Rehabilitative Aspects of Adhesive Capsulitis: Comparison and Effectiveness of Manual Treatment and Surgical Intervention

Author: roberto grisiglione

Abstract

This study analyzes adhesive capsulitis, a condition characterized by pain and reduced joint mobility of the shoulder, with particular attention to therapeutic approaches. The research is structured into six chapters that cover the anatomy and biomechanics of the shoulder, common pathologies, and a clinical case of rehabilitation. Adhesive capsulitis is classified into primary and secondary types, with a focus on its etiopathogenesis and progression stages. Through the analysis of two clinical cases, the differences in rehabilitation treatment plans and the importance of functional assessment are highlighted. The results show that manual treatment is effective in the initial stages, while surgical intervention, such as manipulation under anesthesia and arthroscopic capsulotomy, is recommended in cases resistant to conservative therapy. The research emphasizes the importance of an integrated and personalized approach to optimize functional recovery and the quality of life of patients with adhesive capsulitis. Finally, further studies are hoped for to define standardized management protocols for this condition.