Telerehabilitation In The Treatment Of Frozen Shoulder: A Case Report

  • Ji Hui Neo Ng Teng Fong General Hospital National University Health System Singapore
  • Siao Ting Teo Ng Teng Fong General Hospital National University Health System Singapore
  • Chiew Lan Lee Ng Teng Fong General Hospital National University Health System Singapore
  • Cong Cong Cai Ng Teng Fong General Hospital National University Health System Singapore
Keywords: Tele-rehabilitation, frozen shoulder, case report


Background and objectives: Frozen shoulder is a common musculoskeletal condition. Telerehabilitation has seen emerging use in a variety of conditions. This case report aims to investigate the feasibility of adopting telerehabilitation in treating frozen shoulder. Case presentation: A 43-year old female presented with frozen shoulder of insidious onset. She underwent four sessions of physiotherapy. Sessions two and three were telerehabilitation sessions; the initial and final sessions were conducted in-person. Results: The subject was compliant with all exercises prescribed during her rehabilitation and achieved all rehabilitation goals in four sessions. She was then discharged from physiotherapy. Conclusion: Telerehabilitation is feasible in treating frozen shoulder. One barrier to implementation of telerehabilitation includes the lack of technical skills and knowledge despite the high prevalence of technology in today’s society. Telerehabilitation increases accessibility and ease of rehabilitation. Telerehabilitation can be considered for segments of the population that are most inclined to use technology.


Author Biography

Ji Hui Neo, Ng Teng Fong General Hospital National University Health System Singapore

University of Sydney | BAppSc (Physio) (Hons I) 

Senior Physiotherapist

Musculoskeletal Physiotherapy and Orthopaedic Physiotherapy

Rehabilitation Department

Ng Teng Fong General Hospital 



Akiyama, M., & Yoo, B. K. (2016). A systematic review of the economic evaluation of telemedicine in Japan. Journal of Preventatove Medicine and Public Health, 49, 183-196. doi:10.3961/jpmph.16.043

Cottrell, M. A., Galea, O. A., O'Leary, S. P., Hill, A. J., & Russell, T. G. (2017). Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis. Clinical Rehabilitation, 31, 625-638. doi:10.1177/0269215516645148

Diercks, R. L., & Stevens, M. (2004). Gentle thawing of the frozen shoulder: A prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. Journal of Shoulder and Elbow Surgery, 13, 499-502. doi:10.1016/s1058274604000825

Georgiannos, D., Markopoulos, G., Devetzi, E., & Bisbinas, I. (2017). Adhesive capsulitis of the shoulder. Is there consensus regarding the treatment? A comprehensive review. Open Orthopaedics Journal, 11, 65-76. doi:10.2174/1874325001711010065

Grona, S. L., Bath, B., Busch, A., Rotter, T., Trask, C., & Harrison, E. (2018). Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review. Journal of Telemedicine and Telecare. 24, 341-355. doi:10.1177/1357633x17700781

Infocomm Media Development Authority. (2018). Annual survey on Infocomm usage in households and by individuals. Retrieved from

Jensen, G. M., Shepard, K. F., & Hack, L. M. (1990). The novice versus the experienced clinician: Insights into the work of the physical therapist. Physical Therapy, 70, 314-323. doi:10.1093/ptj/70.5.314

Koh, G. C., Yen, S. C., Tay, A., Cheong, A., Ng, Y. S., De Silva, D. A., . . . Hoenig, H. (2015). Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) trial: Protocol of a randomized clinical trial on tele-rehabilitation for stroke patients. BMC Neurology, 15, 161. doi:10.1186/s12883-015-0420-3

Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8), e016242. doi:10.1136/bmjopen-2017-016242

Kwaees, T. A., & Charalambous, C. P. (2014). Surgical and non-surgical treatment of frozen shoulder. Survey on surgeons treatment preferences. Muscles, Ligaments and Tendons Journal, 4, 420-424.

Manske, R. C., & Prohaska, D. (2008). Diagnosis and management of adhesive capsulitis. Current Reviews in Musculoskeletal Medicine, 1(3-4), 180-189. doi:10.1007/s12178-008-9031-6

Neviaser, R. J., & Neviaser, T. J. (1987). The frozen shoulder. Diagnosis and management. Clinical Orthopaedics and Related Research, 223, 59-64.

Pastora-Bernal, J. M., Martin-Valero, R., Baron-Lopez, F. J., Moyano, N. G., & Estebanez-Perez, M. J. (2018). Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results. Journal of Telemedicine Telecare, 24, 428-433. doi:10.1177/1357633x17706583

Peretti, A., Amenta, F., Tayebati, S. K., Nittari, G., & Mahdi, S. S. (2017). Telerehabilitation: Review of the state-of-the-art and areas of application. JMIR Rehabilitation and Assistive Technologies, 4(2), e7-e7. doi:10.2196/rehab.7511

Ramirez, J. (2019). Adhesive capsulitis: Diagnosis and management. American Family Physician, 99, 297-300.

Riley, D. S., Barber, M. S., Kienle, G. S., Aronson, J. K., von Schoen-Angerer, T., Tugwell, P., . . . Gagnier, J. J. (2017). CARE guidelines for case reports: Explanation and elaboration document. Journal of Clinical Epidemiology, 89, 218-235. doi:10.1016/j.jclinepi.2017.04.026

Russell, T. G. (2007). Physical rehabilitation using telemedicine. Journal of Telemedicine and Telecare, 13, 217-220. doi:10.1258/135763307781458886

T-Rehab. (2018). Retrieved from

Tchero, H., Tabue Teguo, M., Lannuzel, A., & Rusch, E. (2018). Telerehabilitation for stroke survivors: Systematic review and meta-analysis. Journal of Medical Internet Research, 20(10), e10867. doi:10.2196/10867

Tyagi, S., Lim, D. S. Y., Ho, W. H. H., Koh, Y. Q., Cai, V., Koh, G. C. H., & Legido-Quigley, H. (2018). Acceptance of tele-rehabilitation by stroke patients: Perceived barriers and facilitators. Archives of Physical Medicine and Rehabilitation, 99, 2472-2477.e2472. doi:10.1016/j.apmr.2018.04.033

van Egmond, M. A., van der Schaaf, M., Vredeveld, T., Vollenbroek-Hutten, M. M. R., van Berge Henegouwen, M. I., Klinkenbijl, J. H. G., & Engelbert, R. H. H. (2018). Effectiveness of physiotherapy with telerehabilitation in surgical patients: A systematic review and meta-analysis. Physiotherapy, 104, 277-298. doi:10.1016/

Walker-Bone, K., Palmer, K. T., Reading, I., Coggon, D., & Cooper, C. (2004). Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheumatology, 51, 642-651. doi:10.1002/art.20535

Wong, P. L., & Tan, H. C. (2010). A review on frozen shoulder. Singapore Medical Journal, 51, 694-697.

Zreik, N. H., Malik, R. A., & Charalambous, C. P. (2016). Adhesive capsulitis of the shoulder and diabetes: A meta-analysis of prevalence. Muscles, Ligaments and Tendons Journal, 6, 26-34. doi:10.11138/mltj/2016.6.1.026

Zuckerman, J. D., & Rokito, A. (2011). Frozen shoulder: A consensus definition. Journal of Shoulder and Elbow Surgery, 20, 322-325. doi:10.1016/j.jse.2010.07.008

How to Cite
Neo, J. H., Teo, S. T., Lee, C. L., & Cai, C. C. (2019). Telerehabilitation In The Treatment Of Frozen Shoulder: A Case Report. International Journal of Telerehabilitation, 11(2), 3–8.
Case Report