College of Massage Therapists of British Columbia (CMTBC) Practice Exam

During a range of motion assessment of a patient with adhesive capsulitis, which movements are likely to be restricted?

1. Flexion, abduction, extension

2. Flexion, adduction, extension

3. Lateral rotation, abduction, medial rotation

4. Lateral rotation, adduction, medial rotation

The correct answer is: Lateral rotation, abduction, medial rotation

In a patient with adhesive capsulitis, commonly known as frozen shoulder, the most likely restricted movements are lateral rotation, abduction, and medial rotation. Adhesive capsulitis is characterized by the thickening and tightness of the shoulder joint capsule, which significantly limits mobility. Lateral rotation is typically restricted because this movement requires a sufficient amount of space in the shoulder joint, and the adhesive changes reduce that space. Abduction is also affected since the arm needs to be lifted away from the body, which is hindered by the tight capsule. Lastly, medial rotation, although it might still have some range, is frequently implicated in the overall pattern of limitations seen with adhesive capsulitis. This restriction pattern is essential to recognize because it helps in diagnosing the condition and guiding appropriate treatment. Understanding the common movement limitations associated with adhesive capsulitis assists therapists in formulating effective rehabilitation strategies to restore motion and reduce pain.