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Case Reports |
T Laska, PT, PTMGR, is Instructor of Physical Therapy, Wheeling Jesuit University, and Staff Physical Therapist, Ohio Valley Medical Center, Wheeling, WVa.
K Hannig, PT, MPT, is Staff Physical Therapist, Ohio Valley Medical Center
Address all correspondence to Mr Laska at Department of Physical Therapy, Wheeling Jesuit University, 316 Washington Ave, Wheeling, WV 26003 (USA) (laska{at}wju.edu)
Background and Purpose. The authors found no literature describing adhesive capsulitis as a consequence of spinal accessory nerve injury and no exercise program or protocol for patients with spinal accessory nerve injury. The purpose of this case report is to describe the management of a patient with adhesive capsulitis and spinal accessory nerve injury following a carotid endarterectomy. Case Description. The patient was a 67-year-old woman referred for physical therapy following manipulation of the left shoulder and a diagnosis of adhesive capsulitis by her orthopedist. Spinal accessory nerve injury was identified during the initial physical therapy examination, and a program of neuromuscular electrical stimulation was initiated. Outcomes. The patient had almost full restoration of the involved muscle function after 5 months of physical therapy. Discussion. This case report illustrates the importance of accurate diagnosis and suggests physical therapy intervention to manage adhesive capsulitis as a consequence of spinal accessory nerve injury.
Key Words: Accessory nerve Adhesive capsulitis Carotid endarterectomy Physical therapy
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