Immediate changes in pressure pain sensitivity after thoracic spinal manipulative therapy in patients with subacromial impingement syndrome: A randomized controlled study

Kardouni, Joseph R.; Shaffer, Scott W.; Pidcoe, Peter E.; Finucane, Sheryl; Cheatham, Seth A.; Michener, Lori A.

doi:10.1016/j.math.2014.12.003

Cited by 30 publications

(55 citation statements)

References 29 publications

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“…Additionally, it is increasingly used as an outcome measure for evaluating interventions in musculoskeletal pain [6][7][8][9][10][11]. There are many potential biopsychosocial influences on PS that have not been comprehensively investigated to date and there is a lack of studies controlling for the multiple factors that potentially influence pain sensitivity.…”

Section: Introductionmentioning

confidence: 99%

Reliability of pressure pain threshold testing in healthy pain free young adults

Waller

Straker

O’Sullivan

et al. 2015

Scandinavian Journal of Pain

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Background and aims Investigation of the multidimensional correlates of pressure pain threshold (PPT) requires the study of large cohorts, and thus the use of multiple raters, for sufficient statistical power. Although PPT testing has previously been shown to be reliable, the reliability of multiple raters and investigation for systematic bias between raters has not been reported. The aim of this study was to evaluate the intrarater and interrater reliability of PPT measurement by handheld algometer at the wrist, leg, cervical spine and lumbar spine. Additionally the study aimed to calculate sample sizes required for parallel and cross-over studies for various effect sizes accounting for measurement error. Methods Five research assistants (RAs) each tested 20 pain free subjects at the wrist, leg, cervical and lumbar spine. Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and systematic bias were calculated. Results Both intrarater reliability (ICC = 0.81-0.99) and interrater reliability (ICC = 0.92-0.95) were excellent and intrarater SEM ranged from 79 to 100 kPa. There was systematic bias detected at three sites with no single rater tending to consistently rate higher or lower than others across all sites. Conclusion The excellent ICCs observed in this study support the utility of using multiple RAs in large cohort studies using standardised protocols, with the caveat that an absence of any confounding of study estimates by rater is checked, due to systematic rater bias identified in this study. Implications Thorough training of raters using PPT results in excellent interrater reliability. Clinical trials using PPT as an outcome measure should utilise a priori sample size calculations.

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Section: Introductionmentioning

confidence: 99%

Reliability of pressure pain threshold testing in healthy pain free young adults

Waller

Straker

O’Sullivan

et al. 2015

Scandinavian Journal of Pain

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“…Studies, using single or short interventions to the thoracic spine and the upper ribs show conflicting immediate- [22][23][24]26] and short-term results [13,25] in patients with shoulder pathology. Thrust manipulation techniques seemed to show immediate effect in studies not using a control intervention, [13,22,25,26], but were not superior when compared to sham manipulation [23,24].…”

Section: Discussionmentioning

confidence: 99%

“…Thrust manipulation techniques seemed to show immediate effect in studies not using a control intervention, [13,22,25,26], but were not superior when compared to sham manipulation [23,24]. Of these studies, only Mintken et al examined pain and shoulder ROM as outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients

Hauswirth

Ernst

Preusser

et al. 2017

BMR

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“…However, in all 3 of these, only 1 SMT session was included and only short-term effects on pain were measured, with patients whose mean age was in the early 30s. [58][59][60] Only 1 of these trials 54 reported on adverse events, and in that case, there were none.…”

Section: Shoulder Impingement Syndromementioning

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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Immediate changes in pressure pain sensitivity after thoracic spinal manipulative therapy in patients with subacromial impingement syndrome: A randomized controlled study

Cited by 30 publications

References 29 publications

Reliability of pressure pain threshold testing in healthy pain free young adults

Reliability of pressure pain threshold testing in healthy pain free young adults

Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

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