Background and aims
Frozen shoulder contracture syndrome (FSCS) is a highly disabling shoulder pathology of poorly understood etiology. Currently there is no therapeutic approach that has shown to improve the natural history course of this condition. Consequently, innovative research in the area of management for FSCS is needed. Different treatments focused on the central nervous system (CNS) have been applied in subjects with shoulder pain and FSCS with promising results.
The aim of this study was to evaluate the feasibility and clinical impact when implementing a CNS-focused treatment program for people with FSCS.

Methods
A sample of 10 subjects (8 women and 2 men) with idiopathic FSCS was recruited according to specific inclusion criteria. Participants underwent a 10-weeks intervention program including graded sensory discrimination and graded motor imagery training. Treatment sessions were delivered as 60-min sessions scheduled weekly. In addition, participants performed 30-min home training sessions five times per week. Pain intensity (VAS 24h), active elevation range of motion (ROM) and disability (SPADI questionnaire) were assessed at baseline (T-1), after a 2 week period of “washout” with no intervention (T0), at the end of treatment (T3) and at three months follow up (T6). 
Results
70% of participants completed the treatment and follow up measurements. No adverse effects were found. At T3 and T6 participants reported improvement in VAS24h (p=0.003), active ROM elevation (p=0.001) and SPADI (p=0.008).
Conclusions
The results of this study suggest that CNS-focused treatment program might be a suitable approach to improve  pain and disability in people with FSCS.

A FEASIBILITY STUDY OF A CENTRAL NERVOUS SYSTEM FOCUSED TREATMENT FOR PEOPLE WITH FROZEN SHOULDER CONTRACTURE SYNDROME (FSCS)