When your hand does not go back !! External Rotation is restricted #frozenshoulder #physiotherapy

Frozen shoulder,also known as adhesive capsulitis,is a condition characterized by stiffness and pain in the shoulder joint. Over time, the shoulder becomes difficult to move, often severely limiting range of motion. One of the key movements affected is external rotation .

External Rotation in Frozen Shoulder

External rotation refers to the rotation of the arm outward, away from the body. In the context of frozen shoulder, this movement is often significantly restricted due to the thickening and tightening of the joint capsule, which restricts the motion of the shoulder.

Examination Tests for External Rotation

Several clinical tests can be used to assess external rotation in patients with a suspected frozen shoulder. These tests help in diagnosing the severity of the condition and in formulating a treatment plan. Here are some common examination tests:

1. Passive External Rotation Test

2. Active External Rotation Test

3. Apley Scratch Test

4. Lift-off Test (Gerber's Test)

5. Neer and Hawkins-Kennedy Tests

Clinical Implications

The limitation in external rotation is one of the hallmark signs of frozen shoulder. Early diagnosis through these examination tests is crucial for effective management. Treatment options include physical therapy to improve range of motion, pain management through medications or injections, and in severe cases, surgical intervention to release the tightened capsule.

Understanding the specific restrictions in external rotation helps clinicians tailor the rehabilitation process, focusing on stretching and strengthening exercises that gradually improve shoulder mobility.