Abstract
To clarify the optimal management of rehabilitative intervention for limited glenohumeral joint mobility (LGHM) arising from adhesive capsulitis, particularly focusing on the frequency of sessions for joint mobilization and the self-exercise compliance, the functional results of 120 patients with LGHM were prospectively investigated as follows: Differences in improved angle of the shoulder joint (IA) and the time required to reach the range of motion plateau point (T) were compared by (1) age, (2) gender, (3) handedness, (4) duration before rehabilitative intervention, (5) frequency of sessions for joint mobilization by physical therapists in the hospital setting, and (6) self-exercise compliance in the home setting. The lengths of therapy and follow-up were 4.6 and 5.9 months, respectively. IA significantly decreased in the 71-year-old and above group. There were no significant differences in IA between male and female. IA of the dominant-handed group was significantly higher than that of the non-dominant-handed group. There were no significant differences in T in each item. IA of the group that had experienced more than 7 months of the condition was significantly low. Although the frequency of joint mobilization by physical therapists in the hospital setting showed no relationship with IA or T, IA was significantly higher and T was significantly shorter in the group that performed self-exercise every day than in the groups that performed less. In conclusion, early intervention and self-exercise in the home setting are more important factors than session frequency of joint mobilization in the hospital setting for the successful management of rehabilitation for LGHM.
This is a preview of subscription content, log in via an institution to check access.
References
Matsen FA, Chebli CM, Lippitt SB (2007) Principles for the evaluation and management of shoulder instability. Instr Course Lect 56:23–34
Codman EA (1934) The shoulder. Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Thomas Todd, Boston
Shaffer B, Tibone J, Kerlan R (1992) Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am 74:738–746
Bell S, Coghlan J, Richardson M (2003) Hydrodilatation in the management of shoulder capsulitis. Australas Radiol 47:247–251
Hamdan T, Al-Essa KA (2003) Manipulation under anesthesia for the treatment of frozen shoulder. Int Orthop 27:107–109
Kelley MJ, McClure PW, Leggin BG (2009) Frozen shoulder: evidence and a proposed model guiding rehabilitation. J Orthop Sports Phys Ther 39:135–148
Finnoff JT (2006) Musculoskeletal problem of the upper limb. In: Braddom RL (ed) Physical medicine and rehabilitation, 3rd edn. Saunders, Philadelphia, pp 825–853
Grubbs N (1993) Frozen shoulder syndrome: a review of literature. J Orthop Sports Phys Ther 18:479–487
Green S, Buchbinder R, Hetrick S (2003) Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev, Art. no. CD004258
Anton HA (1993) Frozen shoulder. Can Fam Physician 39:1773–1778
Nicholson GC (1985) The effects of passive joint mobilization on pain and hypomobility associated with adhesive capsulitis of the shoulder. J Orthop Sports Phys Ther 6:238–246
Hauzeur JP (2004) Conservative treatment of the painful shoulder. Rev Méd Brux 25:411–415
Vermeulen HM, Obermann WR, Burger BJ, Kok GJ, Rozing PM, van den Ende CH (2000) End-range mobilization techniques in adhesive capsulitis of the shoulder joint: a multiple-subject case report. Phys Ther 80:1204–1213
Cyriax J (1978) Textbook of orthopedic medicine, vol 1: diagnosis of soft tissue lesions, 7th edn. Macmillan, New York
Mao CY, Jaw WC, Cheng HC (1997) Frozen shoulder: correlation between the response to physical therapy and follow-up shoulder arthrography. Arch Phys Med Rehabil 78:857–859
Darlene H, Randolph MK (1996) The shoulder and shoulder girdle. In: Darlene H, Randolph MK (eds) Management of common muscloskeletal disorders physical therapy principles and methods, 3rd edn. Lippincott Williams & Wilkins, Baltimore, pp 165–216
Fayad F, Hanneton S, Lefevre-Colau MM, Poiraudeau S, Revel M, Roby-Brami A (2008) The trunk as a part of the kinematic chain for arm elevation in healthy subjects and in patients with frozen shoulder. Brain Res 1191:107–115
Griggs SM, Ahn A, Green A (2000) Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment. J Bone Joint Surg Am 82:1398–1407
Levine WN, Kashyap CP, Bak SF, Ahmad CS, Blaine TA, Bigliani LU (2007) Nonoperative management of idiopathic adhesive capsulitis. J Shoulder Elbow Surg 16:569–573
Owen H (1997) Frozen shoulder. In: Donatelli RA (ed) Physical therapy of the shoulder. Churchill Livingstone, New York, pp 257–278
Vermeulen HM, Rozing PM, Obermann WR, le Cessie S, Vliet Vlieland TP (2006) Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys Ther 86:355–368
Mueller MJ, Maluf KS (2002) Tissue adaptation to physical stress: a proposed “physical stress theory” to guide physical therapist practice, education, and research. Phys Ther 82:383–403
Diercks RL, Stevens M (2004) Gentle thawing of the frozen shoulder: a prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shouler syndrome followed up for two years. J Shoulder Elbow Surg 13:499–502
Harrast MA, Rao AG (2004) The stiff shoulder. Phys Med Rehabil Clin N Am 15:557–573
Disclosures
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tanaka, K., Saura, R., Takahashi, N. et al. Joint mobilization versus self-exercises for limited glenohumeral joint mobility: randomized controlled study of management of rehabilitation. Clin Rheumatol 29, 1439–1444 (2010). https://doi.org/10.1007/s10067-010-1525-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-010-1525-0