Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 12/11/2025

Adhesive Capsulitis Risk Factors and Associations

Demographic and Systemic Risk Factors

  • The American College of Rheumatology notes that individuals under 40 years rarely develop adhesive capsulitis, with peak incidence occurring between ages 40-65 years 1
  • Women demonstrate higher prevalence of adhesive capsulitis, though the association is not universally statistically significant across all populations 1
  • Patients with polyarticular hand osteoarthritis face increased risk of adhesive capsulitis as part of generalized osteoarthritis patterns 1

Post-Stroke and Neurological Risk Factors

  • Up to 67% of stroke patients with combined motor, sensory, and visuoperceptual deficits develop shoulder-hand-pain syndrome, which may contribute to adhesive capsulitis 2
  • Improper handling during rehabilitation, particularly overhead pulley exercises, significantly increases the risk of adhesive capsulitis in stroke patients 2, 3

Trauma and Immobilization Risk Factors

  • Shoulder immobilization after any shoulder surgery or injury directly contributes to frozen shoulder development, highlighting the importance of early physical therapy 3
  • Failure to initiate formal physical therapy within 6-8 weeks post-injury or post-surgery may result in permanent shoulder dysfunction 3

REFERENCES

2

Adhesive Capsulitis in Post-Stroke Patients [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

3

Treatment of Frozen Shoulder (Adhesive Capsulitis) [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025