Frozen Shoulder: Physical Therapy/Physiotherapy

Frozen shoulder also called adhesive capsulitis. It is characterized as pain and joint stiffness. The condition comes and gradually limits your ability to move your arm.

Physical therapy involves therapeutic modalities and procedure to reduce pain and stiffness and range of motion exercise improves the mobility of joints.

Physical therapy is also important as well as medical treatment to treat frozen shoulder. Here is a step by step program of exercise to help you to get started treating your frozen shoulder.

  1. Passive range of motion exercises

Passive range of motion exercise performs by the physical therapist. Passive range of motion exercise is more useful in the early stage of treatment when your active range of motion is restricted due to stiffness.

Passive range of exercise includes flexion, abduction and internal rotation. This helps to keep your shoulder totally relaxed during ROM exercise. You may use a pulley system to help provide ROM to your shoulder.

2. Shoulder towel stretches

Towel stretches technique used for internal rotation stretch commonly referred to as “hand behind back” stretch. It may help to stretch the rotator cuff muscles and joint capsules.

3. Active range of motion exercise     

  

When you get some degree of movement through PROM exercise, you should move your arm by yourself. Active ROM exercises can help you start using your arm normally, and it can help your muscle to work normally. Also you can do this type of exercise at home. AROM exercise includes flexion, abduction and internal rotation for 10 to 15 repetitions.

4. Isometrics exercise

As you improving your shoulder mobility with stretching and ROM exercise, it’s time to start strengthen your muscle. Start with rotator cuff muscle strengthening by isometrics exercise.

These exercises are simple to perform with no equipment and they can improve the neuromuscular recruitment of your rotator cuff muscles. To perform this exercise simply press into a wall in a specific direction. Hold and press for five seconds, and then release for 10 to 15 repetition three times a day.

5. Scapular stabilization exercises

Scapular stabilization exercises can help you get control of shoulder blade so that it can moves normally. Scapular exercise is one type of compensatory strategy to move your arm.

The exercises can be performed on your bed. To do stabilization exercise perform the prone row and the porn row “I, T and Y” exercise for 10 to 15 repetitions.

6. Strengthening with resistance band

Use the band as resistance to improve flexion, abduction, internal rotation and external rotation muscle strength. Perform each exercise 10 to 15 repetition once a day. It may also use to strengthen rotator cuff muscle.

If you have frozen shoulder, it is important to use specific exercises and motions directed by your physical therapist.

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