Arthrokinetic techniques and exercises for frozen shoulder:

Phase 1 (Pain Relief and Mobility):

Glenohumeral Joint Mobilization:

1. Anterior-Posterior Mobilization: Apply gentle, graded forces to improve joint play.
2. Caudal Mobilization: Mobilize joint in caudal direction to reduce stiffness.
3. External Rotation Mobilization: Improve external rotation range.

Soft Tissue Mobilization:

1. Subscapularis Release: Release subscapularis muscle to improve internal rotation.
2. Pectoralis Minor Release: Release pectoralis minor to improve shoulder flexion.
3. Trapezius Release: Release trapezius to improve scapular movement.

Phase 2 (Strengthening and Stability):

Rotator Cuff Strengthening:

1. Supraspinatus Strengthening: Empty can exercise (abduction in scapular plane).
2. Infraspinatus Strengthening: External rotation with resistance band.
3. Teres Minor Strengthening: Adduction with resistance band.

Scapular Stabilization Exercises:

1. Serratus Anterior Strengthening: Push-up with shoulder blades squeezed.
2. Trapezius Strengthening: Shrugs with resistance band.

Proprioceptive Training:

1. Joint Repositioning Sense: Move shoulder through range; reproduce exact position.
2. Movement Sense: Move shoulder; focus on sensing movement direction.
3. Weight-Shifting Exercises: Shift weight onto affected shoulder.

Phase 3 (Functional Restoration):

Functional Activities:

1. Reaching Exercises: Reach for objects at varying heights.
2. Lifting Exercises: Lift light weights or objects.
3. Throwing Exercises: Gradually progress to throwing activities.

Dynamic Movement Training:

1. Shoulder Rotation Drills: Rotate shoulder through range.
2. Scapular Movement Drills: Move scapula through range.
3. Agility Drills: Reactivity and quick changes of direction.

Progression Tips:

1. Increase repetitions
2. Gradually increase resistance or weight.
3. Progress to functional activities.
4. Incorporate dynamic movements.

Considerations:

1. Pain: Stop exercises if pain exceeds 5/10.
2. Flexibility: Don’t force beyond comfortable range.
3. Posture: Maintain proper posture during exercises.
4. Frequency: Perform exercises 2-3 times daily.