The use of virtual reality in join movement of adhesive capsulites

Virtual reality is: "a way for humans to visualize, manipulate and interact with computers and extremely complex data" [Aukstakalnis & Blatner, 1992] (the way through which people can visualize, manipulate and interact with computers and complex data) more precisely it can be an advanced form of a human-computer, an interface that allows the user to interact in an environment generated by an almost real, natural computer, just like in airplane, train, car simulators in which pilots train for the development skills.The same environment can be created to develop and recover cognitive and functional abilities, bringing interactive scenarios designed to meet the needs of patients or create tasks similar to the real world.Adhesive capsulitis, also known as frozen shoulder, is a condition that causes a significant loss of both active and passive range of motion of the shoulder that occurs in the absence of preceding pathology.There are two types of frozen shoulder, primary and secondary.In the first type, patients have no findings on clinical examination, radiography or in their history that would explain the loss of range of motion.Primary frozen shoulder is the most common type and is idiopathic in nature.The Secondary Type develops after events such as upper extremity surgery or trauma.The limb is constantly unused and held in a position of internal rotation, shoulder adduction with elbow flexion.Consequently, the anteroinferior aspect of the joint approximates and shortens, resulting in a restriction of movement.The objectives of using virtual reality in physical therapy are to combat pain, increase joint mobility, increase muscle mass and correct body postures depending on each phase.Phase 1 or painful phase is characterized by pain by the appearance of diffuse pain lasting over a period of 2 to 9 months and nocturnal pain and progressive limitation of movement.The second phase or the blocking phase is highlighted by limitation of movement, with constant pain, with accentuation of pain when overcoming the limits imposed by immobilization.It is between 4 and 12 months.Phase 3 or resolution phase in which the relief of symptoms and the gain of joint mobility takes place, is between 5 and 26 months.Research design and hypothesis.Involvement of virtual space in the development of the adhesive capsulitis physiotherapy program, creating / finding a suitable environment so that patients can be in a state of comfort in which the sensation of pain decreases, because the somatosensory cortex is less active when patients use reality virtual (studio) and the more intense and interactive the activity