Friday, September 11, 2009

The Ultimate Frozen shoulder physical therapy recommendations

1. Pain reduction by Grade I cephalo-caudal glide recommended (Wardsworth CT; Physical therapy, Vol.66, dec.1986)

2. Mid-range mobilization II, II(-), II (+) (no specific effects claimed up to yet except as a progression of grade I)

3. End- range mobilization Increase in mobility & functional ability by grade III,IV (Henricus MV et al, PHYS THER, Vol. 80, No. 12, December 2000, pp. 1204-1213 and PHYS THER,Vol. 86, No. 3, March 2006, pp. 355-368)

4. Mulligan’s mobilization with movement (MWM) correct scapulohumeral rhythm significantly better than end range mobilization (Yang JL et al Phys Ther. 2007 Oct;87(10):1307-15)

5. PNF techniques for shoulder (Joseph JG et al; J Orthop Sports Phys Ther; Vol.33, dec. 2003 )- for scapulo-humeral alterations

6. PNF for upper trunk (My recommendation: Satyajit Mohanty, MSPT- not supported by research i.e. on clinical experience only) for scapulo-humeral alterations + upper trunk kyphosis

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