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

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What is the most appropriate approach for the first treatment of frozen shoulder?

Oscillations - Grade 1 or 2 for initial treatment and management
Deep tissue massage to the shoulder region
Heat therapy to relax the muscles
Extensive stretching of the shoulder joint

The correct answer is: Oscillations - Grade 1 or 2 for initial treatment and management

The most appropriate approach for the first treatment of frozen shoulder involves using oscillations, particularly Grade 1 or 2 techniques. This method focuses on the gentle application of mobilization strategies that can help improve joint range of motion and relieve discomfort without adding stress to the affected area. In the early stages of frozen shoulder, the tissues around the shoulder joint are often inflamed and sensitive, making it crucial to utilize techniques that are non-invasive and provide immediate relief. Grade 1 oscillations engage the joint in a way that emphasizes mobility and reduces pain, while Grade 2 oscillations can help in maintaining movement without over-aggravating the condition. Choosing this gentle mobilization approach allows for a more gradual improvement of range of motion and can help establish a therapeutic rapport, encouraging patient comfort and compliance in ongoing treatment.