Date Posted: June 10, 2026

Author/s: Keith R. Mausisa, PTRP, PT, DPT

Adhesive Capsulitis (AC) is a common shoulder disorder caused by excess scar tissue formation in the joint that presents with pain and marked loss of motion leading to functional deficits. Over time, it promotes adhesion formations in the scapulothoracic structures that contribute to scapular dyskinesis, adding to shoulder pain and sub-optimal performance of the shoulder complex. Improving the scapular kinematics while also providing the conventional PT treatment can be implemented, offering a more comprehensive approach towards AC rehabilitation and may further address the persistent pain. This case report aimed to investigate the effect of improving scapular kinematics, by implementing scapular stabilization exercises, on shoulder pain and function in a patient with AC.

The patient was a 44-year-old female, diagnosed with right AC who is currently under the thawing stage with no pre-existing condition. She initially complained of sharp pain on the right shoulder upon end-range motions. The patient’s goal is to do activities of daily living with less noted shoulder pain.

By the end of the 6-week program, improved scapular kinematics was achieved. The patient got 21 points on the Shoulder Pain and Disability Index (SPADI) as supported by the increased shoulder range of motion, improved scapular positioning with and without weights, and elimination of rapid downward rotation and early elevation of the scapula during resting and weighted shoulder movements.

This case report suggests that improving scapular kinematics may play a vital role in the management of AC as an adjunct as the shoulder mobility does not depend on the glenohumeral joint alone, but the whole shoulder complex which includes the scapula.

Keywords:
scapular kinematics, idiopathic adhesive capsulitis