Review Article
Year: 2021 | Month: October-December | Volume: 6 | Issue: 4 | Pages: 299-308
DOI: https://doi.org/10.52403/ijshr.20211042
Manual Therapy Interventions for Adhesive Capsulitis: A Review
Piumi Nakandala1
1Department of Physiotherapy, National hospital Kandy, Sri Lanka.
ABSTRACT
Adhesive Capsulitis is a debilitating condition which causes the capsule of the Gleno-humeral joint to get thickened and contracted progressively. The prevalence of the disease is much higher in the middle aged and elderly community. It is characterized by pain in the shoulder, and advance towards the restriction of the active and passive glenohumeral motions and thereby obstructing the overall functional activities of the daily living. The effectiveness of various non-operative methods in the treatment of Adhesive Capsulitis has been demonstrated in the literature. Corticosteroid injections and the oral medications are known to be alleviating the pain levels and the inflammatory reactions but not the mobility of the affected joint. Joint mobilization techniques, electrotherapeutic modalities and other manual treatment methods are also found to be effective. In summary, this review focuses on the pathophysiology of the adhesive capsulitis, stages of the condition progress and various manual therapy interventions.
Keywords: Gleno-humeral joint, frozen shoulder, rehabilitation, active and passive movements, functional activities.