For a public vacation

Elhafez Technique Combined with Dynamic Scapulohumeral Mobilization in Adhesive Capsulitis

Elhafez Technique is an emerging rehabilitation approach that integrates axillary ultrasound, axillary laser therapy, and post-isometric facilitation (PIF) to target capsular stiffness, inflammation, and neuromuscular dysfunction. These techniques aim to enhance tissue healing, improve joint mobility, and reduce pain. When combined with Dynamic Scapulohumeral Mobilization (DSM), which focuses on restoring scapular control and shoulder joint biomechanics, this comprehensive approach may offer superior outcomes compared to conventional treatments.

This study aims to evaluate the biomechanical and functional effects of combining Elhafez Technique with DSM in patients with shoulder adhesive capsulitis. By assessing pain levels, ROM, and functional recovery, this research seeks to determine whether this combined intervention provides faster and more effective relief for patients suffering from this condition.

Inclusion Criteria

1. Adults aged 30-60 years diagnosed with Stage 2 (Frozen) or Stage 3 (Thawing) Shoulder Adhesive Capsulitis based on American Shoulder and Elbow Surgeons (ASES) guidelines.
2. Pain score ≥4/10 on the Visual Analog Scale (VAS) for at least 3 months.
3. Restricted external rotation of ≥25% compared to the unaffected shoulder.
4. No prior shoulder injections, surgery, or physiotherapy within the last 3 months.

Exclusion Criteria

1. History of shoulder fractures, rotator cuff tears, or labral injuries.
2. Systemic inflammatory conditions (e.g., Rheumatoid Arthritis, Uncontrolled Diabetes).
3. Neurological disorders affecting the shoulder (e.g., Stroke, Parkinson's Disease).
4. Current participation in another physiotherapy intervent