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ICF Model in Physiotherapy: Frozen Shoulder Case Study

Learn how to apply the ICF framework for adhesive capsulitis medical management, including body functions, activity limitations, and treatment strategies.

#physiotherapy#icf-model#frozen-shoulder#adhesive-capsulitis#rehabilitation#case-study#sports-medicine
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Case Study: Physiotherapy & The ICF Model

63-Year-Old Female: Suspected Adhesive Capsulitis

Cinematic shot of a 63-year-old woman holding her shoulder in discomfort, soft medical clinic lighting, realistic style, photorealistic, 8k
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The ICF Model Framework

•Body Functions (Physiological) & Structures (Anatomical)
•Activities: Execution of tasks by an individual
•Participation: Involvement in life situations
•Contextual Factors: Environmental and Personal
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Patient Profile & History

A 63-year-old female presents with progressive shoulder pain following a minor fall 3 months ago. Initial X-rays were inconclusive for fracture. She now reports significant stiffness, inability to sleep on the affected side, and a 'blocking' sensation during movement.

An abstract medical illustration of a shoulder joint with red highlighting indicating inflammation, clean xray style, blue tones
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ICF: Body Functions & Structures

Impairment: Glenohumeral Joint: Significant loss of passive external rotation.

Sensory: Pain: Rated 7/10 at rest, 9/10 at end range. Night pain prevalent.

Pathology: Structure: Fibrosis and thickening of the joint capsule (Adhesive Capsulitis).

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ICF: Activity Limitations

  • Inability to reach overhead (e.g., reaching high shelves).
  • Difficulty dressing upper body, specifically fastening bras or putting on coats.
  • Limited grooming ability (combing hair, washing back).
Silhouette illustration of a person struggling to comb their hair due to shoulder limitation, clean vector style graphic, blue and grey
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ICF: Participation Restrictions

❌ Gardnering: Hobbies: Ceased gardening due to pain with repetitive movement.

❌ Family: Family Role: Unable to lift grandchildren.

❌ Social: Social: Avoids crowded places/transport due to fear of jostling the arm.

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Environmental & Personal Factors

Contextual Reality

Personal: High motivation to recover, non-smoker (facilitator), but high anxiety about pain (barrier).

Environmental: Supportive spouse assists with driving (facilitator). Home has high cabinets requiring reaching (barrier).

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Natural History: Phases of Frozen Shoulder

Graph illustrating the three stages: Freezing (pain dominant), Frozen (stiffness dominant), and Thawing (resolution).

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ICF-Based Treatment Strategy

Addressing Body Functions: - Gentle manual therapy for pain gating - Corticosteroid injection referral (medical) - Pendulum exercises
Addressing Activity/Participation: - ADL modification (dressing aids) - Graded exposure to reaching tasks - Education on recovery timeline
Physiotherapist hands performing gentle mobilization on a patient shoulder, close up, professional medical setting, soft lighting
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Conclusion & Prognosis

Using the ICF model helps create a comprehensive physiotherapy plan that addresses not just the 'frozen shoulder', but the person living with it. Prognosis is good for full return to gardening and family activities within 12-18 months.

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ICF Model in Physiotherapy: Frozen Shoulder Case Study

Learn how to apply the ICF framework for adhesive capsulitis medical management, including body functions, activity limitations, and treatment strategies.

Case Study: Physiotherapy & The ICF Model

63-Year-Old Female: Suspected Adhesive Capsulitis

The ICF Model Framework

Body Functions (Physiological) & Structures (Anatomical)

Activities: Execution of tasks by an individual

Participation: Involvement in life situations

Contextual Factors: Environmental and Personal

Patient Profile & History

A 63-year-old female presents with progressive shoulder pain following a minor fall 3 months ago. Initial X-rays were inconclusive for fracture. She now reports significant stiffness, inability to sleep on the affected side, and a 'blocking' sensation during movement.

ICF: Body Functions & Structures

Glenohumeral Joint: Significant loss of passive external rotation.

Pain: Rated 7/10 at rest, 9/10 at end range. Night pain prevalent.

Structure: Fibrosis and thickening of the joint capsule (Adhesive Capsulitis).

ICF: Activity Limitations

Inability to reach overhead (e.g., reaching high shelves).

Difficulty dressing upper body, specifically fastening bras or putting on coats.

Limited grooming ability (combing hair, washing back).

ICF: Participation Restrictions

Hobbies: Ceased gardening due to pain with repetitive movement.

Family Role: Unable to lift grandchildren.

Social: Avoids crowded places/transport due to fear of jostling the arm.

Environmental & Personal Factors

Personal: High motivation to recover, non-smoker (facilitator), but high anxiety about pain (barrier).

Environmental: Supportive spouse assists with driving (facilitator). Home has high cabinets requiring reaching (barrier).

Natural History: Phases of Frozen Shoulder

ICF-Based Treatment Strategy

Addressing Body Functions: - Gentle manual therapy for pain gating - Corticosteroid injection referral (medical) - Pendulum exercises

Addressing Activity/Participation: - ADL modification (dressing aids) - Graded exposure to reaching tasks - Education on recovery timeline

Conclusion & Prognosis

Using the ICF model helps create a comprehensive physiotherapy plan that addresses not just the 'frozen shoulder', but the person living with it. Prognosis is good for full return to gardening and family activities within 12-18 months.

  • physiotherapy
  • icf-model
  • frozen-shoulder
  • adhesive-capsulitis
  • rehabilitation
  • case-study
  • sports-medicine