Free
Research Article  |   July 2006
The Use of Occupation-Based Treatment With a Person Who Has Shoulder Adhesive Capsulitis: A Case Report
Author Affiliations
  • Donald Earley, OTD, MA, OTR, is Associate Professor of Occupational Therapy, Saginaw Valley State University, 7400 Bay Road, University Center, Michigan 48710; dwe@svsu.edu
  • Marcia Shannon, RN, CS, MSN, is Assistant Professor of Nursing, Saginaw Valley State University, University Center, Michigan
Article Information
Arthritis / Musculoskeletal Impairments / Adult Physical Rehabilitation
Research Article   |   July 2006
The Use of Occupation-Based Treatment With a Person Who Has Shoulder Adhesive Capsulitis: A Case Report
American Journal of Occupational Therapy, July/August 2006, Vol. 60, 397-403. doi:10.5014/ajot.60.4.397
American Journal of Occupational Therapy, July/August 2006, Vol. 60, 397-403. doi:10.5014/ajot.60.4.397
Abstract

This article describes a case report of the occupational therapy management of a 53-year-old woman diagnosed with primary shoulder adhesive capsulitis. The occupation-based interventions are described through the framework of occupation-as-means. Compensatory occupation, preparatory methods, and purposeful activities are demonstrated as being critical to minimizing connective tissue deformation associated with this condition. This case report indicates that occupation-based intervention should be initiated as soon as a diagnosis is identified to prevent the downward spiral of forced disuse associated with the affected upper extremity. As illustrated by the case report, occupation-based treatment that was provided in a timely manner immediately decreased pain, improved range and quality of motion, and enhanced occupational performance.