Frozen shoulder: methods for bringing about early mobilization

Abstract

Frozen shoulder, rare in the young but more easily incurred after age 40, is a result of immobilization from any cause. Atrophy is the first phase, followed by shortening of soft tissues, pain on extension, spasm contractures and adhesions. Mobilization is urgent to prevent contractures. Rotation is the most important exercise, and should be done with the upper arm supported in nearly horizontal extension to prevent the humeral head from impinging on the acromion. From this position the forearm, lifting or pulling down in a forward are against weights and pulleys, restores the rotatory power of the shoulder.