In adhesive capsulitis, which ROM is typically most restricted early?

In adhesive capsulitis, which ROM is typically most restricted early?

• A. External rotation and abduction
• B. Internal rotation and adduction
• C. Flexion and extension
• D. Horizontal abduction

Answer: (A)

In adhesive capsulitis, the joint tightens in a pattern that hits external rotation the hardest early on, with abduction also becoming limited as the condition progresses. The capsule thickens, especially in the anterior–inferior region, so rotating the arm outward from the side is the most restricted movement initially. Abduction is affected next, while internal rotation, adduction, and flexion/extension tend to be less restricted early. Horizontal abduction isn’t the hallmark restriction early. Therefore, choosing external rotation together with abduction matches the typical early pattern of ROM loss.

In adhesive capsulitis, the joint tightens in a pattern that hits external rotation the hardest early on, with abduction also becoming limited as the condition progresses. The capsule thickens, especially in the anterior–inferior region, so rotating the arm outward from the side is the most restricted movement initially. Abduction is affected next, while internal rotation, adduction, and flexion/extension tend to be less restricted early. Horizontal abduction isn’t the hallmark restriction early. Therefore, choosing external rotation together with abduction matches the typical early pattern of ROM loss.