Adhesive Capsulitis? Avoid Passive Modalities
Reference:Jewell DV, et al Interventions associated with an increased or decreased likelihood of pain reduction and improved function in patients with adhesive capsulitis. Phys Ther. 2009 May;89(5):419-29.
This cohort study (which is a form of longitudinal study) examined data from over 2300 patients diagnosed with adhesive capsulitis, who had attended outpatient physical therapy.
Basic Conclusions: Although limited, joint mobilization and exercises were effective in reducing pain and disability associated with adhesive capsulitis.
Ultrasound, massage, iontophoresis, and phonophoresis not only did not help, they reduced the likelihood of a favourable outcome.
What can we learn from this large study?
The use of passive modalities for adhesive capsulitis is not only useless, it may actually hinder recovery!
Posted on: April 09, 2012