Effect of Fascial Distortion Models (FDM) along with Conventional Physiotherapy on Functional Mobility in individuals with Frozen Shoulder - A Case Report

Introduction: The purpose is to find the effectiveness of FDM along with conventional physiotherapy on function and mobility in individuals with Frozen Shoulder. The study provides the insights regarding the current practice of FDM on pain and restricted ROM among the physiotherapist’s professionals in individuals with Frozen Shoulder. Method: Study design is a case report of an individual with frozen shoulder. A 72-year-old female presented with right shoulder pain and restricted movement and had difficulty in performing daily activities such as dressing, reaching overhead, combing hair and lifting objects for last 11 months. Physical examination revealed pain limits active and passive range of motion, especially in flexion, abduction and internal rotation of Shoulder. The subject was intervened with Fascial Distortion Models (FDM) technique along with conventional physiotherapy for 5 sessions a week for the duration of 3 weeks. Pre- and post-assessment were done using NPRS, Goniometry and SPADI (Shoulder Pain and Disability Index). Results: The patient demonstrated a significant reduction in pain (NPRS score decreased from 8.5 to 1), improvement in ROM (Flexion increased from 115° to 170°, Abduction increased from 110° to 160°and Internal Rotation increased from 20° to 50°) and a 70% improvement in SPADI Scores after 3 weeks of intervention. Conclusion: This case report concluded that FDM along with conventional physiotherapy was found to be an effective treatment for individuals with Frozen Shoulder. The approach appears to be effective in reducing pain, improving ROM and enhancing functional performance. Key words: FDM, Frozen Shoulder, Adhesive Capsulitis, Fascia, Conventional Physiotherapy