Ø Listen carefully to the patient’s past medical history (PMHx), this may well rule out red flags and guide the shoulder examination.
Ø History of presenting condition (Hx PC).
Ø Pain distribution and severity Strong component of night pain, pain with rapid or unguarded movement, discomfort lying on the affected shoulder, pain easily aggravated by movement
Ø Aggravating activities - limited reaching, particularly during overhead (e.g., hanging clothes) or to-the-side (e.g., fasten one's seat belt) activities. Patients also suffer from restricted shoulder rotations, resulting in difficulties in personal hygiene, clothing and brushing their hair. Another common concomitant condition with frozen shoulder is neck pain, mostly derived from overuse of cervical muscles to compensate the loss of shoulder motion.
Observation of posture and positioning:
Ø A full upper quarter exam (UQE) should be performed to rule out cervical spine involvement and Any neurological pathologies.
Ø Cervical, thoracic, shoulder range if motions (ROM) with overpressure as well as rib mobility should be performed.
Ø Shoulder external rotation (ER), internal rotation (IR), abduction (ABd) (seated) should be performed.
Ø Shoulder shrug sign- inability to lift the arm to 90° abduction without elevating the whole scapula or shoulder gridle.