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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
     

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

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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