What is it about?
Some individuals with frozen shoulder are too painful to touch. Evidence suggests that in individuals with high levels of pain we can tap into the central nervous system (brain and spinal cord) to make meaningful improvements in pain and function by "exercising" the brain.
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Why is it important?
Frozen shoulder is a difficult condition to treat. These individuals are often in high levels of pain, are fearful, and aggressive PT can actual delay recovery. Using some of Lorimer Moseley's principles of graded motor imagery, we are able to tap into the brain and create changes that actually improve pain and function without eliciting pain.
Perspectives
The person in this case had tried aggressive PT and got worse. She told me she would do anything I asked as long as I did not TOUCH her shoulder. Tapping into the literature, I came up with strategies make functional improvements where the patient was in control, and she could modulate her symptoms independently.
Paul Mintken
University of Colorado Denver
Read the Original
This page is a summary of: Use of Pain Neuroscience Education, Tactile Discrimination, and Graded Motor Imagery in an Individual With Frozen Shoulder, Journal of Orthopaedic and Sports Physical Therapy, March 2018, Journal of Orthopaedic & Sports Physical Therapy (JOSPT),
DOI: 10.2519/jospt.2018.7716.
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