SoP LibraryAdhesive capsulitis of the shoulder

Statement of Principles

Adhesive capsulitis of the shoulder — DVA SoP factors

Every factor in the Repatriation Medical Authority Statements of Principles for Adhesive capsulitis of the shoulder. DVA can only accept a claim for Adhesive capsulitis of the shoulder if at least one of these factors is met and connected to your service. Reasonable Hypothesis (RH) applies to operational service; Balance of Probabilities (BoP) applies to peacetime service.

Source: Repatriation Medical Authority Statements of Principles as held by the Veterans Health Centre. SoPs are amended and replaced regularly; always confirm the current instrument at rma.gov.au before relying on it.

Adhesive capsulitis of the shoulder

RH No. 72 of 2020 · BoP No. 73 of 202042 factors

Meaning of adhesive capsulitis of the shoulder: For the purposes of this Statement of Principles, adhesive capsulitis of the shoulder means a clinical condition characterised by shoulder pain and stiffness and severe functional restriction of both active and passive shoulder motion, lasting for at least 28 days.

Reasonable Hypothesis (RH) — Statement of Principles No. 72 of 2020

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting adhesive capsulitis of the shoulder or death from adhesive capsulitis of the shoulder with the circumstances of a person's relevant service:

  1. (1)
    having a significant injury involving the arm or shoulder of the affected side within the six months before the clinical onset of adhesive capsulitis of the shoulder;

    Note: significant injury involving the arm or shoulder is defined in the Schedule 1 - Dictionary.

  2. (2)
    undergoing a surgical procedure involving the shoulder, chest wall or neck of the affected side within the six months before the clinical onset of adhesive capsulitis of the shoulder;
  3. (3)
    having paralysis of the affected shoulder within the one year before the clinical onset of adhesive capsulitis of the shoulder;
  4. (4)
    having rotator cuff syndrome of the affected side at the time of the clinical onset of adhesive capsulitis of the shoulder;
  5. (5)
    having a malignant neoplasm involving the region of the affected shoulder or the adjacent thoracic region, including the breast, within the one year before the clinical onset of adhesive capsulitis of the shoulder;
  6. (6)
    having diabetes mellitus at the time of the clinical onset of adhesive capsulitis of the shoulder;
  7. (7)
    having a thyroid disease from the specified list of thyroid diseases at the time of the clinical onset of adhesive capsulitis of the shoulder;

    Note: specified list of thyroid diseases is defined in the Schedule 1 - Dictionary.

  8. (8)
    having Parkinson's disease at the time of the clinical onset of adhesive capsulitis of the shoulder;
  9. (9)
    having dyslipidaemia before the clinical onset of adhesive capsulitis of the shoulder;

    Note: dyslipidaemia is defined in the Schedule 1 - Dictionary.

  10. (10)
    taking highly active antiretroviral therapy for human immunodeficiency virus infection at the time of the clinical onset of adhesive capsulitis of the shoulder;
  11. (11)
    taking phenobarbital or primidone within the six weeks before the clinical onset of adhesive capsulitis of the shoulder;

    Note: Phenobarbital is also known as phenobarbitone.

  12. (12)
    having a significant injury involving the arm or shoulder of the affected side within the six months before the clinical worsening of adhesive capsulitis of the shoulder;

    Note: significant injury involving the arm or shoulder is defined in the Schedule 1 - Dictionary.

  13. (13)
    undergoing a surgical procedure involving the shoulder, chest wall or neck of the affected side within the six months before the clinical worsening of adhesive capsulitis of the shoulder;
  14. (14)
    having paralysis of the affected shoulder within the one year before the clinical worsening of adhesive capsulitis of the shoulder;
  15. (15)
    having rotator cuff syndrome of the affected side at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  16. (16)
    having a malignant neoplasm involving the region of the affected shoulder or the adjacent thoracic region, including the breast, within the one year before the clinical worsening of adhesive capsulitis of the shoulder;
  17. (17)
    having diabetes mellitus at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  18. (18)
    having a thyroid disease from the specified list of thyroid diseases at the time of the clinical worsening of adhesive capsulitis of the shoulder;

    Note: specified list of thyroid diseases is defined in the Schedule 1 - Dictionary.

  19. (19)
    having Parkinson's disease at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  20. (20)
    having dyslipidaemia before the clinical worsening of adhesive capsulitis of the shoulder;

    Note: dyslipidaemia is defined in the Schedule 1 - Dictionary.

  21. (21)
    taking highly active antiretroviral therapy for human immunodeficiency virus infection at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  22. (22)
    taking phenobarbital or primidone within the six weeks before the clinical worsening of adhesive capsulitis of the shoulder;

    Note: Phenobarbital is also known as phenobarbitone.

  23. (23)
    inability to obtain appropriate clinical management for adhesive capsulitis of the shoulder;

Aggravation-only factors: the factors in subsections 9(12) to 9(23) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

Balance of Probabilities (BoP) — Statement of Principles No. 73 of 2020

19 factors

At least one of the following factors must exist before it can be said that, on the balance of probabilities, adhesive capsulitis of the shoulder or death from adhesive capsulitis of the shoulder is connected with the circumstances of a person's relevant service:

  1. (1)
    having a significant injury involving the arm or shoulder of the affected side within the six months before the clinical onset of adhesive capsulitis of the shoulder;

    Note: significant injury involving the arm or shoulder is defined in the Schedule 1 - Dictionary.

  2. (2)
    undergoing a surgical procedure involving the shoulder, chest wall or neck of the affected side within the six months before the clinical onset of adhesive capsulitis of the shoulder;
  3. (3)
    having paralysis of the affected shoulder within the one year before the clinical onset of adhesive capsulitis of the shoulder;
  4. (4)
    having rotator cuff syndrome of the affected side at the time of the clinical onset of adhesive capsulitis of the shoulder;
  5. (5)
    having a malignant neoplasm involving the region of the affected shoulder or the adjacent thoracic region, including the breast, within the one year before the clinical onset of adhesive capsulitis of the shoulder;
  6. (6)
    having diabetes mellitus at the time of the clinical onset of adhesive capsulitis of the shoulder;
  7. (7)
    having a thyroid disease from the specified list of thyroid diseases at the time of the clinical onset of adhesive capsulitis of the shoulder;

    Note: specified list of thyroid diseases is defined in the Schedule 1 - Dictionary.

  8. (8)
    having Parkinson's disease at the time of the clinical onset of adhesive capsulitis of the shoulder;
  9. (9)
    taking highly active antiretroviral therapy for human immunodeficiency virus infection at the time of the clinical onset of adhesive capsulitis of the shoulder;
  10. (10)
    having a significant injury involving the arm or shoulder of the affected side within the six months before the clinical worsening of adhesive capsulitis of the shoulder;

    Note: significant injury involving the arm or shoulder is defined in the Schedule 1 - Dictionary.

  11. (11)
    undergoing a surgical procedure involving the shoulder, chest wall or neck of the affected side within the six months before the clinical worsening of adhesive capsulitis of the shoulder;
  12. (12)
    having paralysis of the affected shoulder within the one year before the clinical worsening of adhesive capsulitis of the shoulder;
  13. (13)
    having rotator cuff syndrome of the affected side at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  14. (14)
    having a malignant neoplasm involving the region of the affected shoulder or the adjacent thoracic region, including the breast, within the one year before the clinical worsening of adhesive capsulitis of the shoulder;
  15. (15)
    having diabetes mellitus at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  16. (16)
    having a thyroid disease from the specified list of thyroid diseases at the time of the clinical worsening of adhesive capsulitis of the shoulder;

    Note: specified list of thyroid diseases is defined in the Schedule 1 - Dictionary.

  17. (17)
    having Parkinson's disease at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  18. (18)
    taking highly active antiretroviral therapy for human immunodeficiency virus infection at the time of the clinical worsening of adhesive capsulitis of the shoulder;
  19. (19)
    inability to obtain appropriate clinical management for adhesive capsulitis of the shoulder;

Aggravation-only factors: the factors in subsections 9(10) to 9(19) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

A VHC Diagnostic Assessment addresses each of these factors one by one against your service record and clinical history. See how a VHC DVA claim works, see all fees ($600 + GST per stage) or book an appointment.

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