EC Clinical and Medical Case Reports

Background: Shoulder injury related to vaccine administration (SIRVA) is a significant musculoskeletal issue that causes shoulder pain and disabilities and leads to low productivity and poor quality of life. Physiotherapy is one of the treatments for SIRVA; however, there is limited evidence in this area. Therefore, this case study aims to provide a better understanding of the physiotherapy management of SIRVA.

Method: This is a single case report of a patient with SIRVA that was treated with education and advice on scapular retraction during elevation, pendulum exercise, isometric exercises, supported and unsupported shoulder movements. These exercises were performed slowly in a pain-free range, 2 × 5 repetitions, 3 times per day and 4 - 5 times per week.

Results: Baseline shoulder pain (VAS) and SPADI scores were 8 (out of 10) and 87%, respectively. After 3 months, the patient showed significant improvement with no pain (rated 0 out of 10) and regained normal shoulder movements. He was able to perform his daily activities involving his shoulder, such as lying on it and lifting, without any pain.

Conclusion: This study has shown that using evidence-based conservative treatment improves clinical outcomes of SIRVA at 3 months. However, a further randomised control trial is needed to provide long-term effectiveness.

Keywords: SIRVA; Covid-19 Vaccine; Shoulder Pain; Rotator Cuff Tendinopathy; Physiotherapy

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