Adhesive Capsulitis

Question 1

What age group is afffected by AC?

Answer 1

40-65

Question 2

This AC has no known cause

Answer 2

Idiopathic primary adhesive

Question 3

This AC is due to DM and thyroid issues (hypothyroidism -females)

Answer 3

Secondary systemic

Question 4

This AC is due to RCT or labral pathology

Answer 4

Secondary intrinsic

Question 5

This AC is due to cervical disc disease, stroke, or not moving the arm

Answer 5

Secondary extrinsic

Question 6

How long does AC last?

Answer 6

12-18 mo, but up to 2 years

Question 7

This stage lasts three mo. Sharp pain at end range, aches at rest. Impingement?

Answer 7

Stage one

Question 8

What stage? Gradual loss of rom in all planes, limited by pain, no true end feel, and occurs 3-9 mo

Answer 8

Stage 2

Question 9

What is happening in stage 2 of AC

Answer 9

Aggressive angiogenesis and synovitis

Question 10

What stage? Lessening of pain, ROM is most limited

Answer 10

Stage 3, mo 9-15

Question 11

What is happening in stage 3 ac?

Answer 11

Fibrosis

Question 12

What stage? Significant decrease in pain, gradually improving ROM

Answer 12

Stage IV, mo 15-24

Question 13

Ruling in AC criteria: 6 things

Answer 13

1. Age between 40-65
   2 gradual insidious onset with pain and stiffness
   3 Rom limited grooming, ADLs and sleep
   4 gh PROM most limited in ER and decreases in greater abduction
   5 PROM in end range increases pain
   6 accessory glides are limited in all directions

Question 14

Can rule out AC if 6 things

Answer 14

1Normal PROM
2 gh oa on x ray
3ER or IR increase with greater abduction
4 familiar pain is reproduced with palpation
5 ULTT reproduces pain
6 shoulder pain is reproduced with peripheral nerve testing

Question 15

GH OA can look like AC but will be most prevalent at this age

Answer 15

60 and greater

Question 16

RA can look like AC but likely will present

Answer 16

Bilaterally

Question 17

Calcific tendinitis looks like AC

Answer 17

But will happen very quickly

Question 18

Dash: higher score means??? What is the MCID?

Answer 18

More disability
MCID 10.5

Question 19

ASES: higher score means??? MCID?

Answer 19

Higher function
6.4

Question 20

Spadi: higher score means???
MCID is?

Answer 20

More disability
MCID 8-13

Question 21

This level of irritability is 7/10 or greater night pain and AROM less than PROM

Answer 21

High

Question 22

This level of irritability is intermittent night pain, pain at end of active and passive ROM. Active and passive are about equal

Answer 22

Moderate irritability

Question 23

This level of irritability has no night pain, minimal pain with passive overpressure. Active and passive ROM are the same

Answer 23

Moderate irritability

Question 24

These modalities can be used with AC in mod to high irritability

Answer 24

E stim
Diathermy
US
Heat
Laser and extracorporal shock wave

Question 25

You can start Neuro re Ed in what stage for scap numeral rhythm

Answer 25

Moderate irritability

Question 26

This stage of interventions lose modalities and perform end range stretching with longer duration

Answer 26

Low irritability