Complementary Treatment for a Patient with Frozen Shoulder

Complementary Treatment for a Patient with Frozen Shoulder

A comprehensive treatment should incorporate a number of rehabilitation strategies for based on patient-specific assessment findings including, but not limited to:
• Manual Therapy (neurodynamic mobilization, classic massage, joint mobilizations)
• Acupuncture/ electroacupuncture (local, segmental and distal stimulation sites)
• Education on psychosocial factors (eg. BPS framework of pain, fear avoidance)
• Remedial Loading Programs (eg. static stretching, concentric, eccentric, isometric)

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Effects of stretching and manual therapy on shoulder range of motion

Effects of stretching and manual therapy on shoulder range of motion

It has been documented that changes in rotator cuff stiffness are associated with the ROM deficits in pitchers, so rehabilitation programs that decrease tissue stiffness and improve range of motion have potential clinical implications for injury prevention.

If the goal is improving shoulder range of motion, a number of papers have demonstrated the effects of soft tissue mobilization or stretch training on tissue stiffness, shoulder internal rotation and horizontal adduction.  

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