THE ROLE OF PHYSIOTHERAPY IN TREATMENT OF FROZEN SHOULDER

Sylejman Miftari, Naser Lahu

Frozen shoulder or Adhesive capsulitis is an inflammatory condition of the shoulder joint capsule of unknown cause that leads to pain, stiffness and significant loss of shoulder function. Frozen shoulder is more common in the 40-60 year age group, females are affected more than males and it can sometimes be bilateral. Widmer (2011) The movements of the human shoulder represent the result of a complex dynamic interplay of structural bony anatomy and biomechanics, static ligamentous and tedious restraints, and dynamic muscle forces. Glenn, Terry, C & Choop, M (2000) The pain usually progresses to constant pain at rest that is aggravated by all movements of the shoulder and that may be worsened by repetitive movements of the involved upper extremity, psychological stress, exposure to cold or vibration, and changes in the weather. In approximately 90% of patients with FS, this pain usually lasts 1-2 years before subsiding. (André Roy et al., 2009) Physiotherapy treatment is the first option of frozen shoulder and plays a significant role in his treatment. In many physical therapy programs for subjects with adhesive capsulitis of the shoulder, mobilization techniques are an important part of the intervention. Vermeulen et al. (2006) Our practice has found many patients that are presented with these symptoms and this is the clinical reason to study and treat a problem that is so frequent and mysterious. During the research of the past few years, it is identified more closely what this diagnosis means and how to handle this problem. According to Diercks RL and Stevens M - Non-aggressive physical therapy interventions are generally more effective than aggressive or intensive interventions.

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