Adhesive capsulitis
Or
Periarthritis
Or
Frozen shoulder
Periarthritis is a clinical syndrome with painful restriction of both active and passive shoulder movements.
The condition is aggravated by systemic problems like diabetes mellitus, cardiovascular disease and reflex sympathetic dystrophy.
Neviaser (1987) have classified this condition into four stages:
(1) preadhesive stage,
(2) acute adhesive stage,
(3) stage of maturation and
(4) chronic stage.
Diagnostic tests
1. Active test of range of motion (ROM)
2. Active resisted test of ROM
3. Passive test of ROM
It is treated mainly by analgesics and physiotherapy with shoulder mobilization exercises.
a periarticular injection of hydrocortisone is given to reduce pain and inflammation.
These days, arthroscopic capsular release is done which improves the range of movements.
Physiotherapy plays an important role in the prevention as well as resolution of this condition.
Preventive programme
1. Prevention of primary capsulitis:the regular practice of movement could be usefull in prevention.
2. Prevention of secondary capsulitis: Careful early mobilization to the extreme ROM
3. Prevention of further damage:
(i) Suddenly applied jerky stretching and
(ii) crude self-styled manipulations by a quack.
Restorative programme
The basic aim of the restorative programme is
1. To reduce pain,
2. To increase extensibility of the thickened and contracted capsule of the joint .
3. To improve mobility of the shoulder and
4. To improve strength of the muscles
Mobilization is attained through three basic approaches:
1. Relaxation
2. Specific exercise to offer graduated stretching
3. Passive mobilization technique
Or
Periarthritis
Or
Frozen shoulder
Periarthritis is a clinical syndrome with painful restriction of both active and passive shoulder movements.
The condition is aggravated by systemic problems like diabetes mellitus, cardiovascular disease and reflex sympathetic dystrophy.
Neviaser (1987) have classified this condition into four stages:
(1) preadhesive stage,
(2) acute adhesive stage,
(3) stage of maturation and
(4) chronic stage.
Diagnostic tests
1. Active test of range of motion (ROM)
2. Active resisted test of ROM
3. Passive test of ROM
Treatment
It is treated mainly by analgesics and physiotherapy with shoulder mobilization exercises.
a periarticular injection of hydrocortisone is given to reduce pain and inflammation.
These days, arthroscopic capsular release is done which improves the range of movements.
Physiotherapeutic management
Physiotherapy plays an important role in the prevention as well as resolution of this condition.
Preventive programme
1. Prevention of primary capsulitis:the regular practice of movement could be usefull in prevention.
2. Prevention of secondary capsulitis: Careful early mobilization to the extreme ROM
3. Prevention of further damage:
(i) Suddenly applied jerky stretching and
(ii) crude self-styled manipulations by a quack.
Restorative programme
The basic aim of the restorative programme is
1. To reduce pain,
2. To increase extensibility of the thickened and contracted capsule of the joint .
3. To improve mobility of the shoulder and
4. To improve strength of the muscles
Mobilization is attained through three basic approaches:
1. Relaxation
2. Specific exercise to offer graduated stretching
3. Passive mobilization technique
My partner also i close by no narrows repeat clubs that mind manifest past that pleasure incentive. The auxiliary rumble typically sheers submit inscription tenuouss, so i would presumptive befriend to remedy unfruitful a portion largesss on what to benefit revolve your latest wind dashing backer nay some fidget of fair or perhaps optical specter. therapy management
ReplyDeleteInformative information for orthopedic patient and really valuable for Dr. Shailendra Patil's patient who are taking treatment of knee replacement surgery in Vikhroli.
ReplyDeleteThanks for provide great informatic and looking beautiful blog, really nice required information & the things i never imagined and i would request, wright more blog and blog post like that for us. Thanks you once agian
ReplyDeletebest counseling theory for trauma in illinois
counseling and therapy for couples in illinois
couples counseling therapy in illinois
Thanks for providing this great information. I think this is an informative post and it is very useful. Keep Sharing.
ReplyDeletePhysiotherapy in Bhopal
Geriatric Physiotherapy in Bhopal
Employee Wellness Physiotherapy in Bhopal
Paralysis Physiotherapy in Bhopal
Spine Physiotherapy in Bhopal
1 in 3 Women who had a baby wet themselves
ReplyDeleteIncontinence could be urinary incontinence and faecal incontinence. Incontinence is the inability to control micturition resulting in the loss of urine. These dysfunctions are caused by pregnancy & childbirth,poor pelvic floor muscle function,constipation,poor fluid & toileting habits,chronic cough,obesity, strenuous sports, aging & menopause ,neurological conditions like MS and stroke Bladder Disorders / Bladder Dysfunction
Womens Health Clinic in Werribee