Passive mobilisation of shoulder region joints plus advice and exercise does not reduce pain and disability more than advice and exercise alone: a randomised trial

Chen, Judy F.; Ginn, Karen A.; Herbert, Robert D.

doi:10.1016/s0004-9514(09)70056-x

Cited by 51 publications

(49 citation statements)

References 35 publications

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“…Individuals need to do the activities in newly gained range of motion to maintain motion at the joint. This result supports the findings of previous studies showing improvement after exercises in adhesive capsulitis [26].…”

Section: Abduction Rangessupporting

confidence: 93%

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Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

Kumar¹,

Kumar²,

Anoop

et al. 2012

ISRN Rehabilitation

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Objective. To study the effectiveness of Maitland techniques in the treatment of idiopathic shoulder adhesive capsulitis. Methods. total of 40 patients diagnosed with idiopathic shoulder adhesive capsulitis were recruited and randomly allocated into two groups. In Group A (n = 20) subjects were treated with Maitland mobilization technique and common supervised exercises, whereas subjects in Group B (n = 20) only received common supervised exercises. Variables. Shoulder pain and disability index (SPADI), VAS and shoulder ROM (external rotation and abduction) were variables of the study. These were recorded before and after the session of the training. Total duration of the study was four weeks. Result. Statistical analysis of the data revealed that within-group comparison both groups showed significant improvement for all the parameters, whereas between-group comparison revealed higher improvement in Group A compared to the Group B. Conclusion. The study confirmed that addition of the Maitland mobilization technique with the combination of exercises have proved their efficacy in relieving pain and improving R.O.M. and shoulder function and hence should form a part of the treatment plan.

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Section: Abduction Rangessupporting

confidence: 93%

“…This result correlates with previous studies [24,26] which studied the effects of Maitland's ERM and exercises on subjects of adhesive capsulitis and found that besides pain and ROM function also improved.…”

Section: Abduction Rangessupporting

confidence: 92%

Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

Kumar¹,

Kumar²,

Anoop

et al. 2012

ISRN Rehabilitation

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“…33 However, other studies have reported no significant differences for intensity of pain in SMT vs a sham group. 8,13 According to the pain intensity result from Chen et al, 34 our study did not report significant differences in pain intensity between groups. The magnitude of change in pain with impingement tests (Hawkins and Neer) identified in our study was similar Values are expressed as absolute and relative frequencies (n = 40) for categorical variables and as means ± standard deviations for continuous variables.…”

Section: Discussionmentioning

confidence: 46%

“…33,35 Some studies have reported that mobilizations in addition to exercise were not more effective in pain and disability than exercise alone. 34,36 In a comparative study of home exercises and supervised exercises for shoulder impingement, no differences between groups were identified in the intensity of pain, disability, physical activity and work, and active range of motion. 37 Nevertheless, surgery and exercises compared with a placebo laser have been reported to have statistical differences, 38 and an intervention with exercises produced higher improvement than shockwave therapy after 6 weeks.…”

Section: Discussionmentioning

confidence: 99%

A Preliminary Randomized Clinical Trial on the Effect of Cervicothoracic Manipulation Plus Supervised Exercises vs a Home Exercise Program for the Treatment of Shoulder Impingement

Vinuesa-Montoya

Aguilar‐Ferrándiz

Matarán-Peñarrocha

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate changes in pain, disability, and range of movement after cervicothoracic manipulation plus exercise therapy in individuals with unilateral shoulder impingement syndrome. Methods: Forty-one patients (30 men, 11 women; aged 47 ± 9) diagnosed with unilateral shoulder impingement syndrome attended 10 sessions for 5 weeks (2 sessions/wk). Eligible patients were randomly allocated to 2 study groups: cervicothoracic manipulation plus exercise therapy (n = 21) or home exercise program (n = 20). The outcomes measures included the visual analog scale (VAS); the Disabilities of the Arm, Shoulder, and Hand score; Shoulder Disability Questionnaire; subacromial impingement syndrome (Hawkins-Kennedy Test and Neer Test); and shoulder active range of motion (movements of flexion, extension, rotation, adduction, and abduction). Assessments were applied at baseline and 24 hours after completing 5 weeks of related interventions. Results: After 5 weeks of treatment significant between-group differences were observed in the Disabilities of the Arm, Shoulder, and Hand score (P = .012); however, no statistically significant differences were achieved for Shoulder Disability Questionnaire (P = .061) and pain intensity (P = .859). Both groups improved with regard to disability and clinical tests for detecting subacromial impingement syndrome. Conclusions: This clinical trial suggests that cervicothoracic manipulative treatment with mobilization plus exercise therapy may improve intensity of pain and range of motion compared with the home exercise group alone; the home exercise group had significant changes for flexion, extension, adduction, and abduction, but not for external and internal rotation movement in patients with shoulder impingement. (J Chiropr Med 2017;16:85-93)

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“…46,47 Previous studies have found that 9-12 treatment sessions of passive joint mobilization has no additional benefit over exercise and advice in the short or long term, for improving function in patients with painful restricted shoulders of more than 1-months duration. 17,18 Similarly, the subjects in our study had symptoms for a similar time-frame, but the manual therapy treatment (MWM) comprised an active and passive movement component combined. 24 This approach was clearly more effective in the early management of our subjects with painful stiff shoulders.…”

Section: Discussionmentioning

confidence: 93%

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Satpute¹,

Bhandari²,

Hall³

2015

Journal of Manipulative and Physiological Therapeutics

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Objectives: Shoulder pain and impairment is a prevalent and disabling condition. While some Mulligan mobilization with movement (MWM) techniques have been shown to have beneficial effects, Hand Behind Back (HBB) MWM has not been investigated. The aim of this study was to investigate the effects of HBB MWM on shoulder pain, impairment and disability. Methods: We conducted a double blind randomized controlled trial in 44 subjects with shoulder pain and movement impairment presenting to an Indian general hospital. Subjects were allocated to receive either MWM and exercise/hot pack (n=22) or exercise/hot pack alone (n=22). The primary outcome was HBB range of motion (ROM). Secondary variables were shoulder internal rotation ROM, pain intensity score, and shoulder disability identified by the Shoulder Pain and Disability index (SPADI). All variable were evaluated by a blinded assessor before and immediately after 9 treatment sessions spread over 3-weeks. Results: A total of 60 patients were screened and 44 randomized. The average duration of symptoms was 4.1 and 4.7 weeks in the exercise and MWM groups respectively. Paired t-tests revealed that both groups demonstrated statistically significant improvements (p< 0.001) with large effect sizes for all variables. However, for all variables the MWM with exercise group showed significantly greater improvements (p< 0.05) than the exercise group. HBB ROM showed a mean difference of 9.31˚ (95% CI 7.38 to 11.27), favoring greater improvement in the MWM with exercise group. Conclusions: Shoulder HBB MWM with exercise improves outcomes in patients with acute shoulder pain and disability greater than exercise/hot packs alone.

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Passive mobilisation of shoulder region joints plus advice and exercise does not reduce pain and disability more than advice and exercise alone: a randomised trial

Abstract: ACTRN 12605000080628.

Cited by 51 publications

References 35 publications

Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

A Preliminary Randomized Clinical Trial on the Effect of Cervicothoracic Manipulation Plus Supervised Exercises vs a Home Exercise Program for the Treatment of Shoulder Impingement

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

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