Review on Physiotherapy Management on Frozen Shoulder

Abstract

One of the most prevalent and disabling orthopaedic problems for which patients seek therapy is painful restriction of shoulder motion. The precise sort of restriction that we now refer to as FS has been documented in medical literature for over a century. In 1872, Duplay referred to FS as "scapulohumeral periarthritis," a condition he thought was caused by subacromial bursitis. Pasteur later coined the term "tenobursite" to describe the same ailment, which he related to bicipital tendinitis. Codman created the term "frozen shoulder" in 1934. Frozen shoulder is often defined as the sudden onset of steadily escalating shoulder pain and substantial mobility restriction. This pathologic state is characterised by microscopic indications of chronic capsular inflammation, fibrosis, and perivascular infiltration. Diabetic persons are more likely to acquire the condition and require surgical treatment. The prevalence of frozen shoulder ranges between 3 and 5% and is substantially higher in diabetics, reaching up to 30%, with a predisposition for more severe symptoms and treatment resistance. It typically affects people in their forties and fifties, is somewhat more common in women than men, and can occur bilaterally. FS is also known as Adhesive Capsulitis because of the histological appearance of the disease, which consists of synovitis followed by fibrosis caused by a persistent inflammatory response (AC). The primary purpose of physiotherapy intervention (PTI) is to restore and preserve the injured shoulder's function. Physical therapy treatments include low-level laser and ultrasound therapy, as well as acupuncture and massage, have shown slight improvements in pain and function, but there isn't enough evidence to recommend them. Key words: Frozen shoulder, Adhesive capsulitis, Physiotherapy Rehabilitation.