P5140035

Frozen Shoulder - Adhesive Capsulitis

Frozen shoulder is gcnetally considered to be rare in a young healthy individual, it is much morę co ni mon in an older person. The cause of frozen shoulder is not elear, it does involve a thickening anj contraction of the capsulc which surrounds a joint. Adhesive capsulitis can occur in any joint, it is irtost common in the shoulder. The muscles which surround the shoulder become tightened and add to the difficulty of shoulder motion.

The Kinesio Taping Techniąue will assist in reducing edema, pain, and inereased muscle tension. 'k practitioner will necd to dctemiine the appropriate tissues to tape following their evaluation, the ^e muscles used in the demonstrated application have been shown to be successful in clinical practice.

With frozen shoulder, remomber the patient is limited in their shoulder movement paltem. Duri^_B tape application, have the patient move łlirough as much rangę of motion as possible and the practitio. ner may necd to apply above normal tension to accommodate for limited patient movement.

Basic Kinesio Taping Method application of deltoid muscle, insertion to origin.

For review see Kineiso Taping Method of n^. euff impingement or tendonitis.

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Basic Kinesio Taping Method application of coracobrachialis muscle, insertion to origin.

Begin by placing the base of the Kinesio Y strip two inches below the medial middle border of the humerous, with no tension.

Have the patient move into shoulder abduedon and extension.

Apply 15-25 % of aviaiable, paper off, tension to the tails of the Kinesio Y strip. The superior taił should follow superior angle of the muscle belly, aiming for the coracoid process of the scapula.

The inferior taił should follow along the interior angle of the muscle belly, aiming for the coracoid process of the scapula. Lay the distal 1 to 2 inches down with no tension.

Initiate glue activation prior to any further patie movement.

Basic Kinesio Taping Method application of subscapularis muscle, insertion to origin.

Bogiń by placing the base of the Kinesio Y strip two inches lateral to the lesser tuberosity of the humerous, with no tension.

Have the patient move into shoulder abduction with horizontal flexion and intemal rotation.

Apply 15-25 % of available, paper off, tension to the tails of the Kinesio Y strip. The superior taił should follow along the inferior border of the spinous process, aiming for the superior tip of the scapula. Lay the distal 1 to 2 inches down with no tension.

The inferior taił should follow along the inferior border of the scapula, aiming for the inferior tip. Lay the distal 1 to 2 inches down with no tension.

Initiate glue activation prior to any further patient movement.

Completed application for frozen shoulder technique.

An altemative subscapularis taping is to begin with the base of the Kinesio Y strip on the inferior lateral border in the axillary region (which morę closely approximates the muscles origin). Have the patient abduct the shoulder, then internally rotate while applying the Kinesio tails along the muscles path.

Be careful in this technique application to not irritate the sensitive skin in the axillary region.

Optional: Basic Kinesio Taping Method for Teres Minor, insertion to origin.

Begin by placing the base of a Kinesio Y Strip on the lower facet of the greater tuberosity of the hu-merus, with no tension. Have the patient move into abduction, horizontal flexion, with intemal rotation.

Place the superior taił along the superior edge of the axillary border of the scapula. Place the inferior taił along the inferior edge of the axillary border of the scapula. Apply 15-25 % of available, paper off,

_ tension.

Initiate glue activation prior to any further patient movement.

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