Evidence-Based Physiotherapeutic Management of Adhesive Capsulitis: A Comprehensive Review

Abstract: Background: Adhesive capsulitis (frozen shoulder) is a common musculoskeletal disorder characterized by pain, stiffness, and restricted shoulder range of motion, leading to functional limitations and reduced quality of life. The objective was to review and summarize evidence-based physiotherapy interventions for the management of adhesive capsulitis. Methods: A systematic search of databases including PubMed, Cochrane Library, PEDro, Scopus, and others identified 112 records. After screening and eligibility assessment, 31 studies (2017-2026) were included for analysis. Results: A multimodal physiotherapy approach is most effective. Electrotherapy modalities such as LLLT and UST provide better pain relief when combined with exercise, while TENS and cryotherapy offer short-term benefits. Manual therapy, particularly joint mobilization and MWM, significantly improves ROM and function. Exercise therapy remains the cornerstone, with ROM, stretching, strengthening, and proprioceptive training improving mobility and disability. Advanced techniques such as PNF and MET further enhance outcomes. Patient education and stage-specific interventions are essential for optimal recovery. Conclusion: An individualized, stage-based, and multimodal physiotherapy program is most effective in reducing pain, restoring mobility, and improving function in adhesive capsulitis. Keywords: Adhesive capsulitis; Physiotherapeutic modalities; Exercise therapy; Joint mobilization; Rehabilitation. Title: Evidence-Based Physiotherapeutic Management of Adhesive Capsulitis: A Comprehensive Review Author: Dr. Shyamal Koley, Dr. Varinder Kaur, Dr. Manu Vishist International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 13, Issue 2, October 2025 - March 2026 Page No: 473-482 Research Publish Journals Website: www.researchpublish.com Published Date: 31-March-2026 DOI: https://doi.org/10.5281/zenodo.19348665 Paper Download Link (Source) https://www.researchpublish.com/papers/evidence-based-physiotherapeutic-management-of-adhesive-capsulitis-a-comprehensive-review