%0 Journal Article %A Johnson, Aaron J. %A McKenzie, Shelton A. %A Ulrich, Slif D. %A Seyler, Thorsten M. %A Issa, Kimona %A Pivec, Robert %A Mont, Michael A. %D 2012 %I Begell House %K static progressive stretch, orthosis, shoulder stiffness %N 4 %P 293-303 %R 10.1615/JLongTermEffMedImplants.2013007133 %T Assessment of Static Progressive Stretch for the Treatment of Shoulder Stiffness: A Prospective Case Series %U https://www.dl.begellhouse.com/journals/1bef42082d7a0fdf,71accbb15546aa13,5441cc2f1d2ec92e.html %V 22 %X Introduction: The purpose of this study was to evaluate the use of a patient-directed static progressive stretch orthosis for the treatment of shoulder stiffness. Methods: Twenty-three patients who had limitations in range of motion of the shoulder and who had failed conventional physical therapy methods were studied. This cohort included 15 women and 8 men with a mean age of 53 years. Treatment comprised one to three 30- to 60-minute sessions per day with a patient-controlled orthosis utilizing static progressive stretch. The patients adjusted the degree of stretch at 5-minute intervals as tolerated. Compliance, range of motion, patient satisfaction, and complications were assessed, and a two-way repeated measure ANOVA was performed to assess the effects of age or gender. Results: After a mean treatment duration of 10 weeks (range, 4 to 19 weeks), the patients gained a mean of 22° (range, −47 to 57°) of external rotation, 18° (range, −19 to 55°) of internal rotation, 46° (range, 3 to 97°) of abduction, and 23° (range, 3 to 40°) of forward flexion. In total, 22 of 23 patients (96%) experienced increases in range of motion that were maintained at 1 year following treatment. Statistically significant increases in range of motion and clinical function scores were noted; age and gender did not appear to influence the outcomes. Discussion: This device compared favorably to other treatment methods for shoulder stiffness. An orthosis utilizing static progressive stretch was a useful adjunct for the treatment of shoulder stiffness refractory to conventional therapy. %8 2013-04-25