Journal of Novel Physiotherapies
Open Access

Abstract

Shoulder pain is reported to be the most common musculoskeletal disorder after spinal pain. Frozen shoulder syndrome, clinically known as adhesive capsulitis, is a painful and debilitating condition affecting up to 5% of the population. Codman, initially considered frozen shoulder as the condition to be an ‘adherent subacromial bursitis’, but after 15 years of clinical observation, he rejected this in favour of the term frozen shoulder. During a one year period (approximately 1933), clinical concepts suggested that altered muscle activation patterns of the scapulothorasic or rotator cuff muscles contribute towards the dyskinesis and development of pain. Changes in the force couple between the lower trapezius and serratus anterior with the upper trapezius and rhomboids may contribute towards dyskinesis. Posterior glide mobilization was determined to be more effective than anterior glide for improving external rotation range of motion in patients with adhesive capsulitis. In Travell and Simons' classic textbook, the authors described how the subscapularis muscle in particular is referred to as the “Frozen Shoulder” muscle because, trigger points in the subscapularis cause limitations in shoulder elevation and external rotation. In conclusion, adhesive capsulitis is a challenging condition for both the physical therapist and patient. The main focus of my talk will be focusing on the treatment options for frozen shoulder and identifying the most appropriate treatment by stage of frozen shoulder with the help of interventions.

Biography

Email: Fimt02@yahoo.co.in