Page 20 - 2021 IDMT Digital
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ADHESIVE CAPSULITIS
Introduction:
• $OVR NQRZQ DV ³IUR]HQ VKRXOGHU´ DQG LV GHVFULEHG DV D YHU\ SDLQIXO VKRXOGHU WKDW LV
WULJJHUHG E\ PLQLPDO RU QR WUDXPD
• &RQVLVWV RI WKUHH SKDVHV
o ,QIODPPDWRU\ SKDVH PRQWKV (severe pain)
o )UHH]LQJ SKDVH PRQWKV (severe ROM loss, less pain)
o 7KDZLQJ SKDVH XS WR D \HDU (gradual return of ROM)
• $GKHVLYH FDSVXOLWLV LV VHHQ FRPPRQO\ LQ SDWLHQWV WR \HDUV ROG DQG LV PRUH
FRPPRQ LQ ZRPHQ
• 7KLV LV D VHOI OLPLWLQJ EXW FDQ EH D YHU\ GHELOLWDWLQJ GLVHDVH
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ LQ WKH VKRXOGHU
o /LPLWHG UDQJH RI PRWLRQ
o :HDNQHVV
• )RFXVHG +LVWRU\
o 2QVHW LV YHU\ LPSRUWDQW LQ WKH GHYHORSPHQW RI DGKHVLYH FDSVXOLWLV DQG FDQ EH
KHOSIXO LQ LWV GLDJQRVLV
,QVLGLRXV RQVHW LV PRUH FRPPRQ
7UDXPDWLF RQVHW RI DGKHVLYH FDSVXOLWLV LV XQOLNHO\
o +DQG GRPLQDQFH
o 2FFXSDWLRQ
Objective:
• 3K\VLFDO ([DP
o 7HQGHUQHVV WR SDOSDWLRQ DERXW WKH VKRXOGHU
o 7KHUH ZLOO OLNHO\ EH QR REYLRXV FDXVH
o /LPLWHG H[WHUQDO URWDWLRQ DQG DEGXFWLRQ LV D FRPPRQ ILQGLQJ
o 6WUHQJWK LV XVXDOO\ QRUPDO EXW FDQ EH GLPLQLVKHG ZKHQ SDWLHQW LV LQ SDLQ
Assessment:
• 'LIIHUHQWLDO
o ,PSLQJHPHQW V\QGURPH DFWLYH UDQJH RI PRWLRQ ZLOO EH UHGXFHG EXW SDVVLYH UDQJH
RI PRWLRQ ZLOO EH IXOO
o 6KRXOGHU GLVORFDWLRQ SDWLHQW ZLOO EH LQ D JUHDW GHDO RI SDLQ DQG ZLOO XQOLNHO\ EH
DEOH WR SHUIRUP UDQJH RI PRWLRQ
o $& MRLQW VHSDUDWLRQ KLVWRU\ RI WUDXPD DQG FURVV ERG\ DGGXFWLRQ ZLOO EH SDLQIXO
o 7HQGLQLWLV KLVWRU\ ZLOO OLNHO\ LQGLFDWH RYHUXVH
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