Dynamic Splinting for Patients With Adhesive Capsulitis

Inclusion Criteria: * Diagnosis of idiopathic adhesive capsulitis * greater than 50% limitation in active flexion, internal rotation, or external rotation * Tight GHJ capsule in at least 2 directions * Capsular end-feel primarily limits ROM * Age 40- 64 * Normal X-Rays Exclusion Criteria: * Acute adhesive capsulitis * History of Diabetes Mellitus * Evidence of a cuff tear * Recent history of trauma * Evidence of glenohumeral DJD * History of shoulder surgery * Calcification of tendonitis demonstrated on a current X-Ray * Abnormal X-Ray * Cervical Radiculopathy/brachial plexus lesions * Less than 2+/5 muscle strength during mid-line manual muscle testing * Muscle Atrophy * Presence of associated systematic conditions * History of prior therapy for current condition * Manipulation under anesthesia * Non compliance * Shoulder-Hand syndrome, Complex Regional Pain Syndrome * History of prior injections for the current problem * Patient receiving worker's compensation * Shoulder symptoms with cervical provocative testing * Positive X-ray findings in the acromioclavicular or sternoclavicular joints * Abnormal physical signs or symptoms in the A-C or S-C joint