vigrx plus review on Thursday, May 10, 2018 12:25 PM
Great site!
Reply to comment


Mani on Saturday, May 12, 2018 7:37 AM
Thanks for sharing the info and remedy.
Reply to comment


sizegenteics review on Tuesday, May 22, 2018 6:47 AM
Great site!
Reply to comment


vigrx plus review on Tuesday, May 22, 2018 7:01 AM
Great site!
Reply to comment


Stanley Jeppesen on Saturday, July 21, 2018 11:42 PM
For a limited time we have lowered the rate on targeted website traffic. We have visitors from virtually every country on Earth. Each visitor is targeted by both country and keywords that you submit when you start your free trial period. If you need more visitors or product sales try our service free for seven days and we will send you 500 free visitors during the trial. There are no contracts and if you cancel during the trial period you will not be charged anything! Start your trial today: http://duckshop.co/1f1p Unsubscribe here: http://stpicks.com/2ruse
Reply to comment


http://descargarandroidapks.com/es/descargar-lucky-patcher/ on Saturday, August 18, 2018 9:42 AM
http://descargarandroidapks.com/es/descargar-lucky-patcher/
Reply to comment


Jermaine Melton on Thursday, September 13, 2018 8:07 PM
For a limited time we have lowered the rate on targeted website traffic. We have visitors from virtually every country on Earth. Each visitor is targeted by both country and keywords that you submit when you start your free trial period. If you need more visitors or product sales try our service free for seven days and we will send you 500 free visitors during the trial. There are no contracts and if you cancel during the trial period you will not be charged anything! Start your trial today: http://stpicks.com/2rusd Unsubscribe here: http://stpicks.com/2ruse
Reply to comment


Wasserman Chiropractic on Sunday, October 07, 2018 11:55 PM
Frozen shoulder is a condition in which the shoulder is stiff, painful and has limited motion in all directions. It is also known as adhesive capsulitis, is a condition that causes restriction of motion and pain in the shoulder joint. Wasserman Chiropractic offers the Physical therapy in Coral Springs. We makes it easy to schedule and enjoy the latest, most effective and comprehensive care in a single, convenient location.
Reply to comment


Aberdeen Physical Therapy on Monday, October 15, 2018 3:39 AM
Physical therapy is the most common treatment for a frozen shoulder and is actively works on the shoulder flexibility & is therefore the main recommendation for treating frozen shoulder. Frozen shoulder is when inflammation of the shoulder capsule occurs & can be caused due to an injury or a surgery near or of the shoulder area or diabetes. Want more information? Please contact Aberdeen Physical Therapy.
Reply to comment


Research papers writing service on Thursday, October 25, 2018 2:54 AM
We Also Share Some Information About Our Business
Reply to comment


Cryptocurrency Technical Analysis on Thursday, October 25, 2018 5:28 AM
Those Who Come To Read Your Article Will Find Lots Of Helpful And Informative Tips
Reply to comment


loegmrntdherid1 on Friday, November 30, 2018 2:31 AM
Thanks for sharing the such information with us.
Reply to comment

Add a Comment

Your Name:
Email Address: (Required)
Website:
Comment:
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment