Inclusion Criteria:  Patients with difficulty in activities of daily living ABVD 35. Patients with positive results in some of the physical examination tests. Patients with a previous diagnosis by ultrasound imaging. Patients with surgical intervention after 3 months of age.  Exclusion Criteria:  Patients with mental disorders or deficits. Patients with needle phobia (belonephobia). Patients with recent surgery before 3 months of age. Patients with previous dislocation of the affected shoulder.