Oscar Eduardo Sánchez Valdeolla* and Kenia Montenegro Guerra

Hospital Universitario “Manuel Ascunce Domenech”. Camagüey, Cuba

*Corresponding Author: Oscar Eduardo Sánchez Valdeolla, Hospital Universitario “Manuel Ascunce Domenech”. Camagüey, Cuba.

Received: March 15, 2021; Published: March 24, 2021

Citation: Oscar Eduardo Sánchez Valdeolla and Kenia Montenegro Guerra. “Need for Consensus for Frozen Shoulder Treatment by Physical Medicine and Rehabilitation According to Clinical Phases”. Acta Scientific Clinical Case Reports 2.4 (2021): 47-49.

Abstract

  Frozen shoulder is one of the main disabling health problems in men today. This condition causes physical limitations to those affected, so that it is necessary to take therapeutic measures to eradicate it. however, various forms of treatment for this condition have been described, all with some degree of efficacy, none of which is better than the others. This entails the need to establish a consensus to carry out a timely treatment according to the clinical phases of this condition, which is why it is our motivation in this study.

Keywords: Frozen Shoulder; Physical Medicine; Rehabilitation

  Frozen shoulder is one of the most common conditions treated in comprehensive rehabilitation services. Due to the great mobility of the shoulder joint, it is the target of multiple injuries [1-3].

  The causes for which frozen shoulder can occur are articular, extra-articular and systemic. Of these, the most frequent are the first and the last. Among these, shoulder bursitis, rotator cuff tear, and diabetes mellitus are the most common conditions [3].

  Taking into account the clinical characteristics of this condition, a classification has been established depending on the symptoms and signs. Frozen shoulder is classified into three clinical phases. Phase I (painful), where pain predominates; phase II (freezing), where functional impotence prevails, and phase III (thawing), which occurs spontaneously according to the opinion of most authors. Different procedures of physical medicine and rehabilitation are applied in each phase for its treatment [4,5].

  The combination and suitability of physical agents, together with kinesitherapy, constitute the main therapeutic elements to achieve the relief of shoulder pain and its mobility. However, there are still discrepancies regarding the use of the procedures in each phase [6-9]. As a result of reading nine articles, the elements shown in the following table were systematized.

Table: Presentation of publications on the treatment of frozen shoulder and the procedures of physical medicine and rehabilitation and of natural and traditional medicine.

  As can be seen, none of the studies specify which phase of the condition is being treated. On the other hand, all of them are emphasized to the use of exercises and manual therapy. Only in three the use of physical agents is taken into account. The therapeutic objectives to be achieved must be borne in mind in this condition, since in phase I the first thing to eliminate is pain, and this is difficult to eliminate through kinesitherapy.

  In phase II, greater importance is given to the elimination of joint impotence and then to the disappearance of pain. In phase III the essential thing is to achieve the recovery of joint mobility. The combination of physical agents, or other similar therapy, are the main therapeutic procedures to achieve the disappearance of pain or its relief. Kinesitherapy is then recommended to achieve joint mobility recovery. All these aspects must be kept in mind when it comes to shoulder rehabilitation [6-8].

Conclusion

  There is poor management to counteract this disease, taking into account both the procedures of natural and traditional medicine and those of physical medicine and rehabilitation. Therefore, it is suggested that work on this frequent and complex condition be deepened and expanded.

Conflict of Interests

The authors declare that they had no conflicts of interest to carry out this article.

Authors' Contributions

Oscar Eduardo Sánchez Valdeolla: Writing of the article and review of the literature.

Kenia Montenegro Guerra: Writing of the article and review of the literature.

Bibliography

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Copyright: © 2021 Oscar Eduardo Sánchez Valdeolla and Kenia Montenegro Guerra. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.