Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2022; 10(33): 12410-12415
Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12410
Influence of enhancing dynamic scapular recognition on shoulder disability, and pain in diabetics with frozen shoulder: A case report
Ayman A Mohamed
Ayman A Mohamed, Basic Sciences Department, Faculty of Physical Therapy, Beni-Suef University, Beni Suef 34522, Egypt
Ayman A Mohamed, Basic Sciences Department, Faculty of Physical Therapy, Nahda University, Beni Suef 23146, Egypt
Author contributions: Mohamed AA performed the study and wrote the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ayman A Mohamed, Doctor, MSc, PhD, Academic Editor, Basic Sciences Department, Faculty of Physical Therapy, Beni-Suef University, New Beni-Suef Street, Beni Suef 34522, Egypt. dr_ayman_pt@hotmail.com
Received: August 30, 2022
Peer-review started: August 30, 2022
First decision: October 12, 2022
Revised: October 14, 2022
Accepted: October 27, 2022
Article in press: October 27, 2022
Published online: November 26, 2022
Abstract
BACKGROUND

Frozen shoulder (FS) is a familiar disorder. Diabetics with FS have more severe symptoms and a worse prognosis. Thus, this study investigated the influence of enhancing dynamic scapular recognition on shoulder disability and pain in diabetics with FS.

CASE SUMMARY

A Forty-five years-old male person with diabetes mellitus and a unilateral FS (stage II) for at least 3 mo with shoulder pain and limitation in both passive and active ranges of motion (ROMs) of the glenohumeral joint of ≥ 25% in 2 directions participated in this study. This person received dynamic scapular recognition exercise was applied to a diabetic person with a unilateral FS (stage II). The main outcome measures were upward rotation of the scapula, shoulder pain and disability index, and shoulder range of motion of flexion, abduction, and external rotation. The dynamic scapular exercise was performed for 15 min/session and 3 sessions/wk lasted for 4 wk. After 4 wk of intervention, there were improvements between pre-treatment and post-treatment in shoulder pain, shoulder pain and disability index, shoulder ROM, and upward rotation of the scapula.

CONCLUSION

This case report suggested that enhancing dynamic scapular recognition may improve shoulder pain and disability; upward rotation of the scapula; and shoulder ROM of shoulder abduction, flexion, and external rotation after 4 wk.

Keywords: Scapular recognition, Pain, Range of motion, Disability, Frozen shoulder, Case report

Core Tip: Frozen shoulder (FS) is a common shoulder problem, diabetes mellitus (DM) causes more severe FS symptoms than patients without DM This study investigated the influence of enhancing dynamic scapular recognition on shoulder disability, and pain in diabetics with FS.