4. Discussion
painful shoulder and reduced the GIRD, shoulder flexion, GIRD, cross-body
POSTERIOR CAPSULAR THICKENING, STRETCHES
In this study, we aim to describe the efficacy of the GIRD treatment in nonathlete population. Although the definition of GIRD an exact value is still controversial,GIRD treatment involves targeting posterior capsular thickening and the posterior rotator cuff muscular adaptations in the form of “sleeper stretches” (arm at 90° shoulder flexion) and “cross-body stretches” (no scapular stabilization). There are two kinds of treatment for GIRD depending on who performs the treatment. One of them can be autonomously performed by the patient and the other one is assisted by the clinician. The autonomous stretches represent a huge preventiveThe treatment was effectively able to increase the IR of the painful shoulder from the first consultation. The efficacy of the treatment is supported by the MCID, as the mean IRThere are some limitations in our study. First, the number of patients treated is relatively small. Second, the ER of each shoulder was not considered. The sum of IR and ER gives rise to the total range of motion. Recently, Rose and NoonanIn conclusion, the treatment administrated in this study significantly increased the IR of the treated and painful shoulder and reduced the GIRD from the first consultation. Further studies should be addressed to corroborate the results here described through randomized clinical trials comparing different types of treatments and considering only the nonathletic population.