Project on shoulder mobilisation

1. E
ff
ectiveness of Mobilisation with
Conventional Physiotherapy in Frozen
Shoulder

2. Introduction:
• Frozen shoulder, or adhesive capsulitis, is
characterized by pain and stiffness in the
shoulder joint.
• First described by Codman in 1934, it limits
shoulder mobility and causes discomfort.
• Prevalence ranges from 2% to 5.3%, impacting
individuals aged 40 to 70 years.
• Physiotherapy is crucial for pain relief, range
restoration, and shoulder function
improvement.

3. Literature review:
• Studies explore mobilization techniques'
effectiveness with conventional therapy in frozen
shoulder.
• Randomized controlled trials (RCTs) evaluate
interventions like Maitland and Mulligan
mobilization.
• Consistent outcomes show pain reduction and
range of motion (ROM) improvement post-
intervention.
• Stretching and strengthening exercises, combined
with mobilization, enhance treatment outcomes.

4. Aims and objectives:
• Examine recent research evidence on mobilization's
effectiveness in frozen shoulder.
• Synthesize data from RCTs published between 2010
and 2019.
• Provide insights into pain reduction and increased
shoulder ROM.
• Identify gaps in literature and propose
recommendations for future research and clinical
practice.

5. Problems:
• Despite available modalities, managing frozen
shoulder remains challenging.
• Prolonged course and variable response to
interventions pose dif
fi
culties.
• Evidence-based approaches are needed to guide
physiotherapy practice effectively.

6. Future scopes:
• New Treatment Ideas: Explore new ways to treat
frozen shoulder with di
ff
erent exercises and therapies.
• Customised Plans: Create treatment plans that
fi
t
each person's needs based on their age, other health
issues, and how far along their frozen shoulder is.
• Using Technology: Use technology like virtual reality
or wearable devices to make treatment easier and
more accessible.
• Working Together: Doctors, therapists, and other
experts should work together to help patients get the
best care.

7. • Long-Term Studies: Study how well treatments work
over a long time to see if they keep helping patients.
• Teaching Patients: Teach patients how to take care of
their shoulder at home with exercises and lifestyle
changes.
• Listening to Patients: Ask patients how they feel and
what they need to make sure treatment is working for
them.
• Preventing Problems: Find ways to stop frozen
shoulder from happening or getting worse in the
fi
rst
place.
• Guidelines for Care: Make rules for how to treat frozen
shoulder based on what works best.
• Speaking Up: Ask for more attention and resources to
help people with frozen shoulder get better care and
support.

8. Advancements
• Better Treatment Plans: Finding the best mix of
therapies like exercises and mobilization techniques.
• Personalized Care: Tailoring treatments to each
patient's needs for better results.
• Trying New Treatments: Testing out new methods like
virtual reality or regenerative medicine.
• Long-Term Studies: Following patients over time to
see how well treatments work in the long run.
• Teamwork: Working together with different healthcare
professionals for comprehensive care.
• Educating Patients: Teaching patients about their
condition and how to manage it themselves.

9. Conclusion
• Effective Treatment: Mobilization combined with
conventional therapy shows promise in managing frozen
shoulder.
• Improved Range of Motion: Mobilization interventions
help increase shoulder movement and reduce pain.
• Various Techniques: Different mobilization techniques
like Maitland and Mulligan show positive outcomes.
• Individualized Care: Tailoring treatments to each
patient's needs is crucial for better results.
• Teamwork Matters: Collaboration among healthcare
professionals enhances treatment effectiveness.
• Patient Education: Educating patients about self-
management strategies empowers them to play an
active role in their recovery.

10. In essence, the research highlights the effectiveness of
mobilization techniques in improving frozen shoulder
symptoms and emphasizes the importance of personalized
care and patient involvement in the rehabilitation process.
Reference:
• https://www.academia.edu/download/83240687/
IJRIMCR_03.pdf
• Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ.
2005;331(7530): 1453-6.
• Nicholson GG. The effects of passive joint mobilization on
pain and hypomobility associated with adhesive capsulitis
of the shoulder. J Ortho Spor Phys Ther. 1985;6(4):238-46.
• NeviaserTJ. Intra-articular in
fl
ammatory diseases of the
shoulder. Instr Course Lect.
1989;38:199-204.