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A Case Report on the Use of a Conjugated System of Myofascial Release for Shoulder Capsulitis

Ana Carolina Negraes Canelada, Fernanda Mansano Carbinatto, Antonio Eduardo de Aquino Junior, Vanderlei Salvador Bagnato

The adhesive capsulitis causes stiffness and pain, limiting both active and passive shoulder movement. The prevalence is estimated between 2% to 5% of the general population, with women aged 40 to 60 years being the population most affected by the disease. The types of treatment show evaluation between 2 or 3 years, but is not yet fully established. Among the non-invasive and non-pharmacological forms of treatment that are currently used is physiotherapy. This study aimed to evaluate the combined therapy of myofascial release and photobiostimulation, associating the action of mechanical traction with the fibres of the muscle fascia as well as the photobiomodulatory action of the therapeutic laser was used, as a form of assessment, the disabilities of the arm, shoulder and hand questionnaire (DASH) and the visual analogue scale. It was observed the control of the local inflammatory process and the release of adhesion of the glenohumeral joint capsule, in a period of 6 weeks (12 sessions). This results show a new and promising possibility of treatment for adhesive capsulitis, allowing the return of quality of life for patients in less time.