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Immediate Effect of Cryo-Ischemic Compression on Pain and Range of Motion in Frozen Shoulder with Active Middle Deltoid Trigger Points: A Single-Arm Pilot Study


Authors : Khushi Thakkar; Chhaya Verma; Bharati Asgaonkar

Volume/Issue : Volume 11 - 2026, Issue 10 - October


Google Scholar : https://tinyurl.com/nnvj73w5

DOI : https://doi.org/10.38124/ijisrt/26Oct1666

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Active myofascial trigger points (MTrPs) in the shoulder girdle may add to pain and movement restriction in frozen shoulder. Cryo-ischemic compression (CIC) combines sustained manual pressure on an MTrP with simultaneous cold application. This pilot study examined the immediate effect of a single CIC session on pain and shoulder range of motion (ROM) in patients with frozen shoulder and an active middle deltoid MTrP.

Keywords : Bursitis; Frozen Shoulder; Trigger Points; Myofascial Pain Syndromes; Cryotherapy; Range of Motion, Articular; Physical Therapy Modalities.

References :

  1. Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017;9(2):75–84. doi:10.1177/1758573216676786
  2. Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, et al. Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther. 2013;43(5):A1–31. doi:10.2519/jospt.2013.0302
  3. Zreik NH, Malik RA, Charalambous CP. Adhesive capsulitis of the shoulder and diabetes: a meta-analysis of prevalence. Muscles Ligaments Tendons J. 2016;6(1):26–34. doi:10.11138/mltj/2016.6.1.026
  4. Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br. 1995;77(5):677–83.
  5. Hand GC, Athanasou NA, Matthews T, Carr AJ. The pathology of frozen shoulder. J Bone Joint Surg Br. 2007;89(7):928–32. doi:10.1302/0301-620X.89B7.19097
  6. Simons DG, Travell JG, Simons LS. Travell and Simons’ myofascial pain and dysfunction: the trigger point manual. Vol 1. Upper half of body. 2nd ed. Baltimore: Williams & Wilkins; 1999.
  7. Bron C, Dommerholt J, Stegenga B, Wensing M, Oostendorp RA. High prevalence of shoulder girdle muscles with myofascial trigger points in patients with shoulder pain. BMC Musculoskelet Disord. 2011;12:139. doi:10.1186/1471-2474-12-139
  8. Clewley D, Flynn TW, Koppenhaver S. Trigger point dry needling as an adjunct treatment for a patient with adhesive capsulitis of the shoulder. J Orthop Sports Phys Ther. 2014;44(2):92–101. doi:10.2519/jospt.2014.4915
  9. Bron C, Dommerholt JD. Etiology of myofascial trigger points. Curr Pain Headache Rep. 2012;16(5):439–44. doi:10.1007/s11916-012-0289-4
  10. Hou CR, Tsai LC, Cheng KF, Chung KC, Hong CZ. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch Phys Med Rehabil. 2002;83(10):1406–14. doi:10.1053/apmr.2002.34834
  11. Algafly AA, George KP. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. Br J Sports Med. 2007;41(6):365–9. doi:10.1136/bjsm.2006.031237
  12. Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sports Med. 2004;32(1):251–61. doi:10.1177/0363546503260757
  13. Riddle DL, Rothstein JM, Lamb RL. Goniometric reliability in a clinical setting. Shoulder measurements. Phys Ther. 1987;67(5):668–73. doi:10.1093/ptj/67.5.668
  14. Todd KH, Funk KG, Funk JP, Bonacci R. Clinical significance of reported changes in pain severity. Ann Emerg Med. 1996;27(4):485–9. doi:10.1016/s0196-0644(96)70238-x
  15. Tashjian RZ, Deloach J, Porucznik CA, Powell AP. Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease. J Shoulder Elbow Surg. 2009;18(6):927–32. doi:10.1016/j.jse.2009.03.021
  16. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971–9. doi:10.1126/science.150.3699.971
  17. Shah JP, Phillips TM, Danoff JV, Gerber LH. An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. J Appl Physiol (1985). 2005;99(5):1977–84. doi:10.1152/japplphysiol.00419.2005
  18. Srbely JZ, Dickey JP, Lee D, Lowerison M. Dry needle stimulation of myofascial trigger points evokes segmental anti-nociceptive effects. J Rehabil Med. 2010;42(5):463–8. doi:10.2340/16501977-0535
  19. Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med. 2010;38(11):2346–56. doi:10.1177/0363546509348048

Background: Active myofascial trigger points (MTrPs) in the shoulder girdle may add to pain and movement restriction in frozen shoulder. Cryo-ischemic compression (CIC) combines sustained manual pressure on an MTrP with simultaneous cold application. This pilot study examined the immediate effect of a single CIC session on pain and shoulder range of motion (ROM) in patients with frozen shoulder and an active middle deltoid MTrP.

Keywords : Bursitis; Frozen Shoulder; Trigger Points; Myofascial Pain Syndromes; Cryotherapy; Range of Motion, Articular; Physical Therapy Modalities.

Paper Submission Last Date
30 - November - 2026

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