Adhesive capsulitis of the shoulder: clinical and rehabilitative aspects
Keywords:
Adhesive capsulitis, frozen shoulder, physiotherapy, rehabilitation.Abstract
A descriptive and transversal study of 37 patients treated with adhesive capsulitis (AC) of the shoulder who received rehabilitation in the Physiotherapy Department of the “Dr. Juan Bruno Zayas Alfonso” Hospital of Santiago de Cuba, from January 2021 to January 2023, was carried out in order to characterize them according to clinical and rehabilitative aspects. The degree of severity of the painful shoulder was classified and joint amplitude (ROM) was determined with goniometry. Females predominated (59.5 %), ages between 56 - 65 years (56.7 %), the left shoulder was the most affected (70.3 %). Secondary AC (86.5 %), intra-articular subgroup (56.2 %), rigid stage (48.6 %), evolution in the first six months and moderate Omalgia (45.9 %) stood out. Kinesitherapy was applied in all cases regardless of the clinical stage. Occupational interruption was reported in 29 % of the occupationally active patients. The information was processed with the statistical package Statgraphics Centurion XV.1. Descriptive analysis was performed, and Pearson’s correlation was used to determine the relationship between active joint movements and active joint movements.
It is necessary to rigorously establish the incidence and prevalence rates of AC in our environment. Despite insufficient evidence and consensus on the treatment of AC, a timely diagnosis should be made, and an early rehabilitative intervention implemented to achieve a functional recovery.
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