Abstract:
Background: Functional status reflects an individual's ability to perform daily activities,
impacting overall health and well-being. Frozen Shoulder progresses through three phases,
each with varying degrees of functional impairment that affect self-care, work, and leisure.
A tailored rehabilitation approach can improve recovery and reintegration. Understanding
these limitations is crucial for Occupational Therapists to design effective interventions.
Aim: This study aimed to evaluate the functional status of patients with Frozen Shoulder.
Methods: A cross-sectional quantitative design was employed. Data were collected
through a face-to-face survey of 102 participants with Frozen Shoulder. The Disabilities of
the Arm, Shoulder, and Hand (DASH) questionnaire assessed functional status. SPSS 22
version was used to conduct the descriptive analysis, and Mann-Whitney U and Kruskal
Wallis tests were used for data analysis.
Results: The study included 102 participants, aged 25-84 years (median: 50), mostly male
(61.8%) and married (77.5%), and 57.8% engaged in repetitive shoulder activities at work.
Diabetes mellitus was the most common comorbidity (44.1%). Among 102 participants,
35 (34.3%) in Phase 1, 34 (33.3%) in Phase 2, and 33 (32.4%) in Phase 3. Disability,
measured by the DASH score, was highest in Phase 1 (68.3% reporting difficulty in
physical activities), followed by Phase 2 (52.3%), and Phase 3 (34.9%). Severe symptoms
were most common in Phase 1 (71.9%), decreasing in Phase 2 (52.4%) and Phase 3
(39.4%). Functional impairment was highest in Phase 1 (median DASH score: 62),
decreasing in Phase 2 (median: 42) and Phase 3 (median: 22). Gender (p=0.022) and
diabetes (p=0.024) were significantly associated with higher disability scores.
Conclusion: This study enhances understanding of functional impairments in Frozen
Shoulder patients. It underscores the importance of phase-specific rehabilitation strategies
for improving functionality and daily activity participation.
Key Words: Frozen Shoulder, Functional Status
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
