EFFECTIVENESS OF COMBINATION THERAPY AND SHOULDER GLIDES ON FROZEN SHOULDER: A CASE REPORT

Abstract

Frozen shoulder is the gradual loss of movement in the shoulder (glenohumeral) joint. When the shoulder is frozen, the joint has become stiff and its movement is limited. It is also called adhesive capsulitis and commonly treated by manual therapy and exercise, usually delivered together as components of a physical therapy intervention. The differential diagnosis includes biceps tendinopathy, glenohumeral osteoarthritis, neoplasm, rotator cuff tendinopathy or tear (with or without impingement), and subacromial and subdeltoid. The case report is based on use of combination therapy and shoulder glides to reduce the pain and improve the Range of motion of the joint. Combination therapy comprises of transcutaneous electrical nerve stimulation and ultrasonic therapy at different intensities according to different musculoskeletal conditions. Outcome measure used were Numerical Pain Rating Scale for pain and universal goniometer for measuring range of motion. In conclusion, the study supports the use of combination therapy and shoulder glides are beneficial in reducing pain and improve shoulder Range of motion in patients with case of Frozen shoulder. Keywords: Frozen shoulder, transcutaneous electrical nerve stimulation, ultrasonic therapy, range of motion, numerical pain rating scale, pain.