Adhesive Capsulitis and Dynamic Splinting

Adhesive Capsulitis and Dynamic Splinting: a Randomized, Controlled Trial

The purpose of this study is to examine the efficacy of dynamic splinting in reducing contracture following diagnosis of adhesive capsulitis.

This randomized controlled trial will explore the efficacy of dynamic splinting in conjunction with the current standard of care as compared to standard of care alone.

Inclusion Criteria:

• Greater than 25% reduction in maximal external rotation plus greater than 25% reduction in at least one other plane of motion (elevation or abduction), as compared to the asymptomatic shoulder, measure supine with humerus abducted to 90º
• Duration from onset less than 12 months.
• Pain that is worsened by moving the arm in that direction

Exclusion Criteria:

• Any previous shoulder surgery.
• Brachial plexus injuries
• Neurologically mediated pain and fibromatosis-like contracture
• Concomitant neurologic complaints or abnormalities
• Glenohumeral impingement or mechanical blockage
• Oncological process affecting the shoulder
• Previous total mastectomy
• Glenohumeral arthritis