Which action should be avoided for a client with Adhesive Capsulitis?

In the case of a client with Adhesive Capsulitis, or frozen shoulder, aggressive stretching should be avoided as it can exacerbate pain and potentially cause further inflammation in the affected area. Adhesive Capsulitis is characterized by stiffness and limited range of motion in the shoulder, and the primary treatment goal is to improve flexibility and mobility without causing trauma to the already compromised joint structures.

Gentle stretching is often recommended as it helps to gradually improve motion without overwhelming the joint. Warm-up exercises can also be beneficial, as they increase blood flow and prepare the muscles and connective tissues for movement. End-range loading of the joint, while it may seem advantageous for strengthening, can actually be counterproductive in the early stages of Adhesive Capsulitis. It might provoke discomfort without providing the desired benefit of improved motion.

In summary, avoiding aggressive stretching helps to protect the integrity of the shoulder joint, allowing for a more measured and effective rehabilitation approach tailored to the specific limitations imposed by Adhesive Capsulitis.