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Frozen Shoulder Evidence Based Treatments [Physical Therapist Guide]
To go along with today's episode I have a nice infographic to share...
Frozen Shoulder Evidence Based Cheat Sheet
Click HERE to Download FREE
Grab the rest of the Mini Course and Sign up for the Certification Pre-sale list:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- The Fitness Pain Free Certification
This video dives into effective strategies for treating frozen shoulder, a common and frustrating injury. We will guide you through a step-by-step approach to get your patients back to peak performance.
This evidence-based approach goes beyond the basics, equipping you to:
- Distinguish between frozen shoulder and rotator cuff issues.
- Effectively manage inflammation without hindering progress.
- Employ the most up-to-date techniques to restore pain-free range of motion.
- Prescribe the right exercises to rebuild strength in the rotator cuff and scapular stabilizers.
In this video, you'll also learn about:
- Patient education for positive outcomes.
- The role of cortisone injections in treatment.
- How to modify activities to minimize pain.
- Using heat and electrical stimulation (e-stim) for pain management.
- The most effective stretching techniques for frozen shoulder.
- Safe and effective active range of motion exercises with progressions.
- Importance of incorporating strengthening exercises for improved outcomes.
- Neuromuscular re-education to restore normal movement patterns.
- Addressing common movement compensations during rehab.
- The use of soft tissue mobilization as an adjunct treatment.
Don't miss out on these valuable insights!
Timeline:
- 0:00 - Intro
- 0:36 - Patient Education: Grade B Evidence
- 1:50 - Modalities - E-stim and Heat
- 2:43 - Stretches: Grade B Evidence
- 3:07 - PROM & AAROM - Highly Irritated Shoulders
- 6:33 - AROM Exercises - Intermediate Irritation
- 7:43 - Weighted & Static Stretches - Low Irritation
- 8:48 - Addressing Internal Rotation
- 11:33 - Joint Mobilizations: Grade C Evidence
- 14:28 - Strength Training
- 15:33 - Neuromuscular Re-education
- 18:27 - Summary
These shoulders are feeling great!
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- Shoulder Pain Relief: Soft Tissue Techniques Every PT Should Know
- FROZEN SHOULDER - What Physical Therapists Need to Know
- Frozen Shoulder Clinical Examination: Everything a PT Needs to Know
- 8 Key Tests for Diagnosing SLAP Tears in the Shoulder
Want to support me and decide topics for future episodes? Click HERE to sign up for FPF "Insiders" for just a dollar. You'll gain access to 100+ webinars, e-books and complete guides. Plus, you'll get private access to the "Insiders" Facebook group where you can have all of your questions answered by me.
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- Leave a 5-star review on apple podcasts
Thank you!
Dan Pope DPT, OCS, CSCS
References:
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- Pandey V, Madi S. Clinical Guidelines in the Management of Frozen Shoulder: An Update! Indian J Orthop. 2021 Feb 1;55(2):299-309. doi: 10.1007/s43465-021-00351-3. PMID: 33912325; PMCID: PMC8046676.
- Le, H. V., Lee, S. J., Nazarian, A., & Rodriguez, E. K. (2016). Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder & Elbow, 9(2), 75–84. doi:10.1177/1758573216676786
- Maund E, Craig D, Suekarran S, Neilson A, Wright K, Brealey S, Dennis L, Goodchild L, Hanchard N, Rangan A, Richardson G, Robertson J, McDaid C. Management of frozen shoulder: a systematic review and cost-effectiveness analysis. Health Technol Assess. 2012;16(11):1-264. doi: 10.3310/hta16110. PMID: 22405512; PMCID: PMC4781571.
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- Carette S, Moffet H, Tardif J, Bessette L, Morin F, Frémont P, Bykerk V, Thorne C, Bell M, Bensen W, Blanchette C. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003 Mar;48(3):829-38. doi: 10.1002/art.10954. PMID: 12632439.
- Rangan A, Brealey SD, Keding A, Corbacho B, Northgraves M, Kottam L, Goodchild L, Srikesavan C, Rex S, Charalambous CP, Hanchard N, Armstrong A, Brooksbank A, Carr A, Cooper C, Dias JJ, Donnelly I, Hewitt C, Lamb SE, McDaid C, Richardson G, Rodgers S, Sharp E, Spencer S, Torgerson D, Toye F; UK FROST Study Group. Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial. Lancet. 2020 Oct 3;396(10256):977-989. doi: 10.1016/S0140-6736(20)31965-6. Erratum in: Lancet. 2021 Jan 9;397(10269):98. doi: 10.1016/S0140-6736(20)32719-7. PMID: 33010843.
- Rawat P, Eapen C, Seema KP. Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: A randomized controlled trial. J Hand Ther. 2017 Jul-Sep;30(3):235-241.e8. doi: 10.1016/j.jht.2016.10.007. Epub 2016 Nov 21. PMID: 27884497.
- Carette S, Moffet H, Tardif J, Bessette L, Morin F, Frémont P, Bykerk V, Thorne C, Bell M, Bensen W, Blanchette C. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003 Mar;48(3):829-38. doi: 10.1002/art.10954. PMID: 12632439.
- Rangan A, Brealey SD, Keding A, Corbacho B, Northgraves M, Kottam L, Goodchild L, Srikesavan C, Rex S, Charalambous CP, Hanchard N, Armstrong A, Brooksbank A, Carr A, Cooper C, Dias JJ, Donnelly I, Hewitt C, Lamb SE, McDaid C, Richardson G, Rodgers S, Sharp E, Spencer S, Torgerson D, Toye F; UK FROST Study Group. Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial. Lancet. 2020 Oct 3;396(10256):977-989. doi: 10.1016/S0140-6736(20)31965-6. Erratum in: Lancet. 2021 Jan 9;397(10269):98. doi: 10.1016/S0140-6736(20)32719-7. PMID: 33010843.
- Poku D, Hassan R, Migliorini F, Maffulli N. Efficacy of hydrodilatation in frozen shoulder: a systematic review and meta-analysis. Br Med Bull. 2023 Sep 12;147(1):121-147. doi: 10.1093/bmb/ldad018. PMID: 37496207; PMCID: PMC10788845.
- Mardani-Kivi M, Nabi BN, Mousavi MH, Shirangi A, Leili EK, Ghadim-Limudahi ZH. Role of suprascapular nerve block in idiopathic frozen shoulder treatment: a clinical trial survey. Clin Shoulder Elb. 2022 Jun;25(2):129-139. doi: 10.5397/cise.2021.00661. Epub 2022 May 16. PMID: 35698782; PMCID: PMC9185110.