Shoulder

Spinal manipulation combined with exercise therapy could be more effective than exercise therapy alone for shoulder pain and disability: A systematic review and meta-analysis

International Journal of Osteopathic Medicine Volume 50, December 2023, 100688 International Journal of Osteopathic Medicine Francisco Fleury Uchoa Santos-Júnior Highlights • For pain intensity, spinal manipulation combined with shoulder exercises may be beneficial in two to six weeks. • The association of spinal manipulation and shoulder exercises could also improve disability within 6 weeks of […]

Comparison of Manual Therapy Technique to Therapeutic Exercise in the Treatment of Patients With Subacromial Impingement Syndrome: A Randomized Clinical Trial

Journal of Manipulative & Physiological Therapeutics Zeynab Azin, MSc Fahimeh Kamali, PhD Nasrin Salehi Dehno, PhD Sara Abolahrari-Shirazi, PhD Published: September 29, 2023DOI:https://doi.org/10.1016/j.jmpt.2023.06.002 Abstract Objective The purpose of this study was to compare the effects of manual therapy to therapeutic exercise on shoulder pain, disability, and range of motion (ROM) in patients with subacromial impingement […]

Rotator Cuff Reoperation More Likely With Acromioplasty

— Study in Medicare patients adds fuel to ongoing debate by John Gever, Contributing Writer, MedPage Today March 8, 2023 LAS VEGAS — Medicare patients who underwent acromioplasty in conjunction with rotator cuff reconstruction were more likely, not less, to need reoperation within 5 years, researchers found. In what is likely the largest analysis conducted […]

Nocturnal pain in patients with rotator cuff related shoulder pain: A prospective study

Musculoskeletal Science and Practice Volume 59, June 2022, 102536 Musculoskeletal Science and Practice Original article Alper Meng Highlights •  Nocturnal pain is a common and significant problem in patients with RCRSP. •  Presence of subscapularis tendinosis is a predictor of nocturnal pain severity. •  Patients with positive Neer test may experience more nocturnal pain. Abstract […]

Thoracic Manual Therapy Improves Pain and Disability in Individuals With Shoulder Impingement Syndrome Compared With Placebo: A Randomized Controlled Trial With 1-Year Follow-up

ORIGINAL RESEARCH| VOLUME 103, ISSUE 8, P1533-1543,ch AUGUST 01, 2022 Donald J. Hunter, M Ost Published: March 21, 2022 DOI:https://doi.org/10.1016/j.apmr.2022.03.003 Abstract Objective To investigate whether muscle energy technique (MET) to the thoracic spine decreases the pain and disability associated with shoulder impingement syndrome (SIS). Design Single-center, 3-arm, randomized controlled trial, single-blind, placebo control with concealed […]

Shoulder pain prevalence by age and within occupational groups: a systematic review

Arch Physiother. 2021; 11: 24. Published online 2021 Nov 4. doi: 10.1186/s40945-021-00119-w PMCID: PMC8567712 PMID: 34736540 Christopher J. Hodgetts Abstract Background Shoulder pain was previously shown to diminish in older populations and it was suggested that this could be explained by reduced usage with age. Our objectives were to investigate if estimates of shoulder pain […]

Comparison of the effectiveness of proprioceptive neuromuscular facilitation exercises and shoulder mobilization patients with Subacromial Impingement Syndrome: A randomized clinical trial

Journal of Bodywork and Movement Therapies PREVENTION AND REHABILITATION| VOLUME 30, P42-52, APRIL 01, 2022 Sultan İğrek Published: November 01, 2021 DOI:https://doi.org/10.1016/j.jbmt.2021.10.015 Abstract Introduction The aim of this study was to compare the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) exercises and shoulder mobilization (SM) in addition to conventional physiotherapy on pain, range of motion (ROM), […]

Evidence for increased neuromuscular drive following spinal manipulation in individuals with subacromial pain syndrome

Clinical Biomechanics Volume 90, December 2021, 105485 Amy K. Hegarty Highlights •  Shoulder muscle activity is a key deficit in those individuals with shoulder pain. •  Spinal manipulation increased shoulder muscle activity in patients with shoulder pain. •  Shoulder muscle activity was related to improved shoulder pain and function. •  Neuromuscular drive mechanism may optimize […]

Effect of Hypertonic Dextrose Injection on Pain and Shoulder Disability in Patients with Chronic Supraspinatus Tendinosis: A Randomized Double-Blind Controlled Study

Archives of Physical Medicine and Rehabilitation VOLUME 103, ISSUE 2, P237-244, FEBRUARY 01, 2022 Che-Li Lin, MD, PhD Published: October 02, 2021 DOI:https://doi.org/10.1016/j.apmr.2021.07.812 Abstract Objectives To investigate the effect of hypertonic dextrose injection (my note: prolotherapy) on pain and disability in patients with chronic supraspinatus tendinosis. The secondary aim was to evaluate its effect on […]

Exercise Therapy is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis

Archives of Physical Medicine and Rehabilitation 21 August 2021 Michel G. Mertens MSc Highlights •  Exercise therapy is effective in improving range of motion, function and pain •  The effect of adding stretches to a program with exercises is uncertain •  Adding physical modalities is to a program with exercises not beneficial •  The effect […]

Non-invasive Management of Soft Tissue Disorders of the Shoulder: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Eur J Pain. 2021 May 4. doi: 10.1002/ejp.1788. Online ahead of print. Hainan Yu Abstract Objectives: To develop an evidence-based guideline for the non-invasive management of soft tissue disorders of the shoulder (shoulder pain), excluding major pathology. Methods: This guideline is based on high-quality evidence from seven systematic reviews. Multidisciplinary experts considered the evidence of effectiveness, safety, […]

The analgesic effect of joint mobilization and manipulation in tendinopathy: a narrative review

Journal of Manual & Manipulative Therapy Published online: 26 Mar 2021 Christos Savva ABSTRACT Objective: To summarize the available literature with regards to the potential analgesic effect and mechanism of joint mobilization and manipulation in tendinopathy. Results: The effect of these techniques in rotator cuff tendinopathy and lateral elbow tendinopathy, applied alone, compared to a […]

Group-based exercise, individually supervised exercise and home-based exercise have similar clinical effects and cost-effectiveness in people with subacromial pain: a randomised trial

Journal of Physiotherapy Available online 17 March 2021 David Høyrup Christiansen Abstract Question What are the relative effects of group-based exercise, individual exercise and home-based exercise on clinical outcomes and costs in patients with subacromial pain? Design Multicentre, three-arm, randomised controlled trial with concealed allocation and intention-to-treat analysis. Participants A total of 208 patients referred […]

Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial

Journal of Orthopaedic & Sports Physical Therapy Published Online:January 31, 2021Volume51Issue2Pages72-81 https://www.jospt.org/doi/10.2519/jospt.2021.9785 Abstract Objectives To compare the effects of spinal thrust manipulation and electrical dry needling (TMEDN group) to those of nonthrust peripheral joint/soft tissue mobilization, exercise, and interferential current (NTMEX group) on pain and disability in patients with subacromial pain syndrome (SAPS). Design Randomized, […]

Comparison of Treatments for Frozen Shoulder: A Systematic Review and Meta-analysis

December 16, 2020 Dimitris Challoumas, MD JAMA Netw Open. 2020;3(12):e2029581. doi:10.1001/jamanetworkopen.2020.29581 Key Points Question Are any treatment modalities for frozen shoulder associated with better outcomes than other treatments? Findings In this meta-analysis of 65 studies with 4097 participants, intra-articular corticosteroid was associated with increased short-term benefits compared with other nonsurgical treatments, and its superiority appeared […]

Relationship Between Intensity of Neck Pain and Disability and Shoulder Pain and Disability in Individuals With Subacromial Impingement Symptoms: A Cross-Sectional Study

JMPT VOLUME 43, ISSUE 7, P691-699, SEPTEMBER 01, 2020 Thiele de Cássia Libardoni, PT, MSc Abstract Objective This study aimed to verify a possible relationship between shoulder disability and shoulder pain intensity and the variables related to cervical-spine dysfunction, and determine which of these can differentiate moderate to severe shoulder pain (>4 on a numerical […]

Osteopathic treatment of patients with shoulder pain. A pragmatic randomized controlled trial

VOLUME 24, ISSUE 3, P21-28, JULY 01, 2020 Florian Schwerla Abstract Background Shoulder complaints are common in the general population. Typically, the diagnosis of a specific pathology is lacking. The objective of this trial was to evaluate the effectiveness of an osteopathic treatment in patients suffering from shoulder pain. Methods A pragmatic randomized controlled trial […]

The Response-Time Relationship and Covariate Effects of Acupuncture for Chronic Pain: A Systematic Review and Model-Based Longitudinal Meta-Analysis

Eur J Pain. 2020 Jun 13. doi: 10.1002/ejp.1617. Online ahead of print. Caixia Li 1, Qi Pei 2, Yaolong Chen 3 4, Xufei Luo 3 4, Nan Yang 3 4, Thomas T Li 5, Junjie Ding 6 7, Yingwei Wang 1 Affiliations expand PMID: 32533885 DOI: 10.1002/ejp.1617 Abstract Background and objective: Critical clinical questions regarding […]

The Effect of High Velocity Low Amplitude Cervical Manipulations on the Musculoskeletal System: Literature Review

Cureus 2020 Apr 15;12(4):e7682. doi: 10.7759/cureus.7682. Andrea Giacalone PMID: 32426194 PMCID: PMC7228797 DOI: 10.7759/cureus.7682 Abstract In manual therapy, high velocity low amplitude (HVLA) cervical manipulation techniques are frequently used, but often the physiological and biomechanical effects that can be obtained are not completely clear. The techniques are mostly used for the treatment of biomechanical joint […]

Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis

Citation:  Lähdeoja T, Karjalainen T, Jokihaara J, et alSubacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis. British Journal of Sports Medicine 2020;54:665-673. Online issue publication:  May 15, 2020 Abstract Objective To determine the benefits and harms of subacromial decompression surgery in adult patients with subacromial pain syndrome lasting for more […]