© 2018 Cameron Vallie
Background and Purpose: Shoulder pain is the third most common site of musculoskeletal pain leading to substantial financial burden for patients. Adhesive capsulitis (AC) is a disabling condition defined by a progressive loss of upper extremity (UE) range of motion (ROM) and leading to limitations in functional mobility. The purpose of this case report is to investigate the implementation of medical therapeutic yoga (MTY) in combination with manual therapy and therapeutic exercise in the treatment of a patient with AC. Case Description: The patient was a 51-year-old female with left shoulder AC and associated deficits in ROM, strength, and functional mobility. Her goals included a decrease in pain at rest and with activity, improvements in shoulder elevation, UE strength and reductions in perceived disability related to her shoulder pain. Objective measures included the numeric pain rating scale (NPRS) and the shortened version of the disability of the arm, shoulder and hand (Quick DASH). Interventions included yogic-based exercises, manual therapy, passive ROM and therapeutic exercise for a period of 12 weeks to address issues with functional mobility leading to activity limitations and participation restrictions. Outcomes: With MTY intervention in combination with standard treatment for AC, the patient’s Quick DASH score improved from 45% to 25% disability and NPRS from 5/10 to 1-2/10 at rest. Gains were also observed with UE strength, ROM and posture. Following the episode of care, 4 of 6 goals were met by the patient. Discussion: This case report demonstrated the potential usefulness of MTY intervention to decrease pain and improve function. Further research should investigate the validity of yogic based therapies compared to standard treatment and other medical management of AC.
Vallie, Cameron, "The Use Of Medical Therapeutic Yoga On A Patient With Adhesive Capsulitis: A Case Report" (2018). Case Report Papers. 96.