# 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.

Tags: physiotherapy, icf-model, frozen-shoulder, adhesive-capsulitis, rehabilitation, case-study, sports-medicine
## Case Study: Physiotherapy & The ICF Model
- **Subject:** 63-Year-Old Female with suspected Adhesive Capsulitis (Frozen Shoulder).
- **History:** Pain after a minor fall, significant stiffness, and inability to sleep.

## The ICF Model Framework
- **Body Functions & Structures:** Physiological and anatomical aspects.
- **Activities:** Individual task execution.
- **Participation:** Involvement in life situations.
- **Contextual Factors:** Environmental and personal barriers/facilitators.

## Clinical Findings
- **Pain Levels:** 7/10 at rest, 9/10 at end range movement.
- **Physiology:** Fibrosis and thickening of the joint capsule with loss of passive external rotation.
- **Activity Limitations:** Inability to reach overhead, difficulty dressing (bras/coats), and grooming challenges.

## Participation & Context
- **Restricted Participation:** Ceased gardening, inability to lift grandchildren, and avoidance of social transport.
- **Facilitators:** High motivation to recover and supportive spouse.
- **Barriers:** High anxiety about pain and home environment (high cabinets).

## Treatment & Natural History
- **Phases:** Progresses through Freezing, Frozen, and Thawing stages over ~24 months.
- **Body Function Interventions:** Manual therapy, pendulum exercises, and corticosteroid injection referral.
- **Activity Interventions:** ADL modification (dressing aids) and graded exposure tasks.
- **Prognosis:** Full return to normal activities expected within 12-18 months.
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