The Effects of Tissue Flossing on Shoulder Range of Motion and Pain in Patients with Adhesive Capsulitis: A Case Study


  • Pareksha



Tissue flossing, shoulder joint, adhesive capsulitis, range of motion.


Background and Purpose: The purpose of this case report is to describe the tissue flossing interventions for a
patient with adhesive capsulitis.
Case Description: The patient was a 56-year-old female, who presented with left shoulder pain and limited
range of motion (ROM) following a fall 9 months prior. The patient had a past medical history of thyroid.
The diagnosis of adhesive capsulitis was determined following radiographs, mechanism of injury, past medical
history, and physical therapy examination and evaluation.
Intervention: The patient was seen for a total of 15 physical therapy sessions over the span of 6 weeks.
Interventions included a tissue flossing, home exercise program, instruction in heat/ice use, mobilizations,
therapeutic exercises, ROM, stretching, and glides. Outcome measures included ROM measurements, pain
ratings, strength tests and the Shoulder Pain and Disability Index (SPADI).
Outcomes: Following 6 weeks of physical therapy intervention, tissue flossing and home exercise program, the
patient demonstrated increased shoulder ROM, decreased pain and improved function based on the improved
Discussion: Rationale for treatment was based on textbook information for shoulder interventions and research
articles. The treatment was altered based on patient’s response.
Conclusion: This case report is in concordance with the current research that shows flossing, strengthening,
mobilizations, a home exercise program and stretching are appropriate combinations of interventions for
individuals with adhesive capsulitis. This patient returned to his prior level of function following the above
treatment regimen.

Author Biography

  • Pareksha

    Physiotherapist, Delhi & District cricket association U-15 women’s, India