High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder

Wolin, Preston M.; Ingraffia-Welp, Amy; Moreyra, Carlos E; Hutton, William

doi:10.1016/j.rehab.2016.04.010

Cited by 8 publications

(7 citation statements)

References 34 publications

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“…This highintensity stretch is controlled by the patient, is focused at the end-range of motion of the joint, and can permanently elongate scar tissue after it has already formed inside the shoulder. This HIS device has been previously shown to successfully treat motion loss in the shoulder [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of high intensity home mechanical stretch therapy for treatment of Adhesive Capsulitis: A Retrospective Review

Stinton

Beckley

Salamani

et al. 2022

Preprint

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Background: Adhesive capsulitis is a common cause of shoulder motion loss that can be difficult to treat. Surgical intervention is often necessary when conservative methods fail. High intensity stretch (HIS) treatment may be able to provide increased motion gains while avoiding the cost and complications of surgery.Objectives: The purpose of this study was to review data from patients who were prescribed a HIS device to recover their shoulder motion to determine the efficacy of the device. The hypotheses were that patients would achieve significant ROM gains and that ROM would increase to a level at which patients would be able to avoid a motion loss surgery and perform activities of daily living.Methods: Clinical notes were reviewed for patients whose progress plateaued after 4 weeks of therapy and were subsequently prescribed the HIS device after failing to meet their treatment goals. ROM data were recorded for external rotation, abduction, forward flexion, and internal rotation. Pre- and post-treatment ROM data were compared using t-tests.Results: Significant ROM gains were seen in all planes of motion (p<0.001). Patients gained an average of 29.9° in external rotation with a last recorded rotation of 59.2°. In abduction, patients gained 40.5° with a last recorded abduction of 123.3°. In forward flexion, patients gained 30.3° with a last recorded flexion of 138.7°. In internal rotation, patients gained 15.2° with a last recorded rotation of 57.6°. These last recorded ranges of motion were sufficient to perform nearly all activities of daily living.Conclusions: The HIS device was effective in treating patients with shoulder motion loss as demonstrated by the significant ROM gains in all planes of motion. The ability for a patient to recover lost motion quickly without surgery is of great value to quality of life and in healthcare cost savings. We believe this high-intensity stretch device should be considered for use by patients who are at risk for a motion loss surgery.

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Section: Introductionmentioning

confidence: 99%

“…(2) patients who showed no plateau in their recovery with physical therapy alone (PT only) [12]. Patients in the PT + HIS group had signi cantly worse initial elevation and combined rotation when compared to PT only patients.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of high intensity home mechanical stretch therapy for treatment of Adhesive Capsulitis: A Retrospective Review

Stinton

Beckley

Salamani

et al. 2022

Preprint

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“…Following the TERT formula, HIS can permanently remodel contracted tissue in the shoulder. This HIS device has been previously shown to successfully treat motion loss in the shoulder [18,19].…”

Section: Introductionmentioning

confidence: 99%

“…In one study, treatment outcomes (forward flexion and combined internal/external rotation) in 60 patients with postoperative adhesive capsulitis were compared between two groups: (1) patients who used the HIS device after reaching a plateau in their recovery following traditional physical therapy (PT + HIS) and (2) patients who showed no plateau in their recovery with physical therapy alone (PT only) [18]. Patients in the PT + HIS group had significantly worse initial elevation and combined rotation when compared to PT-only patients.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of high-intensity home mechanical stretch therapy for treatment of shoulder stiffness: a retrospective review

et al. 2022

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Background Shoulder stiffness resulting in motion loss can be caused by numerous conditions, the most common of which is adhesive capsulitis. Surgical intervention is often necessary when conservative methods fail. High-intensity stretch (HIS) treatment may be able to provide increased motion gains while avoiding the cost and complications of surgery. Objectives The purpose of this study was to review data from patients who were prescribed a HIS device to recover their shoulder motion to determine the efficacy of the device. The hypotheses were that patients would achieve significant range of motion (ROM) gains and that ROM would increase to a level at which patients would be able to avoid a motion loss surgery and perform activities of daily living. Methods Clinical notes were reviewed for patients whose progress plateaued after 4 weeks of therapy and were subsequently prescribed the HIS device after failing to meet their treatment goals. ROM data were recorded for external rotation, abduction, forward flexion, and internal rotation. Pre- and post-treatment ROM data were compared using t-tests. Results Significant ROM gains were seen in all planes of motion (p < 0.001). Patients gained an average of 29.9° in external rotation with a last recorded rotation of 59.2°. In abduction, patients gained 40.5° with a last recorded abduction of 123.3°. In forward flexion, patients gained 30.3° with a last recorded flexion of 138.7°. In internal rotation, patients gained 15.2° with a last recorded rotation of 57.6°. These last recorded ranges of motion were sufficient to perform nearly all activities of daily living. Conclusions The HIS device was effective in treating patients with shoulder motion loss as demonstrated by the significant ROM gains in all planes of motion. The ability for a patient to recover lost motion quickly without surgery is of great value to quality of life and in healthcare cost savings. We believe this high-intensity stretch device should be considered for use by patients who are at risk for a motion loss surgery.

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“…Adhesive capsulitis is the leading cause of pain at the shoulder joint in middle aged and elderly persons [5]. The exact underlying cause for adhesive capsulitis is unknown, but the non-dominant hand and females are considered to be more affected [6]. It is also more prevalent in the 40-70 years age group [2,5] and it is estimated that 2-3% of the general population is affected with this pathology [7].…”

Section: Introductionmentioning

confidence: 99%

The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review

Nakandala

Nanayakkara

Wadugodapitiya

et al. 2021

BMR

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BACKGROUND: Adhesive capsulitis is a debilitating condition which causes the capsule of the gleno-humeral joint to thicken and contract progressively. The effectiveness of various non-operative methods has been demonstrated to improve the pain, range of motion (ROM) and functional status of patients with adhesive capsulitis. OBJECTIVE: This study aims to review recent evidence on the efficacy of physiotherapy interventions in the treatment of adhesive capsulitis. METHODS: PubMed, Physiotherapy Evidence Database (PEDro), Science Direct and Cochrane databases were searched for studies published since 2013. The search terms included: Frozen shoulder, adhesive capsulitis, physical therapy, rehabilitation, manual therapy, mobilization, exercise, education, and electrotherapy. The search was limited to studies published in English and studies that used human subjects. RESULTS: Quality scores of 33 articles were reviewed according to the Sackett’s critical appraisal criteria and the grades of recommendation were determined for physiotherapy interventions used in the studies. CONCLUSION: The empirical evidence suggests that certain physical therapy techniques and modalities are strongly recommended for pain relief, improvement of ROM, and functional status in patients with adhesive capsulitis, while others are either moderately or mildly recommended. However, the efficacy of one treatment modality over another is uncertain. The poor methodological rigors demonstrated in most of the reviewed studies emphasize the urgent need of properly conducted, adequately sampled randomized controlled trials with adequate follow up to determine the superior combination of treatment.

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High-intensity stretch treatment for severe postoperative adhesive capsulitis of the shoulder

Cited by 8 publications

References 34 publications

Efficacy of high intensity home mechanical stretch therapy for treatment of Adhesive Capsulitis: A Retrospective Review

Efficacy of high intensity home mechanical stretch therapy for treatment of Adhesive Capsulitis: A Retrospective Review

Efficacy of high-intensity home mechanical stretch therapy for treatment of shoulder stiffness: a retrospective review

The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review

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