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19 Cards in this Set

  • Front
  • Back
What is a capsular pattern?
Limited ER (30), ABD (90), IR and FLEX (120)
What are potential causes of adhesive capsulitis
1) Idiopathic
2) Stiffness following trauma or immobilization
What is adhesive capsilitis?
1) fibrosis of the capsule
2) non-inflammatory
3) Increased collagen to axillary fold
4) Increased serum lipids (diabetics)
What type of person tends to develop adhesive capsulitis?
Females, > 40 yo, Type I diabetic
What are the 3 phases of adhesive capsulitis?
1) Freezing (painful) ohase
2) Frozen (stiff) phase
3) Thawing phase
How long does the freezing phase last w/ adhesive capsulitis?
2 to 9 months
How long does the frozen (stiff) phase last w/ adhesive capsulitis?
4 to 12 months
How long does the thawing phase last w/ adhesive capsulitis?
1 to 9 months
Describe the freezing (painful) phase of adhesive capsulitis
1) Pain at rest
2) Decreased capsular mobility
3) Loss of motion even w/ anesthetic
Describe the frozen (stiff) phase of adhesive capsulitis
1) Pain at end range
2) Stiffness in capsular pattern
3) Atrophy of muscles
Describe the thawing phase of adhesive capsulitis
1) Gradual increase of motion
2) Variation of pain at end range
What are sx of adhesive capsulitis
1) Limited ROM
2) Decreased jt. mobility (decreased ANT/INF glides)
3) Pain at rest, night, C5 derm, bicep tendon, empty end feel
4) Arthrography
What are some different dx for adhesive capsulitis?
1) bicep tendintis
2) bursitis
3) impingement/supraspinatus tendinitis
What tx is done for adhesive capsulitis?
1) A/PROM exercises-take to end feel and add a glide (ANT/INF)
2) Joint mobes (grades 1-5)
Which joint mobe grades decrease pain?
Grades I and II
Which joint mobe grades creates tissue resistance?
Grades III and IV
Which joint mobe grade is a manipulation?
Grade V
How long do you hold a high intensity joint mobe?
5 to 10 sec
How long do you hold a low intensity joint mobe?
2 to 5 min (if elbow, could be up to 4 to 8hrs)