CASE REPORT ON FROZEN SHOULDER
Kata Kunci:
frozen shoulder, adhesive capsulitis, diabetes mellitus, physiotherapy, shoulder painAbstrak
Frozen shoulder (adhesive capsulitis) is a common musculoskeletal disorder
characterized by chronic pain and progressive limitation of both active and passive
shoulder range of motion, leading to functional impairment. This case report describes
a 70-year-old male with a history of type 2 diabetes mellitus who presented with left
shoulder pain and restricted movement for six months. The pain was severe (VAS 9) and
aggravated by overhead activities, accompanied by significant limitation in daily
functions. Physical examination revealed tenderness, muscle spasm, and decreased
range of motion, with a positive Apley test. The diagnosis was established clinically
based on typical findings. The presence of diabetes mellitus was identified as a major
risk factor contributing to disease severity and prolonged course. Management included
a combination of non-pharmacological and pharmacological approaches, such as
physiotherapy modalities (TENS, ultrasound, joint mobilization, and therapeutic
exercises), activity modification, nonsteroidal anti-inflammatory drugs, and
corticosteroids. Patient education and glycemic control were also emphasized. This
comprehensive management aimed to reduce pain, improve joint mobility, and restore
functional ability. Frozen shoulder requires early recognition and appropriate
intervention to prevent long-term disability, although recovery may take several months
to years, particularly in patients with comorbid conditions.
Referensi
Dyer, B. P., Rathod-Mistry, T., Burton, C., Van Der Windt, D., &
Bucknall, M. (2023). Diabetes as a risk factor for the onset of
frozen shoulder: a systematic review and meta-analysis. BMJ
open, 13(1), e062377.
Erawan, T., Ahmad, H., Ramba, Y., & Muthiah, S. (2025).
PENATALAKSANAAN FISIOTERAPI PADA GANGGUAN
FUNGSIONAL SHOULDER AKIBAT FROZEN SHOULDER DI RS
BHAYANGKARA KOTA MAKASSAR: Physiotherapy Management
of Functional Shoulder Disorders Due To Frozen Shoulder At
Bhayangkara Hospital Makassar City. Media Fisioterapi
Politeknik Kesehatan Makassar, 17(2), 90-97.
I Made Bagiada Okta Nugraha, Nurul Aini Rahmawati and Lisna
Lisna (2024) “Penyuluhan Fisioterapi Komunitas tentang Frozen
Shoulder Kepada Lansia di Pustu Kelurahan Buring,
Kedungkandang”, Masyarakat Mandiri : Jurnal Pengabdian dan
Pembangunan Lokal, 1(4), pp. 54–59. doi:
62951/masyarakatmandiri.v1i4.720.
Mawardi, M. B., Rezky, D. P., Yuliana, D., Lestari, E., Agatha, F. R.,
Purwanda, H., & Widarti, R. (2023). Penyuluhan fisioterapi pada
lansia dengan frozen shoulder di Posyandu Lansia RW 25
Mojosongo. Empowerment Journal, 3(1), 28-32.
Prastowo, B. ., Prasetiya Noviyanti, E. and Rahmani, R. . (2023)
“Penatalaksanaan Fisioterapi pada Lansia dengan Kasus Frozen
Shoulder Di RSUD Hadji Boejasin: Studi Kasus”, Health Media,
(1), pp. 8–13. doi: 10.55756/hm.v5i1.162.
Zazkia Amanda Putri Sania, Zidni Imanurrohmah Lubis and Fika
Ertitri (2025) “Penyuluhan Fisioterapi Komunitas dalam
Penerapan Program Fisioterapi sebagai Upaya Pencegahan
Frozen Shoulder pada pekerja Industri Arjosari Shuttlecock di
Arjosari”, Masyarakat Mandiri : Jurnal Pengabdian dan
Pembangunan Lokal, 2(4), pp. 106–115. doi:
62951/masyarakatmandiri.v2i4.2279.
