TITLE:
Management of Adhesive Capsulitis of the Shoulder: Recommendation for Home Exercises Program during COVID-19 Pandemic
AUTHORS:
Amine Kalai, Mohamed Guedria, Amr Chaabeni, Zohra Ben Salah Frih, Anis Jellad
KEYWORDS:
COVID-19, Pandemic, Shoulder Pain, Bursitis, Rehabilitation
JOURNAL NAME:
Open Access Library Journal,
Vol.9 No.11,
November
17,
2022
ABSTRACT: Adhesive capsulitis (AC) of the shoulder is a painful condition in which active and passive range of motion (ROM) of the shoulder becomes restricted. Severe pain and ROM restriction may last approximately 1 to 3 years with incomplete resolution leading to an impairment of daily living and professional activities and quality of life with a consequent social and economic burden. Since health care services have been shifted to the fight against the deadly coronavirus disease 2019 (COVID-19), a minimum of necessary care should be allocated to manage painful and impairing musculoskeletal conditions such as AC of the shoulder. Home exercises (HEs) are accepted as a key element in the conservative treatment of AC of the shoulder. The aim of this point of view is to propose a concise and clinically relevant HE recommendation for patients with AC of the shoulder during the time of covid-19 restrictions. During the pain predominant stage of AC, pendulum exercises and passive and active-assisted ROM mobilizations are mainly proposed. Heat application and shoulder muscle strengthening should be added during the stiffness predominant stage. Optimally, three daily sessions with 30 min du-ration each are proposed for three to six months. HEs remain a practical so-lution to help AC patients relieve pain and gain shoulder ROM during pan-demics restrictions.