Adhesive Capsulitis Flashcards
What age group is afffected by AC?
40-65
This AC has no known cause
Idiopathic primary adhesive
This AC is due to DM and thyroid issues (hypothyroidism -females)
Secondary systemic
This AC is due to RCT or labral pathology
Secondary intrinsic
This AC is due to cervical disc disease, stroke, or not moving the arm
Secondary extrinsic
How long does AC last?
12-18 mo, but up to 2 years
This stage lasts three mo. Sharp pain at end range, aches at rest. Impingement?
Stage one
What stage? Gradual loss of rom in all planes, limited by pain, no true end feel, and occurs 3-9 mo
Stage 2
What is happening in stage 2 of AC
Aggressive angiogenesis and synovitis
What stage? Lessening of pain, ROM is most limited
Stage 3, mo 9-15
What is happening in stage 3 ac?
Fibrosis
What stage? Significant decrease in pain, gradually improving ROM
Stage IV, mo 15-24
Ruling in AC criteria: 6 things
- 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
Can rule out AC if 6 things
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
GH OA can look like AC but will be most prevalent at this age
60 and greater
RA can look like AC but likely will present
Bilaterally
Calcific tendinitis looks like AC
But will happen very quickly
Dash: higher score means??? What is the MCID?
More disability
MCID 10.5
ASES: higher score means??? MCID?
Higher function
6.4
Spadi: higher score means???
MCID is?
More disability
MCID 8-13
This level of irritability is 7/10 or greater night pain and AROM less than PROM
High
This level of irritability is intermittent night pain, pain at end of active and passive ROM. Active and passive are about equal
Moderate irritability
This level of irritability has no night pain, minimal pain with passive overpressure. Active and passive ROM are the same
Moderate irritability
These modalities can be used with AC in mod to high irritability
E stim
Diathermy
US
Heat
Laser and extracorporal shock wave
You can start Neuro re Ed in what stage for scap numeral rhythm
Moderate irritability
This stage of interventions lose modalities and perform end range stretching with longer duration
Low irritability
