Frozen Shoulder Rehab Protocols

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4 • 608 Ratings

🗓️ 9 July 2025

⏱️ 13 minutes

🔗️ Recording | iTunes | RSS

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Summary

Rella presents with a diagnosis of adhesive capsulitis in the freezing phase. She reports persistent, deep shoulder pain at rest and significant discomfort with attempted movement. Passive range of motion reveals capsular end-feel in all directions, particularly with external rotation. Which intervention is MOST appropriate to address the patient’s symptoms at this stage?

A) Low-load prolonged passive stretching with gradual increases in intensity

B) Submaximal isometric exercises to reduce pain and maintain muscle activation

C) Low-grade joint mobilizations to minimize discomfort and maintain joint mechanics

D) Dynamic strengthening exercises to improve shoulder function

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Transcript

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0:00.0	Hey, what's up is Coach K, and let me tell you about a tool that has leveled up the way I prep students for the NPTE.
0:06.8	It's called True Learn. Now, over 2,000 practice questions they have. Full-length practice exams,
0:14.1	strategy-focused quizzes. This isn't just studying my people. This is training for game day. You know, I'm all about the strategy. So I use it for my people. This is training for game day. You know I'm all about the strategy.
0:22.8	So I use it for my own sessions. And now I've teamed up with True Learn to hook you up, baby.
0:29.3	So all you got to do is go to TrueLearn.com and use code PTH020 at checkout. That's going to allow you to save and start building your MPTE
0:40.0	confidence the smart way. All right. So that's PTH 020. Use that at checkout. Don't wait. Let's get to
0:47.8	work. I'm Kyle Rice. Awful test taker turned physical therapists and standardized test coach for over 5,000 physical
0:55.8	therapists worldwide. It wasn't that long ago that I struggle with anxiety, lack of confidence,
1:01.8	and the fear of failing the NPTE. Fast forward through the challenges, the 13 standardized
1:07.0	test failures, and many lessons learn. And you'll see the life I have today,
1:11.7	a life filled with love, financial freedom, and a dream job that allows me to change lives
1:16.9	every single day. I created the NPTE Clinical Files podcast to give you simple,
1:22.6	actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. All of this so that you can
1:30.2	dominate your exam like I did and achieve your dream. So if you're a driven PT student who's looking
1:36.1	to pass the NPTE and start creating a life you love, you're in the right place. Enjoy the show.
1:43.5	For this week's clinical file, we have RELA.
1:46.0	And RELA presents with a diagnosis of adhesive capsulitis in the freezing phase.
1:51.4	She reports persistent, deep shoulder pain at rest, and significant discomfort with attempted
1:57.7	movement.
1:58.5	Passive range of motion reveals capsular infield in all directions,
2:02.5	particularly with external rotation, which intervention is most appropriate to address the patient's
2:08.2	symptoms at this stage. So we have A, low load, prolonged passive stretching with gradual
	...

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