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You are treating a patient for idiopathic frozen shoulder (adhesive capsulitis) that began approximately 6 months ago. Her shoulder external rotation is 0-30 degrees (normal ROM 0-90) and her shoulder abduction is 0-75 (normal ROM 0-180) degrees. She complains that she is frustrated because she is unable to reach for things on high shelves or style her hair. You decide that treatment should emphasize:Group of answer choicesModalities to decrease painPassive external rotationOverhead reaching functional activitiesActive shoulder abduction

Question

You are treating a patient for idiopathic frozen shoulder (adhesive capsulitis) that began approximately 6 months ago. Her shoulder external rotation is 0-30 degrees (normal ROM 0-90) and her shoulder abduction is 0-75 (normal ROM 0-180) degrees. She complains that she is frustrated because she is unable to reach for things on high shelves or style her hair. You decide that treatment should emphasize:Group of answer choicesModalities to decrease painPassive external rotationOverhead reaching functional activitiesActive shoulder abduction

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Solution

The treatment should emphasize Overhead reaching functional activities. This is because the patient's main complaints are about her inability to reach for things on high shelves or style her hair, which are both overhead reaching activities. By focusing on these functional activities, you can help her regain the ability to perform these tasks, which will improve her quality of life. Additionally, working on these activities will also naturally involve improving her shoulder external rotation and abduction, which are currently limited.

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