Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Home Based Exercise Program for Frozen Shoulder- Follow-up of 36 Idiopathic Frozen Shoulder Patients


Affiliations
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, India
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, India
     

   Subscribe/Renew Journal


Introduction: Adhesive capsulitis or frozen shoulder is a condition characterized by generalized pain and stiffness with progressive global restricted motion of the shoulder1. There are many variations of physical therapy protocol .Most of the protocols are extensive and do not suite the Indian scenario as most of the patients are not involved in active sports or high end activities. Furthermore, the compliance of the patient is not good and cost of physiotherapy is high. Hence, we decided to develop and validate a Shoulder Accelerated Rehabilitation Protocol (SHARP) for patients with frozen shoulder in our Indian scenario.

Method and Material: Thirty six consecutive idiopathic frozen shoulder patients with a painful shoulder of more than 4 weeks and less than 6 months duration and with limitation of active and passive range of movement greater than 25% in abduction and external rotation compared with the other shoulder were selected and subjected to the SHARP protocol.

RESULTS: The mean constant shoulder score at the start of protocol was 26.69 (SD- 8.522), which improved to 98.58 (SD-2.892) at 15 months. Maximum patients reached a constant shoulder score of 100 at 15 months (22 patients). The mean VAS score for pain at the start of the protocol was 7.14 (SD-1.222) which improved to 0 at 18 months.

Conclusion: SHARP is a non-invasive, easy to follow and reproduce, home based exercise program effective in early improvement of pain and disability in patients with frozen shoulder


Keywords

Adhesive Capsulitis, Frozen Shoulder, Shoulder Accelerated Rehabilitation Protocol (SHARP)
Subscription Login to verify subscription
User
Notifications
Font Size


  • Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol 1975; 4:193–6

  • Grubbs N. Frozen shoulder syndrome: a review of literature. J Orthop Sports Phys Ther 1993;18: 479–87

  • Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen shoulder: a long-term prospective study. Ann Rheum Dis 1984;43:361–4

  • Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis. 1972;31: 69–71.

  • Wohlgethan J. Frozen shoulder in hyperthyroidism. Arthritis Rheum. 1987;30: 936–939

  • Bowman C, Jeffcoate WJ, Pattrick M, Doherty M. Bilateral adhesive capsulitis, oligoarthritis and proximal hypothyroidism.Br J Rheum. 1988;27:62–4

  • Choy E, Corkill M, Gibson T, Hicks B. Isolated ACTH deficiency presenting with bilateral frozen shoulder. Br J Rheum. 1991;30:226–227

  • Riley D, Lang A, Blair R, Birnbaum A, Reid B. Frozen shoulder and other shoulder disturbances in Parkinson’s disease. J Neurol Neurosurg. 1989;52:63–6

  • Boyle-Walker K, Gabard GL, Bietsch E, Masek- Van Arsdale DM, Robinson DL. A profile of patients with adhesive capsulitis. J Hand Ther. 1997;10:222–228

  • Tuten HR, Young DC, Douoguih WA, Lenhardt KM, Wilkerson JP, Adelaar RS, et al. Adhesive capsulitis of the shoulder in male cardiac surgery patients. Orthopedics. 2000; 23:693–696

  • Jayson M. Frozen shoulder: Adhesive capsulitis. Br Med J.1981;283:1005–1006

  • Reeves B. The natural history of the frozen shoulder syndrome.Scand J Rheumatol 1975;4:193-196

  • Wadsworth C. Frozen shoulder. Phys Ther. 1986;66:1878–83

  • Constant CR, Murley AG. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987; 214: 160–164.

  • Ogilvie-Harris DJ, Biggs DJ, Fitsialos DP, MacKay M. The resistant frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop 1995;319:238-248.

  • Steinbrocker O, Argyros TG. Frozen shoulder: treatment by local injections of depot corticosteroids. Arch Phys Med Rehabil 1974;55:209-213.

  • Thomas D, Williams RA, Smith DS. The frozen shoulder: a review of manipulative treatment. Rheumatol Rehabilitation 1980; 19:173-179

  • Rizk TE, Gavant ML, Pinals RS. Treatment of adhesive capsulitis (frozen shoulder) with arthrographic capsular distension and rupture.Arch Phys Med Rehabil 1994;75:803-807

  • M M Widiastuti-Samekto, GP Sianturi. Frozen shoulder syndrome: comparison of oral route corticosteroids and intra-articular corticosteroid infection. Med J Malaysia 59(3);312-6 (2004), PMID.

  • Dudkiewicz I,Oran A, Salai M, Palti R, Pritsch M. Idiopathic adhesive capsulitis : long term results of conservative treatment. Isr Med Assoc J. 2004; 6:524-6.

  • Farrell CM, Sperling JW, Cofield RH. Manipulation for frozen shoulder: long-term results. J Shoulder Elbow Surg 2005; 14:480-4


Abstract Views: 546

PDF Views: 0




  • Home Based Exercise Program for Frozen Shoulder- Follow-up of 36 Idiopathic Frozen Shoulder Patients

Abstract Views: 546  |  PDF Views: 0

Authors

S. M. Shishir
Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, India
M. Manoj Abraham
Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, India
R. Kanagasabai
Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, India
Syed Najimudeen
Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, India
James J. Gnanadoss
Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, India

Abstract


Introduction: Adhesive capsulitis or frozen shoulder is a condition characterized by generalized pain and stiffness with progressive global restricted motion of the shoulder1. There are many variations of physical therapy protocol .Most of the protocols are extensive and do not suite the Indian scenario as most of the patients are not involved in active sports or high end activities. Furthermore, the compliance of the patient is not good and cost of physiotherapy is high. Hence, we decided to develop and validate a Shoulder Accelerated Rehabilitation Protocol (SHARP) for patients with frozen shoulder in our Indian scenario.

Method and Material: Thirty six consecutive idiopathic frozen shoulder patients with a painful shoulder of more than 4 weeks and less than 6 months duration and with limitation of active and passive range of movement greater than 25% in abduction and external rotation compared with the other shoulder were selected and subjected to the SHARP protocol.

RESULTS: The mean constant shoulder score at the start of protocol was 26.69 (SD- 8.522), which improved to 98.58 (SD-2.892) at 15 months. Maximum patients reached a constant shoulder score of 100 at 15 months (22 patients). The mean VAS score for pain at the start of the protocol was 7.14 (SD-1.222) which improved to 0 at 18 months.

Conclusion: SHARP is a non-invasive, easy to follow and reproduce, home based exercise program effective in early improvement of pain and disability in patients with frozen shoulder


Keywords


Adhesive Capsulitis, Frozen Shoulder, Shoulder Accelerated Rehabilitation Protocol (SHARP)

References