Adhesive capsulitis: use the evidence to integrate your interventions

Abstract

Frozen shoulder syndrome, clinically known as adhesive capsulitis, is a painful and debilitating condition affecting up to 5% of the population. Adhesive capsulitis is considered fibrosis of the glenohumeral joint capsule with a chronic inflammatory response. Patients experience pain, limited range of motion, and disability generally lasting anywhere from 1 to 24 months. The purpose of this clinical suggestion is to review the pathophysiolgy of adhesive capsulitis and discuss physical therapy interventions which are supported by evidence, thereby enhancing evidence-based practice.

Keywords: Adhesive capsulitis; physical therapy interventions.

Figure 1:

Spray and Stretch® technique for treatment of the subscapularis. (Copyright, Gebauer Company, used with permission.)

Figure 2:

Instrument-assisted Graston Technique® for treatment of the pectoral fascia. (Used with permission, Graston Technique®).

Figure 3:

“Shoulder Sling” exercise designed to facilitate “setting” of the rotator cuff. Place an elastic loop under the elbow and around the neck and opposite shoulder. Simultaneously depress your shoulder and initiate abduction against the band resistance, pushing your elbow in a “down and out” motion. Do not actually move the arm away from the body. (Used with permission, The Hygenic Corporation).

Figure 4:

Kinesiological Taping Technique: Postural Spider (Used with permission, SpiderTech).