International Journal For Multidisciplinary Research

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Role of Proprioceptive Neuromuscular Facilitation Technique in Functional Recovery During the Thawing Stage of Frozen Shoulder : Case Study

Author(s) Dr. Mahima Anup Masih
Country India
Abstract ABSTRACT
Background : Adhesive capsululitis (frozen shoulder): It is a disabling musculoskeletal disease that occurs in 2-5% of the population where the shoulder pain increases gradually accompanied by limited glenohumeral movement. A 12-42 months thawing stage is a sensitive period in the treatment where specific rehabilitation may have a significant effect on functional outcomes, but is underestimated in the literature of rehabilitation.
Case Presentation: Case Presentation: A 45-year-old woman reported that she has persistent shoulder pain (NPRS 6/10) and restricted range of motion, scapular dyskinesia, and functional limitations (SPADI 62/100) at the thawing phase of adhesive capsulitis.
Intervention: PNF protocol was used, glenohumeral diagonal patterns (D1/D2 flexion-abduction-external rotation) contraction-relax/hold-relax-agonist-contract method, scapular PNF was combined with it, scapulohumeral rhythm was restored, and moist heat was used as an adjunct. Therapy started to be in lying postures then in sitting postures with the focus on neuromuscular coordination and functional patterns of movement.
Result: The results after the intervention were as follows: pain decreased to 3/10 NPRS with nocturnal symptoms being cured, active range of motion was significantly increased (flexion: 120° to 155°, abduction: 100° to 145°, external rotation: 35° to 55°), muscle strength was increased to 4 +/5, scapulohumeral rhythm was restored, and functional disability was reduced to 62/100 to 28/100
Conclusion: The PNF intervention applied at the stage of thawing of adhesive capsulitis resulted in significant pain, mobility, neuromuscular control, and functional independence. Glenohumeral diagonal patterns used together with scapular facilitation techniques seem to improve motor relearning, as well as faster functional recovery as compared to traditional methods. These results encourage PNF as a fundamental rehabilitation element in the management of frozen shoulders especially at the recovery phases. To confirm these results, larger controlled trials should be conducted to provide standard clinical standards.
Keywords: inhibiting stage, Adhesive capsulitis, frozen shoulder, thawing stage, Proprioceptive neuromuscular facilitation, PNF, finance scapulohumeral rhythm, rehabilitation, functional recovery.
Keywords Keywords: inhibiting stage, Adhesive capsulitis, frozen shoulder, thawing stage, Proprioceptive neuromuscular facilitation, PNF, finance scapulohumeral rhythm, rehabilitation, functional recovery.
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-02-05
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E-ISSN 2582-2160
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