General Diagnostic Criteria

Execution:

  1. The examiner fixates the scapula with his body while his upper arm fixates the coracoid process from the front
  2. While supporting the patient’s arm at the elbow, the examiner brings the patient’s shoulder into passive external rotation
  3. For passive abduction, the examiner fixates the patient’s clavicle and scapula and passively abducts the patient’s shoulder until resistance is felt
  4. For flexion, the examiner again fixates the clavicle and scapula and moves the shoulder into passive flexion by elevating the arm at the elbow until resistance is felt

 

Positive Outcome: External rotation loss of ≥50% compared to the other side or <30° plus ≥25% reduction in PROM in at least 2 other planes of motion

Study

Reliability Sn Sp LR+

LR-

Kelley et al. (2013)

NA

NA NA NA

NA

Comment: A study by Hollmann et al. (2015) describes that all patients suspected of suffering from Frozen Shoulder display at least some degree of muscle guarding, which cannot be attributed to the contracture of the glenohumeral joint capsule