Comprehensive Frozen Shoulder Assessment and Management

FT PRACTICE ONFROZEN SHOULDER 5.2.1. Tools preparation - Frozen shoulder case scenario (patient experiencing stiffness, pain and limited movement in the glenohumeral joint) Complete bed - Blank clinical status report to record all physiotherapy management - Tensimeter - Watch/stopwatch - Goniometer - VAS Image - SPADI Scala - Shoulder Wheel - Stools - Electro-therapy modalities (US, TENS, Heater) 5.2.3. Anamnesis  Say hello and introduce yourself.  Ask for the patient's personal data  Ask about the patient's complaint.  Ask about the location of the complaint  Ask since when the complaint was felt.  Ask the cause of the complaint  Ask about factors that aggravate and relieve complaints. Ask about the history of therapy that has been obtained and the results of the therapy.  Record the results of the anamnesis examination. 5.2.6. Vital sign measurement Convey the purpose/purpose of measuring blood pressure, ulse frequency and respiratory frequency to the patient 5.2.6.1. Tension measurement  Ask about the results of the x-ray examination.  Ask about the medicines that have been received.  Record all the data obtained  Ask about other illnesses you suffer from  Ask about the possibility of complaints in other body systems. Note the results of anamnesis examination of these systems  Position the patient sitting on the edge of the examination table. Free the patient's upper arms from clothing  Shoulder position joint (forearm)  Place the cuff on the patient's upper arm with the lower border 2 cm above the cubital fossa  Feel the presence of a.brachial pulse on the medial side of the cubital fossa.  Place the stethoscope in the ear, and the stethoscope membrane in the area where the Abducted 30o-40o, supination of radioulnar a.brachial pulse can be felt.  Tighten the fastener then pump the pump quickly to 180 to 200 mmHg (or until you can't hear a pulse)  Loosen the fastener slowly (lowering speed does not exceed 3 mmHg/second) while listening to the systole and diastole  Convey the measurement results to the patient.  Record the measurement results 5.2.6.2. Pulse measurement  Prepare a watch/stopwatch  Feel with three fingers for a radial pulse on the radial side of the ventral wrist  Count the number of beats in one minute.  Convey the measurement results to the patient.  Record the measurement results 5.2.6.3. Measurement of respiratory frequency  Prepare a watch/stopwatch  Hold the patient's hand as if to measure the pulse to distract the patient  While observing chest/abdominal movements, count the number of breaths in one minute  Convey the measurement results to the patient.  Record the measurement results 5.2.7. Inspection 5.2.7.1. Static inspection  Observe the position of both shoulders (symmetrical or not)  Observe the affected shoulder from the anterior, lateral and posterior aspects (skin color, edema, skin contour)  Record the results of the examination 5.2.7.2. Dynamic inspection - The patient is asked to move both shoulder joints towards shoulder elevation abduction - Record the results of the examination 5.2.8. Palpation  Feel the area of injury/complaint with the back of your hand and compare it with the healthy side to see whether there is an increase in temperature or not  Press the complaint area with three fingers (pressure using the palmar tip of the finger) to determine the presence of tenderness  Record the results of the examination 5.2.9. Movement examination Patient position: sitting onstool 5.2.9.1. Active movement check  The patient is asked to move the shoulder joint on the healthy side in the direction of flexion, extension, abduction, adduction, endo-rotation and ex-rotation. Observe the extent of the LGS  The patient is asked to move the shoulder joint on the affected side in the direction of flexion, extension, abduction, adduction, endo-rotation and ex-rotation.  Observe the extent of the LGS and compare it with the healthy side and ask if there is pain when moving  Record the measurement results whether there is limited movement or not, whether there is movement pain or not, movement coordination. 5.2.9.2. Passive movement examination  Arrange the grip as follows: one hand as a fixator is placed on the healthy upper trapezius joint, one hand supports the arm with a grip on the middle 1/3 of the humeral bone.  Movement of the shoulder on the healthy side in the direction of flexion, extension, abduction, adduction, endo-rotation and exrotation.  Feel the endfeel, ask whether there is pain or not and observe the extent of the LGS  Arrange the grip as follows: one hand as a fixator is placed on the upper trapezius of the affected joint, one hand supports the arm with a grip on the middle 1/3 of the humeral bone.  Feel the endfeel, ask whether there is pain or not and observe the extent of the LGS.  Record the measurement results to see if there are limitations in movement, changes in endfeel and movement pain