• Phys Ther Sport · Feb 2014

    Review

    New concepts in restoring shoulder elevation in a stiff and painful shoulder patient.

    • Robert Donatelli, R M Ruivo, Michael Thurner, and Mahmoud Ibrahim Ibrahim.
    • Outreach Sports Programs Physiotherapy Associates, 5920 South Rainbow Blvd Suite One, Las Vegas, NV 89118, USA. Electronic address: Bobbyd1950@gmail.com.
    • Phys Ther Sport. 2014 Feb 1; 15 (1): 3-14.

    AbstractThe treatment and evaluation of a stiff and painful shoulder, characteristic of adhesive capsulitis and "frozen" shoulders, is a dilemma for orthopedic rehabilitation specialists. A stiff and painful shoulder is all-inclusive of Adhesive capsulitis and Frozen Shoulder diagnoses. Adhesive capsulitis and frozen shoulder will be referred to as a stiff and painful shoulder, throughout this paper. Shoulder motion occurs in multiple planes of movement. Loss of shoulder mobility can result in significant functional impairment. The traditional treatment approach to restore shoulder mobility emphasizes mobilization of the shoulder overhead. Forced elevation in a stiff and painful shoulder can be painful and potentially destructive to the glenohumeral joint. This manuscript will introduce a new biomechanical approach to evaluate and treat patients with stiff and painful shoulders. Copyright © 2013 Elsevier Ltd. All rights reserved.

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