JISCMail - PHYSIO Archives

I agree with Jason in that physio has no effect on the PROGRESS of "frozen" shoulders. stretching, massage etc gives temporary relief only ( only hours of it at that.) however, maintaining ROM is important and there is some indication that this is helpful. I would go as far as to say that aggressive physio will make things worse (several anecdotal examples). My information regarding duration is more like 12 - 24 months. from freezing, to frozen, to defrosting

Anna Lee. Dip Phty, MHPEd.
Principal Physiotherapist and Occupational Health Consultant
Work Ready Industrial Athlete Centre

Write to me at: [log in to unmask] Visit me at: www.workready.com.au

Phone: (612) 9519 7436 Mob: 0412 33 43 98
Fax: (612) 9519 7439

Snail Mail:
Suite 3, 82 Enmore Road,
Newtown NSW 2042
Australia.

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----- Original Message -----

From: [log in to unmask] href="mailto:[log in to unmask]">Jason Steffe

To: [log in to unmask] href="mailto:[log in to unmask]">[log in to unmask]

Sent: Tuesday, June 08, 2004 8:15 PM

Subject: Re: literature support

John, give me a few days to dig out the studies. I assume either enhanced MRI or biopsy. I wouldn't think a biopsy would affect a fibrosed capsule.

----- Original Message -----

From: [log in to unmask] href="mailto:[log in to unmask]">John Willenbruch

To: [log in to unmask] href="mailto:[log in to unmask]">[log in to unmask]

Sent: Monday, June 07, 2004 6:24 PM

Subject: Re: literature support

Jason,

How do you diagnose true adhesive capsulitis with fibrosis in the capsule??

Wouldn't arthroscopically looking at it or taking samples have a massive effect on treatment and make a lot of studies invalid for most adhesive capsulitis patients?

Cheers,

John

>Fadhel,

>Overall, previous and current literature suggest that in cases of true

>adhesive capsulitis (as defined by the presence of fibrosis in the capsule)

>the thawing period (regaining of ROM and function) takes between 28-34

>months, no matter what. PT had no significant effect on this course.

>Some surgeons are beginning to try brisement (which is inflating the

>fibrosed capsule with either air or water) followed by PT and that is

>showing some promise.

>Jason

>----- Original Message -----

>From: "fadhel abdul gaffoor" <[log in to unmask]>

>To: <[log in to unmask]>

>Sent: Sunday, June 06, 2004 4:35 PM

>Subject: literature support

> > Hello members

> > I am doing dessertation on the effectiveness of

> > prolonged stretching in adhesive capsulitis.I am

> > planning to give 90 sec stretch at the end range.can

> > anybody help me by giving the literature support for

> > this study.

> > thank you in advance

> > fadhel.

> >

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