FrozenShoulderCentral Sensitization Impact on Shoulder Adhesive Capsulitis Treatment

Adhesive capsulitis, commonly known as frozen shoulder, causes chronic shoulder pain and affects daily activities. This study focuses on understanding how a condition called central sensitization, which amplifies pain signals in the central nervous system, influences the effectiveness of treatments for adhesive capsulitis. Central sensitization can make treatment challenging and reduce its success. The study includes 32 participants who have adhesive capsulitis, some of whom also have central sensitization. The aim is to determine if the presence of central sensitization affects the outcomes of physical therapy and exercise treatments. Understanding this relationship could improve treatment strategies and provide better relief for those suffering from prolonged shoulder pain. Participants receive conventional physical therapy and exercise treatments. Their progress is measured using several scales: the Visual Analog Scale (VAS) to assess pain severity, the Shoulder Pain and Disability Index (SPADI) to evaluate shoulder pain and disability, and the Tampa Kinesiophobia Scale (TKS) and Pain Catastrophizing Scale (PCS) to consider psychological factors related to pain. Additionally, shoulder range of motion is measured at three different times: before treatment, immediately after treatment, and two weeks post-treatment. These measurements help determine the effectiveness of the treatments and whether central sensitization affects recovery. The study could identify specific needs for those with central sensitization, leading to more tailored treatment approaches.