Fascial Treatment in Frozen Shoulder: A Case Report
Abstract
Introduction: Frozen shoulder or adhesive capsulitis disorder is a progressive painful shoulder condition associated with stiffness and functional restriction of both active and passive shoulder motion, especially in abduction and external rotation.
Case Description: A 38-year-old man presented with right frozen shoulder started 3 months before admission. The patient reported no change in his symptoms after the previous 10 sessions of conventional physiotherapy. Physical examination findings were significant for both active and passive range of motion with 8 out of 10 in pain score (visual analog scale (VAS); 8/10). For the treatment, we applied the fascial treatment, including the fascial distortion model (FDM) and fascial training. After 10 sessions, the shoulder range of motion restored to 140° abduction and 90° external and internal rotation with no pain (VAS; 0/10).
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8. Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Medical Hypotheses. 2005; 65(2):273-7. [DOI:10.1016/j.mehy.2005.03.005] [PMID]
9. Russell S, Jariwala A, Conlon R, Selfe J, Richards J, Walton M. A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder. Journal of Shoulder and Elbow Surgery. 2014; 23(4):500-7. [DOI:10.1016/j.jse.2013.12.026] [PMID]
10. Tasto JP, Elias DW. Adhesive capsulitis. Sports Medicine and Arthroscopy Review. 2007; 15(4):216-21. [DOI:10.1097/JSA.0b013e3181595c22] [PMID]
11. Page P, Labbe A. Adhesive capsulitis: Use the evidence to integrate your interventions. North American Journal of Sports Physical Therapy. 2010; 5(4):266-73. [PMID] [PMCID]
12. Jason JI, Ganesh Sundaram S, Vengata Subramani M. Physiotherapy interventions for adhesive capsulitis of shoulder: A systematic review. International Journal of Physiotherapy and Research. 2015; 3(6):1318-25. [DOI:10.16965/ijpr.2015.198]
13. Myers T. Fascial fitness: Training in the neuromyofascial web. IDEA Fitness Journal. 2011; 8(4):36-43.
14. Schleip R, Müller DG. Training principles for fascial connective tissues: scientific foundation and suggested practical applications. Journal of Bodywork and Movement Therapies. 2013; 17(1):103-15. [DOI:10.1016/j.jbmt.2012.06.007] [PMID]
15. Shah S, Bhalara A. Myofascial release. International Journal of Health Sciences and Research. 2012; 2(2):69-77.
16. Typaldos S. Introducing the fascial distortion model. American Academy of Ophthalmology Journal. 1994; 14-36.
17. Thalhamer C. A fundamental critique of the fascial distortion model and its application in clinical practice. Journal of Bodywork and Movement Therapies. 2018; 22(1):112-7. [DOI:10.1016/j.jbmt.2017.07.009] [PMID]
18. Hains G. Chiropractic management of shoulder pain and dysfunction of myofascial origin using ischemic compression techniques. The Journal of the Canadian Chiropractic Association. 2002; 46(3):192-200. [PMCID]
19. Godges JJ, Mattson-Bell M, Thorpe D, Shah D. The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. Journal of Orthopaedic & Sports Physical Therapy. 2003; 33(12):713-8. [DOI:10.2519/jospt.2003.33.12.713] [PMID]
2. Zuckerman JD, Rokito A. Frozen shoulder: A consensus definition. Journal of Shoulder and Elbow Surgery. 2011; 20(2):322-5. [DOI:10.1016/j.jse.2010.07.008] [PMID]
3. Kingston K, Curry EJ, Galvin JW, Li X. Shoulder adhesive capsulitis: Epidemiology and predictors of surgery. Journal of Shoulder and Elbow Surgery. 2018; 27(8):1437-43. [DOI:10.1016/j.jse.2018.04.004] [PMID]
4. Lewis J. Frozen shoulder contracture syndrome - Aetiology, diagnosis and management. Manual Therapy. 2015; 20(1):2-9. [DOI:10.1016/j.math.2014.07.006] [PMID]
5. Klingler W, Velders M, Hoppe K, Pedro M, Schleip R. Clinical relevance of fascial tissue and dysfunctions. Current Pain and Headache Reports. 2014; 18(8):439-45. [DOI:10.1007/s11916-014-0439-y] [PMID]
6. Stecco C, Macchi V, Porzionato A, Duparc F, De Caro R. The fascia: the forgotten structure. Italian Journal of Anatomy and Embryology. 2011; 116(3):127-38. [PMID]
7. Kumka M, Bonar J. Fascia: A morphological description and classification system based on a literature review. The Journal of the Canadian Chiropractic Association. 2012; 56(3):179-91. [PMCID]
8. Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Medical Hypotheses. 2005; 65(2):273-7. [DOI:10.1016/j.mehy.2005.03.005] [PMID]
9. Russell S, Jariwala A, Conlon R, Selfe J, Richards J, Walton M. A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder. Journal of Shoulder and Elbow Surgery. 2014; 23(4):500-7. [DOI:10.1016/j.jse.2013.12.026] [PMID]
10. Tasto JP, Elias DW. Adhesive capsulitis. Sports Medicine and Arthroscopy Review. 2007; 15(4):216-21. [DOI:10.1097/JSA.0b013e3181595c22] [PMID]
11. Page P, Labbe A. Adhesive capsulitis: Use the evidence to integrate your interventions. North American Journal of Sports Physical Therapy. 2010; 5(4):266-73. [PMID] [PMCID]
12. Jason JI, Ganesh Sundaram S, Vengata Subramani M. Physiotherapy interventions for adhesive capsulitis of shoulder: A systematic review. International Journal of Physiotherapy and Research. 2015; 3(6):1318-25. [DOI:10.16965/ijpr.2015.198]
13. Myers T. Fascial fitness: Training in the neuromyofascial web. IDEA Fitness Journal. 2011; 8(4):36-43.
14. Schleip R, Müller DG. Training principles for fascial connective tissues: scientific foundation and suggested practical applications. Journal of Bodywork and Movement Therapies. 2013; 17(1):103-15. [DOI:10.1016/j.jbmt.2012.06.007] [PMID]
15. Shah S, Bhalara A. Myofascial release. International Journal of Health Sciences and Research. 2012; 2(2):69-77.
16. Typaldos S. Introducing the fascial distortion model. American Academy of Ophthalmology Journal. 1994; 14-36.
17. Thalhamer C. A fundamental critique of the fascial distortion model and its application in clinical practice. Journal of Bodywork and Movement Therapies. 2018; 22(1):112-7. [DOI:10.1016/j.jbmt.2017.07.009] [PMID]
18. Hains G. Chiropractic management of shoulder pain and dysfunction of myofascial origin using ischemic compression techniques. The Journal of the Canadian Chiropractic Association. 2002; 46(3):192-200. [PMCID]
19. Godges JJ, Mattson-Bell M, Thorpe D, Shah D. The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. Journal of Orthopaedic & Sports Physical Therapy. 2003; 33(12):713-8. [DOI:10.2519/jospt.2003.33.12.713] [PMID]
| Files | ||
| Issue | Vol 13 No 2 (2019) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.32598/JMR.13.2.123 | |
| Keywords | ||
| Fascia Fascia training Fascial distortion models Fascia manipulation | ||
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How to Cite
1.
Ghorbanpour A. Fascial Treatment in Frozen Shoulder: A Case Report. jmr. 2019;13(2):123-128.
