Chiropractic Treatment of Upper Extremity Conditions: A Systematic Review

McHardy, Andrew; Hoskins, Wayne; Pollard, Henry; Onley, Rorey; Windsham, Ross

doi:10.1016/j.jmpt.2007.12.004

Cited by 32 publications

(41 citation statements)

References 33 publications

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“…18,[22][23][24][25][26][31][32][33] However, with regard to the efficacy of chiropractic adjustments specifically for shoulder complaints, the current evidence is limited, 34 consisting of one small pilot study, 12 a qualitative study, 35 and a number of case reports 13,14,34,36 (such as this one). It is clear that additional efficacy research is needed.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic management of frozen shoulder syndrome using a novel technique: a retrospective case series of 50 patients

Murphy¹,

Hall

D’Amico³

et al. 2012

Journal of Chiropractic Medicine

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Section: Discussionmentioning

confidence: 99%

Chiropractic management of frozen shoulder syndrome using a novel technique: a retrospective case series of 50 patients

Murphy¹,

Hall

D’Amico³

et al. 2012

Journal of Chiropractic Medicine

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“…15,16,23 These reviews found favorable results suggesting these interventions, mostly highlighting multimodal care, are beneficial for pain and function; however, the results are based on mostly low-level evidence from case reports and series. Although reviews report clinical use of multimodal treatments, a description is still lacking regarding what multi-modal components of chiropractic care are appropriate for specific shoulder conditions.…”

Section: Nonspecific Spmentioning

confidence: 99%

“…12 Reviews of MTs (eg, manipulation and mobilization) and multimodal treatments have found favorable effects supporting their use for the management of shoulder conditions. [13][14][15][16][17] However, clinical trials studying these treatments are inconsistently conducted, tend to have low to moderate levels of scientific rigor, and infrequently collect long-term outcomes. Therefore, evidence is still inconclusive regarding the appropriate use of many MTs for shoulder conditions.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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“…Unfortunately, very little research has been directed at the third most prevalent musculoskeletal complaint in the chiropractic office, namely, shoulder pain. [22][23][24] In addition, a survey of 192 chiropractors in New South Wales, Australia, reported that shoulder pain and/ or symptoms were responsible for 12% of total weekly visits to chiropractors. 25 This same study demonstrated that 83% of practitioners use peripheral joint manipulative therapy techniques as an adjunct to spinal manipulative care.…”

mentioning

confidence: 99%

“…22 In the literature there is a strong correlation between dysfunction of the cervicothoracic spine and adjacent ribs, whereby reduced mobility has been positively associated with shoulder pain in 84% of cases and persons with reduced mobility have been associated with a 3-fold risk of developing shoulder pain. 26,27 Crosbie et al 28 presented motion interactions of the spinal segments and humeral and scapula articulations.…”

mentioning

confidence: 99%