Frozen shoulder contracture syndrome e aetiology, diagnosis and management. It usually involves pain and stiffness that develops gradually, gets worse and then finally goes away. Its often not clear why people get a frozen shoulder. Ann cools and david pope discuss assessment of the scapula, and how to retrain unruly scapulae. Shoulder pain is a common msk complaint in clinical practice with point prevalence ranging between 7% and. Dr ian horsley shoulder rehabilitation for contact sports and the rugby shoulder with dr ian horsley watch it now david pope acute low back pain part 4. Frozen shoulder is a common yet poorly understood musculoskeletal condition, which for many, is associated with substantial and protracted morbidity. How can the rotator cuff still function with small and large tears. London, 2015, isbn 9780702051524, eisbn 9780702066504. Although function improves overtime, full and pain free range, may not be restored in everyone.
Scapular position elevation depression protraction retraction posterior tilt anterior tilt internal rotation external rotation combinations 2b. Although function improves overtime, full and pain free range, may. Reproducibility of physical tests for contracted frozen shoulder, and general. Jeremy lewis, frozen shoulder contraction syndrome in gwen jull, ann moore, jeremy lewis, christopher mccarthy, michele sterling, eds.
Shoulder pain patients often have poor scapula control. The tissue then gets tighter and shrinks, which causes pain. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Selected publications ainsworth r, lewis j, conboy v 2009 a prospective randomized placebo controlled clinical trial of a rehabilitation programme for patients with a diagnosis of massive rotator cuff tears of the shoulder. Dr lyn watson is a clinical manipulative and sports physiotherapist who has been working exclusively in the diagnosis, assessment and rehabilitation of shoulder injuries for the past 25 years. How to diagnose frozen shoulder frozen shoulder youtube. Rotator cuff tendinopathysubacromial impingement syndrome. The frozen shoulder clinic at the chhp is a stateofthe art approach to treating frozen shoulder. Diagnosing rotator cuff tendinopathy or subacromial impingement syndrome currently involves performing a structured assessment that includes taking the patients history in conjunction with performing clinical assessment procedures that generally involve tests used to implicate an isolated structure. We aimed to identify which baseline patient and clinical characteristics are associated with a better outcome, 6 weeks and 6 months after starting a course of physiotherapy for shoulder pain. There are many causes of shoulder pain and the focus for this blog is to focus on these shoulder impingement syndrome.
Backgroundaim shoulder pain is a major musculoskeletal problem. The shoulder is such a fascinating joint with 180 degrees of freedom, which relies on excellent dynamic movement control in order in order to function well. Department of allied health professions and midwifery. Journal of rehabilitation medicine abstract clinical. Shoulder pain is a common musculoskeletal condition and is often associated with substantial morbidity, with a third of patients demonstrating persisting restriction of movement, loss of function andor pain after one year reilingh et al. Immunolocalization of cytokines and their receptors in. Arthrographic hydrodistension for frozen shoulder a physiotherapyled initiative in primary care authors. Frozen shoulder is a poorly understood condition that typically involves substantial pain, movement restriction, and considerable morbidity.
Time for a new name for frozen shouldercontracture of the shoulder. In the masterclass link below by jeremy lewis, youll be able to read up on the history of frozen shoulder diagnostics and treatments and find a recommended treatment pathway, showing that a lot can be done to help accelerate the rehabilitation process. Journal of rehabilitation medicine volume 51, issue 8. Request pdf frozen shoulder contracture syndrome aetiology, diagnosis and management frozen shoulder. The shoulder symptom modification procedure ssmp comment from lennard funk. Is thoracic spine posture associated with shoulder pain. Scientific rigour and currency is a high priority and the page is regularly updated.
It is also a very useful guide to clinical decision making and determining those patients which will respond well to the correct rehabilitative programme. Are your special tests around the shoulder really isolating and identifying pathology. He has been invited to present keynote and invited lectures at many international conferences. Shoulder symptom modification procedure picking the. As a so called shoulder expert i often get asked what are my favourite rehab exercises for them. Frozen shoulder happens when the tissue around your shoulder joint becomes inflamed. Cryotherapy or gradual reloading exercises in acute.
Is there an association between metabolic syndrome and. Pdf masterclass frozen shoulder contracture syndrome e. In addition to his own research he supervises phd and msc students. Frozen shoulder contracture syndrome request pdf researchgate. His main areas of research interest are rotator cuff tendinopathy, frozen shoulder, shoulder pain syndromes and lateral epicondylopathy. Online courses and webinars to ensure youre at the top of your game. Seunghyun yoon, hyun young lee, kyusung kwack, evaluation of adhesive capsulitis of the shoulder with fatsuppressed t2weighted mri.
What is the most effective treatment for frozen shoulder. However, there are some exercises that i do seem to find myself regularly falling back on. Frozen shoulder is a condition that affects your shoulder joint. Masterclass frozen shoulder contracture syndrome e aetiology, diagnosis and management jeremy lewis department of allied health professions and midwifery, school of health and social work, wright building, college lane campus. Jeremy lewis, december 910, 2017 this evidencebased theoretical and practical course is based on extensive clinical experience in. The pathophysiology associated with primary idiopathic. Shoulder symptom modification procedure ssmp jeremy lewis phd v2 v2 symptomatic movement or posture 1. His main areas of research interest are rotator cuff related shoulder pain, frozen shoulder, injection therapy, exercise therapy and lateral elbow tendinopathy. The pathophysiology associated with primary idiopathic frozen shoulder. The ssmp was described by jeremy lewis in 2009 and is a very useful and logical approach to the assessment of patients with rotator cuff and subacromial pathology. Then, ultrasonographic us measurements of ahd, shoulder isometric strength and active rom were conducted. The reason i wanted to write about it on this blog is because it ties nicely into the previous three shoulder blogs and offers an alternative. Frozen shoulder is a painful condition that most commonly affects people in their 50s, 1 2 and may limit daily activities and disturb sleep.
Arm, shoulder and hand dash, western ontario rotator cuff index worc, and brief pain inventory bpi. Frozen shoulder contracture syndrome aetiology, diagnosis. My top 5 shoulder rehab exercises the sports physio. Grieves modern musculoskeletal physiotherapy 4th edition. He has been invited to present keynote and invited lectures at many international conferences example below. Frozen shoulder is a poorly understood condition that typically involves. Frozen shoulder contracture syndrome aetiology, diagnosis and management. Understanding the pathology associated with this condition may help to improve management. Journal of rehabilitation medicine clinical effectiveness of non. Shoulder pain what are the causes, and how can you treat it. To date this has not been presented in a systematic fashion. Thereafter, participants were randomly assigned to one of two intervention groups, and then took part in their assigned intervention.
Frozen shoulder commonly affects people aged around 50 years and is associated with. Frozen shoulder symptoms, causes, diagnosis, treatment. Jeremy lewis, december 23, 2017 toronto gta jeremy lewis december 67, 2017 vancouver, dr. In episode 21 of the physio edge podcast, jeremy lewis. Jeremy has taught shoulder workshops internationally in over 40 countries. Jeremy has taught shoulder workshops internationally in over 35 countries.
884 142 831 797 426 1458 1624 1362 1105 1562 1109 1525 780 671 1520 1258 1397 795 458 589 292 43 190 521 132 866 451 730 391 1134 620 1232 1293 627 500 170 1556 111 1033 1252 1110 1310 1442 1260