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Related Experiment Video

Updated: Jun 20, 2026

Rat Model of Adhesive Capsulitis of the Shoulder
04:46

Rat Model of Adhesive Capsulitis of the Shoulder

Published on: September 28, 2018

Adhesive capsulitis and dynamic splinting: a controlled, cohort study.

Paul D Gaspar1, F Buck Willis

  • 11Gaspar Doctors of Physical Therapy, 981 Lomas Santa Fe, Ste A Solana Beach, CA 92075, USA. kristin_gaspar@hotmail.com

BMC Musculoskeletal Disorders
|September 9, 2009
PubMed
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Dynamic splinting combined with physical therapy significantly improved shoulder external rotation in Adhesive Capsulitis (AC) patients. This combined approach, including home therapy, offers a superior treatment for AC.

Area of Science:

  • Orthopedics
  • Physical Therapy
  • Rehabilitation Medicine

Background:

  • Adhesive Capsulitis (AC) is a common condition affecting patients of all ages.
  • Stretching protocols are standard treatment, but dynamic splinting shows promise for contracture reduction.
  • Dynamic splinting has demonstrated efficacy in various musculoskeletal conditions.

Purpose of the Study:

  • To evaluate the effectiveness of dynamic splinting in patients diagnosed with Adhesive Capsulitis.
  • To compare the outcomes of dynamic splinting against traditional physical therapy and control groups.

Main Methods:

  • A controlled, cohort study involving 62 patients with Stage II Adhesive Capsulitis.
  • Participants were divided into four groups: Control, Physical Therapy only, Shoulder Dynasplint system only, and Combined treatment.

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  • The study duration was 90 days, with the primary outcome measure being the change in active external rotation.

    • Main Results:

    • A one-way ANOVA revealed statistically significant differences across all treatment groups (p < 0.001).
    • The combined treatment group (Shoulder Dynasplint and physical therapy) demonstrated the greatest improvement in active external rotation, with a mean change of 29 degrees.
    • This group also exhibited the smallest standard deviation, indicating consistent positive outcomes.

    Conclusions:

    • The superior results in the combined treatment group are attributed to the synergy of professional physical therapy and structured home-based, end-range stretching.
    • The addition of approximately 90 hours of home therapy significantly enhanced treatment outcomes.
    • This combined approach, incorporating dynamic splinting and physical therapy, should be considered a standard of care for Adhesive Capsulitis.