Background: Frozen shoulder is the most common self limiting disability which affects about 2-5% of the population with the females being more prone. It’s having three phases and the treatment depends upon the phases. The best treatment choice should be started from the conservative treatment then proceed to invasive. Frozen shoulder case is clinically diagnosed and requires minimal investigations as there is complete restriction in the passive and active range of motion.
Objective: The objective of this case study was to provide the relief to the patient in terms of pain as well increase the range of motion which helps in enhancing the functional activities. This case study evaluates the effect of combined treatment methods used in the physiotherapy.
Case Description: A 48 year female visited OPd with the complaints of pain and restricted active and passive range of motion in the left shoulder. The shoulder disability index of the patient was approximately 90% and the severity of the pain in the shoulder as well as the surrounding structures of shoulder was about 9 out of 10 on the NPRS. She was provided with the treatment after the proper assessment with combination of exercise, electrotherapy, manual therapy and rehabilitative exercises. The treatment was continued for 4 weeks and after that post assessment was done and there was change in the parameters which was taken initially.
Outcome measures: the outcome measures or the assessment tools used for this study was Numerical pain rating scale for the pain, goniometer to assess the range of motion, Manual muscle testing to check strength of shoulder muscles and the shoulder pain disability index for both pain as well disability.
Result: the study findings shows drastic changes in the parameters taken in the beginning of the study. There was reduction in the pain and increase in all the range of motion which was restricted. Shoulder disability index also shows improvement.
Conclusion: This study concluded that the physiotherapy treated provided beneficial effect to the frozen shoulder cases. This study adds to the evidence about the physiotherapy rehabilitation progressive effects.
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