Keywords : Adhesive capsulitis
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 11, Pages 3214-3219
Purpose – the purpose of this case report was to outline physiotherapy intervention and factors affecting rehabilitation of a patient with adhesive capsulitis following breast cancer surgery.
Case description- A 42 years-old female, with limited range of motion in the right shoulder and right anterior chest pain, was seen at an outpatient physiotherapy clinic. Past medical history include unilateral modified radical mastectomy. The physiotherapy examination and patient history led to diagnosis of adhesive capsulitis of right shoulder and fibrosis of anterior chest wall musculature.
Plan of care- The patient came to department 3-4 days per week for 12 weeks. Intervention included strengthening and stabilization activities of scapular and shoulder muscles, gleno-humeral joint mobilization, a home exercise program and patient education. The primary outcome measures were PROM, pain rating, MMT, and Barthel index for functional assessment.
Outcomes – After 12 weeks of intervention, passive and active range of motion ( PROM and AROM) were increased, shoulder and scapular muscles strength were increased and pain decreased. Overall, she had an increase in her functional mobility via Barthel index.
Discussion – The results of this study focused on intervention options for breast cancer survivors and how to help cope with the injury. Further education may be required to be given to health care professionals and patients following surgery to prevent shoulder dysfunction.