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Frozen Shoulder and Adhesive Capsulitis Overview

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175 Questions

What is the primary symptom associated with frozen shoulder?

Painful restriction and reduced range of motion

Which part of the shoulder is particularly affected by adhesive capsulitis?

Axillary fold of the capsule

What is a debated aspect regarding frozen shoulder?

Whether it is a condition by itself or secondary to an underlying pathology

In what age range do females tend to be affected by frozen shoulder?

45-55 years

What is one of the varied causes/contributors to frozen shoulder mentioned in the text?

Idiopathic to stroke

Adhesive capsulitis is characterized by inflammation of the glenohumeral capsule and synovium leading to adhesion formation, particularly of the axillary fold of the ______

capsule

Medical treatment of frozen shoulder or adhesive capsulitis may include steroid injection or ______

surgery

Most texts note that frozen shoulder is, in many cases, self-limiting anywhere from three months to 2 years ______ onset

post

Age – generally 40+ Gender ▪ Females tend to be affected between ages 45-55 ▪ Males affected in the 50-60 year age ______

range

Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic ______

dislocations

Frozen shoulder is a specific medical term used to describe inflammation of the glenohumeral capsule and synovium.

False

Adhesive capsulitis mainly affects males in the age range of 45-55 years.

False

Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive capsulitis.

True

Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.

False

The etiology of frozen shoulder can range from idiopathic causes to trauma like stroke.

True

What is one of the contributors to frozen shoulder mentioned in the text?

Rheumatoid arthritis

Which nerve root irritation can refer pain into the glenohumeral joint according to Anne Hartley?

C5

What is one of the pathologies mentioned to contribute to frozen shoulder?

Osteoarthritis

Which condition is considered to have an abnormal response to pain generated by sympathetic nerves?

Frozen shoulder

Frozen shoulder can be a result of which postural issue according to the text?

Thoracic hyperkyphosis

Which type of surgery may lead to shoulder dysfunction and possible frozen shoulder according to Anne Hartley?

Mastectomy

______ cause which in some cases is attributed to psychosomatic contributors.

Unknown

Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.

shoulder

Micro trauma or Repetitive Strain can lead to low grade inflammation of the joint and ______.

capsule

Frozen shoulder is often accompanied by a mid-cervical joint dysfunction particularly the C5 nerve root which, if irritated, often refers pain into the glenohumeral joint and that C6-C7 nerve root compression or irritation can mimic ______ pectoris.

angina

Reflex Sympathetic Dystrophy is also known as “shoulder-hand syndrome” and is an abnormal response to pain generated by the sympathetic nerves particularly in injuries or pathologies of the ______.

hand

Postural issue like Thoracic hyperkyphosis, anterior rotation of the GH joint, head forward ______.

posture

Trauma, such as dislocations or falls, cannot lead to capsular tightening in the shoulder joint.

False

Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.

False

Adhesive capsulitis mainly affects males in the age range of 45-55 years.

False

Micro trauma or Repetitive Strain can lead to high-grade inflammation of the joint and capsule.

False

Frozen shoulder can be a result of postural issues like Thoracic hyperkyphosis.

True

Cerebrovascular Accident is not considered a pathology that can lead to frozen shoulder.

False

Which shoulder movement is particularly restricted in adhesive capsulitis?

External rotation

What is one of the key aspects to assess for during postural assessment in individuals with suspected adhesive capsulitis?

Observing for shoulder muscle symmetry

Which joint issues need to be ruled out when testing for adhesive capsulitis?

TMJ and elbow problems

Which shoulder condition may present with limited range of motion due to pain but not necessarily capsular restriction?

Adhesive capsulitis

What is the expected ratio of arm to scapular movement during shoulder abduction according to the text?

2:1

Which muscles are particularly important to palpate for signs of atrophy in individuals suspected of having adhesive capsulitis?

Deltoid and rotator cuff muscles

During abduction, the arm should be able to abduct to 20 degrees with no ______ movement.

scapular

The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and ______.

flexion

Apley’s Scratch Test is used to assess the ______ of the shoulder.

mobility

Adhesive capsulitis is characterized by inflammation of the glenohumeral capsule and synovium leading to adhesion formation, particularly of the axillary fold of the ______.

shoulder

The Humeral/Scapular ratio of movement during shoulder abduction is 2:1, with 10 degrees from the arm and 5 degrees from the ______.

scapula

C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the ______ joint.

glenohumeral

The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and extension.

True

Frozen shoulder can be a result of postural issues like Thoracic hyperlordosis.

False

Steroid injection is not a common medical treatment for frozen shoulder or adhesive capsulitis.

False

Apley’s Scratch Test is used to assess the muscle strength of the shoulder.

False

Frozen shoulder is always self-limiting and resolves within 6 months post-onset.

False

Adhesive capsulitis mainly affects males in the age range of 45-55 years.

False

What is the most severe restriction in the capsular pattern of restriction for adhesive capsulitis?

External rotation

Which of the following is NOT important to palpate for when suspecting adhesive capsulitis?

Trapezius

In Apley's Scratch Test, what is the ideal ratio between arm movement and scapular movement during shoulder abduction?

2:1

Which issue does Anne Hartley suggest as a contributor to shoulder dysfunction and possible frozen shoulder?

Cervical spine injuries

What can mimic angina pectoris in the context of frozen shoulder when referring pain into the glenohumeral joint?

C6-C7 nerve root irritation

Which movement should be free from scapular movement during shoulder abduction according to the Scapulothoracic Rhythm/Glenohumeral Movement test?

Abduction to 20 degrees

During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test

scapular

The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and ______

flexion

In Apley's Scratch Test, what is the ideal ratio between arm movement and scapular movement during shoulder abduction? The ratio is 2:1, with 10 degrees from the arm and 5 degrees from the ______

scapula

Adhesive capsulitis is characterized by inflammation of the glenohumeral capsule and synovium leading to adhesion formation, particularly of the axillary fold of the ______

shoulder

C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the ______ joint

glenohumeral

Which muscles are particularly important to palpate for signs of atrophy in individuals suspected of having adhesive capsulitis? Deltoid, pectoralis major, and all the rotator cuff ______

muscles

The capsular pattern of restriction in adhesive capsulitis includes severely restricted internal rotation, moderately restricted abduction, and somewhat limited external rotation.

False

Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.

False

Apley’s Scratch Test primarily assesses scapulothoracic rhythm and glenohumeral movement.

False

Micro trauma or Repetitive Strain can lead to high-grade inflammation of the joint and capsule.

False

Adhesive capsulitis mainly affects females in the age range of 45-55 years.

False

C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the TMJ joint.

False

During abduction, the arm should be able to abduct to 20 degrees with no __________ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test

scapular

Micro trauma or Repetitive Strain can lead to low grade inflammation of the joint and __________

capsule

Which of the following is NOT important to palpate for when suspecting adhesive capsulitis? ________

bursitis

Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ________

shoulder

Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive ________

capsulitis

Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic ________

inflammation

Adhesive capsulitis mainly affects females in the age range of 45-55 years.

False

Frozen shoulder can be a result of postural issues like Thoracic hyperkyphosis.

True

Steroid injection is not a common medical treatment for frozen shoulder or adhesive capsulitis.

False

The expected ratio of arm to scapular movement during shoulder abduction is 2:1.

True

Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.

False

Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic inflammation.

True

What is a common characteristic of the pain experienced in the Freezing Stage of idiopathic frozen shoulder?

Constant and severe, particularly at night

What is a potential consequence of secondary to bursitis or tendonitis in terms of pain relief?

Pain initially subsides with rest

What is a key sign during the Thawing Stage of idiopathic frozen shoulder that indicates muscle weakness due to disuse atrophy?

Recruitment of secondary muscles for movement

In individuals with adhesive capsulitis, what may be a common feature during the early stages of movement limitation?

Scapula moving prematurely during abduction

What is a distinguishing factor between the pain experienced in idiopathic frozen shoulder and adhesive capsulitis?

Pain is felt when capsule is stretched in frozen shoulder but not in adhesive capsulitis

During the Thawing Stage of idiopathic frozen shoulder, what might be an indication of resolution regarding pain?

'Pain begins to subside'

Frozen shoulder is often accompanied by a mid-cervical joint dysfunction particularly the C5 nerve root which, if irritated, often refers pain into the glenohumeral joint and that C6-C7 nerve root compression or irritation can mimic ______ pectoris.

angina

During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test.

scapular

Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.

shoulder

Apley’s Scratch Test primarily assesses scapulothoracic rhythm and glenohumeral movement. What is the ideal ratio between arm movement and scapular movement during shoulder abduction?

2:1

What is a distinguishing factor between the pain experienced in idiopathic frozen shoulder and adhesive capsulitis?

localized

Which muscles are particularly important to palpate for signs of atrophy in individuals suspected of having adhesive capsulitis? Deltoid, pectoralis major, and all the rotator cuff ______

muscles

Pain during muscle contraction is a common symptom of idiopathic frozen shoulder

False

Frozen shoulder is always self-limiting and resolves within 6 months post-onset

False

Frozen shoulder primarily affects the age range of 45-55 years in males

False

Steroid injection is a common medical treatment for adhesive capsulitis

True

Pain in the Freezing Stage of idiopathic frozen shoulder is constant and severe

True

Postural issue like Thoracic hyperlordosis can lead to frozen shoulder

False

Frozen shoulder is often accompanied by a mid-cervical joint dysfunction particularly the C5 nerve root which, if irritated, often refers pain into the glenohumeral joint and that C6-C7 nerve root compression or irritation can mimic ______ pectoris.

angina

In Apley's Scratch Test, what is the ideal ratio between arm movement and scapular movement during shoulder abduction? The ratio is 2:1, with 10 degrees from the arm and 5 degrees from the ______

scapula

During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test

scapular

What is one of the contributors to frozen shoulder mentioned in the text?

trauma

Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.

shoulder

Postural issue like Thoracic hyperkyphosis, anterior rotation of the GH joint, head forward ______.

posture

Decreasing pain with cool/cold hydrotherapy is recommended during the Frozen stage of frozen shoulder treatment.

True

Swedish and lymphatic drainage techniques are used to eliminate metabolites and localize swelling in the Restricted stage of frozen shoulder treatment.

False

Maintaining ROM with high-grade joint play is crucial for frozen shoulder treatment in the Frozen stage.

False

Reducing chronic muscle contractions is essential in the treatment of frozen shoulder.

True

Treating the opposite limb, back, chest, and neck is unnecessary for compensation during frozen shoulder treatment.

False

Addressing any surgical scarring from mastectomy is not relevant in the treatment of frozen shoulder.

False

During the Freezing stage, to decrease pain with cool/cold hydrotherapy, reflex techniques, grade 1 joint play, full diaphragmatic breathing, the goal is to address the __________ musculature of the shoulder, back, and anterior chest.

compensating

In the Frozen and thawing stage, to address any surgical scarring from mastectomy, dislocation repair with hydrotherapy, fascial techniques, frictioning, and stretching, the goal is to reduce chronic contraction of muscles and fascia with fascial, frictions, passive forced stretching and __________.

hydrotherapy

During the Restricted stage, to maintain and increase ROM of the affected joint with high grade joint play and PF-ROM to stretch the anterior, inferior, and posterior capsule respectively, the goal is to address any __________ contraction of muscles and fascia.

chronic

In Frozen shoulder treatment, to reduce compensatory hypertonicity with deep Swedish techniques, TrP therapy, stretching, and hydrotherapy, the goal is to eliminate metabolites and localize swelling with Swedish and lymphatic drainage techniques and reduce muscle spasms to compensating muscles of the shoulder, back, and anterior chest with hydrotherapy and soothing, rhythmical effleurage and __________.

petrissage

When treating Frozen shoulder, to address distal musculature with gentle muscle squeezing and stroking without increasing venous and lymphatic return that may congest the site, the goal is to maintain ROM with low grade joint play to the affected joint and joint play to joints above and below the GH joint, along with mid-range pain-free passive free movement __________.

7-10x

To reduce chronic muscle contractions in Frozen shoulder treatment, the goal is to treat the opposite limb, back, anterior chest, and neck for __________.

compensation

What is a key goal during the Frozen stage of treatment for idiopathic frozen shoulder?

Reduce chronic muscle contractions and fascial restrictions

In the treatment of restricted (Frozen and thawing stage) frozen shoulder, what is emphasized to address chronic contraction of muscles and fascia?

Deep Swedish techniques and TrP therapy

Which technique is NOT recommended during the Freezing stage for idiopathic frozen shoulder?

High grade joint play to affected joint

What is a key approach to maintaining and increasing range of motion (ROM) of the affected joint in frozen shoulder treatment?

Low grade joint play to the affected joint

Which method is used to address distal musculature without congesting the injury site in idiopathic frozen shoulder treatment?

Lymphatic drainage techniques

During the Thawing stage of idiopathic frozen shoulder, what is crucial to help reduce compensatory hypertonicity?

Stretching techniques

Which precaution should be taken in clients with post-surgical implants such as pins, plates, or pacemakers?

Avoid heavy hydro application

What is a key consideration when treating clients with osteoporosis?

Modify heavy hydro application

When is it recommended to see clients 2 or 3 times per week for 1⁄2 hour during treatment?

During inflammation

What is the approximate duration of regular treatment and compliance to self-care for clients with certain conditions?

Four to six months

What could happen if treatment is overaggressive in clients with tendonitis or bursitis?

Relapse to inflammatory stage

Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.

shoulder

During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test.

winging

C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the ______ joint.

shoulder

Micro trauma or Repetitive Strain can lead to high-grade inflammation of the joint and ______.

capsule

Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive ______.

capsulitis

During treatment of frozen shoulder, it is recommended to maintain the arm in external rotation and slight abduction for comfort.

False

In frozen shoulder treatment, Petrissage is specifically applied to the deltoid muscle.

False

Unidirectional effleurage is a technique used in both acute and subacute stages of frozen shoulder treatment.

False

During treatment of frozen shoulder, turning the client supine is a technique used in both the acute and chronic stages.

True

Joint play involving anterior glide is performed to the upper thoracic spine in the treatment of frozen shoulder.

False

Active pendulum exercises through flexion, abduction, and adduction are specifically recommended during the Thawing Stage of idiopathic frozen shoulder.

True

During treatment of frozen shoulder, turning the client ______ is a technique used in both the acute and chronic stages.

supine

The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and ______.

flexion

Joint play involving anterior glide is performed to the upper thoracic spine in the treatment of frozen ______.

shoulder

Frozen shoulder can be a result of postural issues like Thoracic ______.

hyperkyphosis

Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.

shoulder

Reducing chronic muscle contractions is essential in the treatment of frozen ______.

shoulder

What technique can be applied for frozen shoulder treatment to address the periscapular muscles like trapezius and rhomboids?

Specific massage to periscapular muscles

Which technique is NOT recommended during the chronic stage of frozen shoulder treatment?

Joint play with grade II inferior glide

What is a potential consequence if passive stretch for subscapularis in frozen shoulder includes excessive external rotation?

Risk of infraspinatus tendon injury

During the subacute stage of frozen shoulder, what is a common technique used to mobilize the scapulothoracic articulation?

Active pendulum exercises

In frozen shoulder treatment, what does Petrissage specifically target?

Pectoralis minor muscle

Which technique is utilized in both acute and chronic stages of frozen shoulder treatment?

Unidirectional effleurage

During treatment of frozen shoulder, turning the client ______ is a technique used in both the acute and chronic stages.

supine

In Frozen shoulder treatment, to reduce compensatory hypertonicity with deep Swedish techniques, TrP therapy, stretching, and hydrotherapy, the goal is to eliminate metabolites and localize swelling with Swedish and lymphatic drainage techniques and reduce muscle spasms to compensating muscles of the shoulder, back, and anterior chest with hydrotherapy and soothing, rhythmical effleurage and ________.

friction therapy

Frozen shoulder is a specific medical term used to describe inflammation of the glenohumeral capsule and ______.

synovium

What is a key goal during the Frozen stage of treatment for idiopathic frozen shoulder?

pain relief

During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test.

scapular

Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive ______.

capsulitis

Which exercise involves the client standing with the affected side to the wall and slowly walking fingers up the wall into abduction?

Wall Crawl

In which exercise would a 1-meter long pole be grasped at both ends with elbows straight, starting with forward flexion?

Wand Exercises

What is a key component in the strengthening exercises mentioned in the text for muscles affected by disuse atrophy?

Swimming

Which technique involves having the client bend forward and loosely swing the arm forward and backward?

Wand Exercises

What is the purpose of using wand exercises behind the back according to the text?

To push the pole into extension

What is a recommended technique to address muscle spasms in compensating muscles during frozen shoulder treatment?

Frictioning

During the subacute stage of frozen shoulder, what is a common technique used to mobilize the scapulothoracic articulation?

wall crawl

Frozen shoulder can be a result of postural issues like Thoracic hyperkyphosis.

micro trauma

What is a key component in the strengthening exercises mentioned in the text for muscles affected by disuse atrophy?

theraband

Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic ______

inflammation

During the Freezing stage, to decrease pain with cool/cold hydrotherapy, reflex techniques, grade 1 joint play, full diaphragmatic breathing, the goal is to address the __________ musculature of the shoulder, back, and anterior chest.

periscapular

What is a recommended technique to address muscle spasms in compensating muscles during frozen shoulder treatment?

petrissage

Wall Crawl involves the client slowly walking fingers up the wall into adduction.

False

In Wand Exercises, the pole is pushed into flexion when bringing hands up over head.

True

Theraband, pulleys, and swimming are not used for strengthening muscles affected by disuse atrophy.

False

Hydrotherapy is not part of self-care remedial exercises.

False

Postural re-education is not emphasized in self-care remedial exercises.

False

During Codman Pendulum Swings, the client progresses from forward and backward swings to circles without changing the size of the swings.

False

Learn about frozen shoulder, an umbrella term for conditions causing pain and restricted movement in the shoulder, and adhesive capsulitis, an inflammation leading to adhesion formation in the shoulder joint. Explore the debate on whether frozen shoulder is a standalone condition or secondary to other pathologies.

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