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The addition of cervical unilateral posterior-anterior mobilisation in the treatment of patients with shoulder impingement syndrome: a randomised clinical trial.

Publication ,  Journal Article
Cook, C; Learman, K; Houghton, S; Showalter, C; O'Halloran, B
Published in: Man Ther
February 2014

Shoulder impingement syndrome (SIS) is a complex, multi-factorial problem that is treated with a variety of different conservative options. One conservative option that has shown effectiveness is manual therapy to the thoracic spine. Another option, manual therapy to the cervical spine, has been studied only once with good results, evaluating short-term outcomes, in a small sample size. The purpose of this study was to investigate the benefit of neck manual therapy for patients with SIS. The study was a randomised, single blinded, clinical trial where both groups received pragmatic, evidence-based treatment to the shoulder and one group received neck manual therapy. Subjects with neck pain were excluded from the study. Comparative pain, disability, rate of recovery and patient acceptable symptom state (PASS) measures were analyzed on the 68 subjects seen over an average of 56.1 days (standard deviation (SD)=55.4). Eighty-six percent of the sample reported an acceptable change on the PASS at discharge. There were no between-groups differences in those who did or did not receive neck manual therapy; however, both groups demonstrated significant within-groups improvements. On average both groups improved 59.7% (SD=25.1) for pain and 53.5% (SD=40.2) for the Quick Disabilities of the Shoulder and Hand Questionnaire (QuickDASH) from baseline. This study found no value when neck manual therapy was added to the treatment of SIS. Reasons may include the lack of therapeutic dosage provided for the manual therapy approach or the lack of benefit to treating the neck in subjects with SIS who do not have concomitant neck problems.

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Published In

Man Ther

DOI

EISSN

1532-2769

Publication Date

February 2014

Volume

19

Issue

1

Start / End Page

18 / 24

Location

Scotland

Related Subject Headings

  • Treatment Outcome
  • Single-Blind Method
  • Shoulder Impingement Syndrome
  • Severity of Illness Index
  • Range of Motion, Articular
  • Pain Measurement
  • Orthopedics
  • Neck Pain
  • Musculoskeletal Manipulations
  • Multivariate Analysis
 

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Cook, C., Learman, K., Houghton, S., Showalter, C., & O’Halloran, B. (2014). The addition of cervical unilateral posterior-anterior mobilisation in the treatment of patients with shoulder impingement syndrome: a randomised clinical trial. Man Ther, 19(1), 18–24. https://doi.org/10.1016/j.math.2013.05.007
Cook, Chad, Ken Learman, Steve Houghton, Christopher Showalter, and Bryan O’Halloran. “The addition of cervical unilateral posterior-anterior mobilisation in the treatment of patients with shoulder impingement syndrome: a randomised clinical trial.Man Ther 19, no. 1 (February 2014): 18–24. https://doi.org/10.1016/j.math.2013.05.007.
Cook, Chad, et al. “The addition of cervical unilateral posterior-anterior mobilisation in the treatment of patients with shoulder impingement syndrome: a randomised clinical trial.Man Ther, vol. 19, no. 1, Feb. 2014, pp. 18–24. Pubmed, doi:10.1016/j.math.2013.05.007.

Published In

Man Ther

DOI

EISSN

1532-2769

Publication Date

February 2014

Volume

19

Issue

1

Start / End Page

18 / 24

Location

Scotland

Related Subject Headings

  • Treatment Outcome
  • Single-Blind Method
  • Shoulder Impingement Syndrome
  • Severity of Illness Index
  • Range of Motion, Articular
  • Pain Measurement
  • Orthopedics
  • Neck Pain
  • Musculoskeletal Manipulations
  • Multivariate Analysis