Recent Advances in Physiotherapy Treatment Techniques for Frozen shoulder-A Narrative Review

Background: Frozen shoulder is a condition that is characterized by pain, decrease in range of motion, stiffness in shoulder joint. It also leads to restriction of daily living activities. Frozen shoulder is reported to affect 2% to 5% of the general population. It affects mostly age group of 30 to 60 years. In frozen shoulder, capsule become hard, thick and tight and there is loss of axillary pouch and joint volume which leads to lack of motion of shoulder joint. Shoulder capsule get thick with mild chronic inflammation and fibrosis along with infiltrate. Recent advancements in physiotherapy, including techniques like movement with mobilization, matrix rhythm therapy, sleeper's stretch, gongs mobilization, and myofascial release, show promise in improving outcomes. However, there is a lack of comprehensive research comparing the effectiveness of these modern physiotherapy approaches. This study aims to address this gap by evaluating and identifying the most effective treatments for managing frozen shoulder, thereby enhancing clinical practice and patient outcomes. Conclusion: This study concluded that matrix rhythm therapy, Gong’s mobilization and MWM techniques showed significant improvement in reducing pain, improving ROM and shoulder functions among patients with frozen shoulder.