AssalamuAlaikum & Greetings Everyone!
AssalamuAlaikum & Greetings Everyone!
I am glad to see that the first week of the season has started, thanks teacher @ashkhan for this wonderful lecture of Frozen Shoulder.
Q.1 - What's frozen shoulder? Write in your own words after getting knowledge from the lesson post.
What is Frozen Shoulder?
As I opened my eyes this morning, my mind went straight to the condition of Frozen shoulder – a disorder that affects the shoulder joint and can make the movement of the shoulder joint very hard. This condition describes severe shoulder stiffness and shoulder pain and can sometimes make the shoulder seem rigid as if it is genuinely frozen.
Understanding Frozen Shoulder
Adhesive capsulitis also known as frozen shoulder is a pathology, with the joint capsule becoming thick and tight around the shoulder joint. This can confine movement and result in long-standing dull painful discomfort. The condition advances to three phases and every phase has unique signs.
The Three Stages of Frozen Shoulder
Freezing Stage: This is the first phase, of pain inception up to the ultimate level of pain. Pain increases within the shoulder, and it becomes difficult to raise or turn the shoulder.
Frozen Stage: As according to this stage, the pain may drop down but the shoulder moves only by stiffness. Unbelievable limitations are placed on motion, even for simple tasks to be accomplished.
Thawing Stage: Last, the shoulder begins to come ‘out of this freeze,’ and the client experiences slowed, but progressive gains in range of motion and the lessening of stiffness. This stage may take some time, but gradually the motion within that range is regained.
Causes and Treatment
Frozen shoulder is a painful condition which can arise for a number of reasons such as diabetes, heart disease and shoulder injuries. Management involves treatment through medication, physiotherapy, as well as specific exercises that will see the shoulders strengthened. In some cases, particularly severe, the doctor may consider surgery.
Recovery and Patience
Frozen shoulder is a slow process to heal and it can take over six months to a whole year for the condition to disappear completely. Strengthening exercises are very important in enabling an individual to regain use of the shoulder joint as well as to minimize shoulder pain.
Q.2 - How would you diagnose a frozen shoulder? Any clinical investigation or assessment tests?
Adhesive capsulitis of the shoulder commonly known as frozen shoulder involves pain and rigidity of the shoulder joint gradually limiting the movements of the joint. It is usually diagnosed by a clinical examination of the patient accompanied by history and physical examination plus specific tests that determine the degree of movement to be expected at the joint.
A clinical history and symptoms are as follows
The foundational step in proper diagnosis is patient history and signs and symptoms that exist in the case of the particular patient in question. Sharpened pain is a characteristic frozen shoulder symptom, where the patients experience shoulder pain that gradually becomes worse with time, worst at night and diminished shoulder flexibility. This condition typically progresses in three stages: The “freezing” phase followed by pain and stiffness, the “frozen” phase characterised by stiffness but mild pain and the “ thawing” phase where range of motion increases.
Physical Examination
A physical examination tests different movements of the shoulder, in active and passive setting. Active motion means the patient with the shoulder exercises the movements on their own whereas passive motion means the doctor or the physiotherapist moves the patient’s arm in different directions. Whereas in other pathologies, there may be restriction of only active movement but in frozen shoulder both active and passive movements are commonly restricted.
Range of Motion Tests
The tests include assessment of the degree of external rotation, and abduction of the shoulder joint. External rotation or inability of the arm to rotate as far as it should is usually a recognizable characteristic of frozen shoulder. These angles may be measured accurately by using a goniometer if in case a doctor is involved in the process.
Imaging
Nevertheless, plain films Xrays or MRI scans are usually not mandatory for diagnosis of frozen shoulder; they can however exclude other differential diagnoses like osteoarthritis or rotator cuff tear. There may be opinions about MRI, there may be hyperintense signals indicating thickening of the shoulder capsule, which indicates adhesive capsulitis.
Altogether, these steps are useful to pinpoint frozen shoulder and to find out how severe a case is, which will guide action in treatment.
Q.3 - Try to practice at least 3 exercises that you have learned from the lesson. Share images, gifs or videos while practising.
Here are my four exercises that can help improve mobility and reduce stiffness in a frozen shoulder. I practiced these 4 videos given below:
- Wand Shoulder Flexion: For this exercise, take a stick or a wand with the right hand, with the left hand grasp it across the middle and make sure the stick is straight between both of them. With the opposite hand grab the affected arm and place it over the head, as far as the shoulder allows. This movement is used to bring more mobility in the shoulder joint by stretching it out. This exercise should I take more than 1 to 5 minutes.
- Shoulder Circles: It begins with standing or sitting comfortably with rigorously relaxed shoulders. Slowly swirl your affected shoulder, in circular motion first clockwise, then anti clock wise. The benefit of this exercise is easing tension in muscles around the shoulder area. This exercise should lasted between 1 to 5 minutes.
- Scapula Retraction: Stand or sit with your arms away from your body, that means your arms should be at your sides. Slightly raise your shoulders up to your ears, then slide your shoulder blades down and back as you hold for three seconds then release. It also helps to tighten the muscles around the scapula and fix many posture problems, enhancing the mobility of the shoulder joints. Do this for 4 to 7 minutes.
- Cross Body Stretch: With your hand, feeling looseness or discomfort, move your arm horizontally across the midline of your body. Just grab it with your other hand and press it down for about 5 to 10 seconds. This particular stretch helps relax the back of the shoulder since it is tight. I spent about 1 to 5 minutes for this stretch will give beneficial outcomes.
Repeating these exercises daily and for 5 to 15 minutes each can decrease pain and increase shoulder mobility.
Q.4 - Share your review after performing these exercises either on a healthy individual or patient.
Exercise Review for Applied Practical.
When performing these exercises on a [healthy individual / patient] the obtained outcome helped in evaluating the practicality and applicability of the exercises. Here’s a breakdown of the experience and observations:
Assessment and planning of this paper is presented hereby.
At the start of each session and for the first few training sessions, I carried a warm-up test to check levels of strength, flexibility, and energy. This was crucial to assess the general fitness level of the person to know whether any part of the body needs to be handled carefully in the programme in order to avoid over stressing that part of the body.
Observations During Exercise
The exercises were segmented into strength, flexibility, and endurance components, each of which had distinct impacts:
- Strength Exercises: Such exercises proved useful in as far as they stimulated particular muscles without undue stress being put on the muscle tissue. One can see that an individual / patient experienced mild, but bearable level of fatigue, thus, the optimal reading could be identified.
- Flexibility Exercises: There was an increase in flexibility in many joints particularly areas of the body that have been determined to be more stiff. It was most helpful for [the patient’s specific area of tension or condition], since the shift to me made more sense.
- Endurance Exercises: Of the activities discussed cardiovascular exercises and flexibility and core strength routines showed a gradual progression. Chronicity resulted in better ease and comfort, which indicated gradual improvement by the individual / patient.
Feedback and Adjustments
From time to time I asked the learners if there was a moment they felt uncomfortable or when they found it difficult. These inputs allowed me to make some changes in the exercise intensity and speed, to continue the effectiveness of training, but not to get tired. Such attentiveness was the reason for keeping up a good experience of the routine since confidence in the procedure was developed.
Overall Outcome
At the end of the session, [the individual / patient] positively responded with improvements in physical relaxation and muscle elasticity decrease of tension. Since it was only one session, the demonstrated exercises indicated the ability to enhance mobility, strength and general health. Although, more sessions will be needed to see whether the results are long-term if there are any or alterations required.
This first study of the exercise shows that for the most part it is possible to use the exercises either in their original set up or in a modified setting in which a number of important areas of facilities for physical conditioning and rehabilitation are provided.
I invite here @josephdaniela, @sampu and @animal-shelter to participate in it.
Thank You
Thank you for understanding the lesson and sharing your assignment; I hope that you will enjoy this week's lesson and try to implement it in your life if you see any such case.
Observations
Task 1 (2.8/3)
You have shared a great knowledge about frozen shoulder, types , stages, and treatment. But you forget to add the phases of frozen shoulder. A bit more depth require tu complete the answer. I appreciate your effort.
Task 2 (2.9/3)
In the second question, you tell us about the physical examination, investigations, past history, range of motion tests. But it would be better if you add speed test, yergason test too. You answer this question well. Great.
Task 3 (3.9/4)
You try the shoulder circles, scapula retraction, and cross body stretch in a good way. But while performing exercises use more bright area that I can easily understand them. Remember always apply heating pad before performing these exercises. I appreciate your efforts.
Overall you made a great attempt to answer all the questions. I appreciate your efforts. But next time try to avoid the above written suggestions. Keep learning and try to implement your knowledge to the people suffering from any shoulder pathology or you suffer from such condition. Thank you.
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