10 February 2017 : Case report
Immediate Effects of Angular Joint Mobilization (a New Concept of Joint Mobilization) on Pain, Range of Motion, and Disability in a Patient with Shoulder Adhesive Capsulitis: A Case Report
Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Younghoon Kim1ABEF, GyuChang Lee2ACDEF*DOI: 10.12659/AJCR.900858
Am J Case Rep 2017; 18:148-156
Abstract
BACKGROUND: Adhesive capsulitis is a common disabling condition, with reviews reporting up to 5.3% of the population being affected, the burden placed upon individuals and healthcare services may therefore be considered substantial. For recovering the normal extensibility of the capsule in individuals with adhesive capsulitis of the shoulder, passive stretching of the capsule through end-range mobilization has been suggested. Recently, the concept of joint mobilization into angular joint mobilization (AJM), which is rotational joint mobilization with joint axis shift, was proposed. This case report aimed to investigate the immediate effect of AJM on pain, range of motion (ROM), and disability in a patient with shoulder adhesive capsulitis.
CASE REPORT: The patient was a 53-year-old woman who was diagnosed with left shoulder adhesive capsulitis. Her left shoulder gradually stiffened, affecting functional activity. The patient attended 12 joint mobilization sessions over a period of six weeks (two times per week). The intervention consisted of rotary oscillations of the left shoulder, which were applied with overpressure and stops before the end of the pathological limit. After intervention, the patient reported 3/100 pain intensity on the visual analogue scale (VAS) (before versus after: 58 versus 3). Active ROM improved by 51° in flexion, 76.4° in abduction, 38.7° in external rotation, and 51.4° in active internal rotation. Passive ROM improved by 49° in flexion, 74.6° in abduction, 39.4° in external rotation, 51.4° in internal rotation. The total shoulder, pain and disability index (SPADI) score improved by 53.9%.
CONCLUSIONS: The patient reacted positively to AJM, resulting in improved shoulder pain, ROM, and disability, and the results suggest that AJM allow consideration in the management of individuals with adhesive capsulitis.
Keywords: Adhesive Capsulitis, case reports, Restraint, Physical, Shoulder Joint
In Press
12 Mar 2024 : Case report
Successful Treatment of Lithium-Induced Nephrogenic Diabetes Insipidus with Celecoxib: A Promising Therapeu...Am J Case Rep In Press; DOI: 10.12659/AJCR.943244
13 Mar 2024 : Case report
Recurrent Marginal Zone Lymphoma with Bone Marrow Involvement Detected by ¹⁸F-FDG PET/CT and Biopsy: A Diag...Am J Case Rep In Press; DOI: 10.12659/AJCR.943275
13 Mar 2024 : Case report
Unveiling the Temporal Aspect of MRI Tattoo Reactions: A Prospective Evaluation of a Newly-Acquired Tattoo ...Am J Case Rep In Press; DOI: 10.12659/AJCR.943411
13 Mar 2024 : Case report
Cardiac and Intramuscular Metastases Following Nephroureterectomy for Metachronous Urothelial CarcinomaAm J Case Rep In Press; DOI: 10.12659/AJCR.942864
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250