Shoulder functionality after manual therapy in subjects with shoulder impingement syndrome: A case series

Heredia-Rizo, Alberto Marcos; López-Hervás, Antonia; Herrera-Monge, Patricia; Gutiérrez-Leonard, Ana; Piña-Pozo, Fernando

doi:10.1016/j.jbmt.2012.07.004

Cited by 15 publications

(15 citation statements)

References 27 publications

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“…Nine trials 4,5,10,22,27,28,42,44,52 used validated functional outcome measures. Shoulder ac- Group 1 (n = 7): MT (anterior, posterior, inferior mobilization or traction of the GH joint) and standard care Group 2 (n = 7): standard care (hot packs, active ROM, stretching and strengthening shoulder exercises, soft tissue mobilization, and patient education)…”

Section: Outcome Measuresmentioning

confidence: 99%

“…1,3,6,[10][11][12]22,27,35,[42][43][44]48 Seven studies did not report treatment effect estimates, only the conclusions of statistical testing or results in a graphical form. 1,2,6,10,11,43,53 Efforts made to contact the contributing authors to obtain additional results were all unsuccessful.…”

Section: /16mentioning

confidence: 99%

“…A ll o c a t io n c o n c e a lm e n t ( s e le c t io n b ia s ) B li n d in g o f p a r t ic ip a n t s Barbosa et al 4 Bennell et al 5 Bialoszewski and Zaborowski 6 Çitaker et al 10 Conroy and Hayes 11 Djordjevic et al 12 Heredia-Rizo et al 22 van Rensburg and Atkins 52 Kachingwe et al 27 Kromer et al 28 McClatchie et al 35 Munday et al 37 Senbursa et al 42 Senbursa et al 43 Surenkok et al 44 Teys et al 48 Winters et al 53 Four trials (n = 151) investigated changes in shoulder ROM when MT was added to an exercise program, but only data from 2 of the trials 6,11 were pooled, because the results of the other 2 trials 42,43 were incompletely reported. Pooled re sults demonstrated that there were no significant differences between groups when MT was added to an exercise pro gram for overall ROM (mean difference, -6.1°; 95% CI: -20.6°, 8.4°) (FIGURE 7).…”

Section: Efficacy Of Adding Mt To An Exercise Program or To A Multimomentioning

confidence: 99%

“…Five studies 5,12,27,28,48 had a score of at least 69% (11/16), indicating a moderate to low risk of bias. The other 16 studies [1][2][3][4]6,10,11,22,35,37,[42][43][44][52][53][54] scored less than 69%, indicating a high risk of bias. The agreement between reviewers on the overall risk-of-bias score was excellent, with an intraclass correlation coefficient of 0.93 (95% CI: 0.84, 0.97).…”

mentioning

confidence: 99%

“…Blinding of assessors was adequately reported in 11 studies. 2,5,11,12,22,27,28,35,44,48,54 Risk of reporting bias was present in 17 of the 21 studies, because no protocol or trial registration number was provided (FIGURES 2 and 3). …”

mentioning

confidence: 99%

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The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Desjardins‐Charbonneau¹,

Roy²,

Dionne³

et al. 2015

J Orthop Sports Phys Ther

119

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® T t STUDY DESIGN:Systematic review and metaanalysis. T t OBJECTIVES:To evaluate the efficacy of manual therapy (MT) for patients with rotator cuff (RC) tendinopathy. T t BACKGROUND:Rotator cuff tendinopathy is a highly prevalent musculoskeletal disorder, for which MT is a common intervention used by physical therapists. However, evidence regarding the efficacy of MT is inconclusive. T t METHODS:A literature search using terms related to shoulder, RC tendinopathy, and MT was conducted in 4 databases to identify randomized controlled trials that compared MT to any other type of intervention to treat RC tendinopathy. Randomized controlled trials were assessed with the Cochrane risk-of-bias tool. Meta-analyses or qualitative syntheses of evidence were performed. T t RESULTS:Twenty-one studies were included.The majority had a high risk of bias. Only 5 studies had a score of 69% or greater, indicating a moderate to low risk of bias. A small but statistically significant overall effect for pain reduction of MT compared with a placebo or in addition to another intervention was observed (n = 406), which may or may not be clinically important, given a mean difference of 1.1 (95% confidence interval: 0.6, 1.6) on a 10-cm visual analog scale. Adding MT to an exercise program (n = 226) significantly decreased pain (mean difference, 1.0; 95% confidence interval: 0.7, 1.4), as reported on a 10-cm visual analog scale, which may or may not be clinically important. Based on qualitative analyses, it is unclear whether MT used alone or added to an exercise program improves function. T t CONCLUSION:For patients with RC tendinopathy, based on low-to moderate-quality evidence, MT may decrease pain; however, it is unclear whether it can improve function. More methodologically sound studies are needed to make definitive conclusions. T t LEVEL OF EVIDENCE:Therapy, level 1a-. Ther 2015;45(5):330-350. Epub 26 Mar 2015. doi:10.2519/jospt.2015 T t KEY WORDS: mobilization, physical therapy, shoulder impingement syndrome, shoulder pain S houlder pain is highly prevalent and among mus culoskeletal disorders is the third most common reason for visiting a primary care physician. 16,33,46 As many as two thirds of people who have shoulder complaints receive a diagnosis of rotator cuff (RC) tendinopathy. 46 Rotator cuff tendinopathy often leads to decreased function, 34 lower health related quality of life, 34 poor sleep quality, 47 and work absenteeism. J Orthop Sports Phys 40Rotator cuff tendinopathy is a broad diagnosis, and mounting evidence suggests that diagnoses such as shoulder impingement syndrome, RC tendinitis/ tendinosis, as well as subacromial bursitis may be considered as the same clinical entity. 19 Conservative treatment of RC tendinopathy generally includes rest, nonsteroidal anti-inflammatory drugs, and rehabilitation interventions such as exercise.19 High-level evidence supports exercise as an effective treatment. 20 In conjunction with exercise, physical therapists often add manual therapy (MT) interventions to address impairm...

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Section: Outcome Measuresmentioning

confidence: 99%

Section: /16mentioning

confidence: 99%

Section: Efficacy Of Adding Mt To An Exercise Program or To A Multimomentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Desjardins‐Charbonneau¹,

Roy²,

Dionne³

et al. 2015

J Orthop Sports Phys Ther

119

View full text Add to dashboard Cite

show abstract

Manual therapy and exercise for rotator cuff disease

Page

Green

McBain³

et al. 2016

Cochrane Database of Systematic Reviews

140

149

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Despite identifying 60 eligible trials, only one trial compared a combination of manual therapy and exercise reflective of common current practice to placebo. We judged it to be of high quality and found no clinically important differences between groups in any outcome. Effects of manual therapy and exercise may be similar to those of glucocorticoid injection and arthroscopic subacromial decompression, but this is based on low quality evidence. Adverse events associated with manual therapy and exercise are relatively more frequent than placebo but mild in nature. Novel combinations of manual therapy and exercise should be compared with a realistic placebo in future trials. Further trials of manual therapy alone or exercise alone for rotator cuff disease should be based upon a strong rationale and consideration of whether or not they would alter the conclusions of this review.

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Short-term effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome

Pekyavaş

Baltaci

2016

Lasers Med Sci

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Subacromial impingement syndrome (SAIS) is a major contributing factor of shoulder pain; and treatment approaches (Kinesio® taping [KT], Exercise [EX], manual therapy [MT], and high-intensity laser therapy [HILT]) have been developed to treat the pain. The key objective of this study was to compare the effects of KT, MT, and HILT on the pain, the range of motion (ROM), and the functioning in patients with SAIS. Seventy patients with SAIS were randomly divided into four groups based on the treatment(s) each group received [EX (n = 15), KT + EX (n = 20), MT + KT + EX (n = 16), and MT + KT + HILT + EX (n = 19)]. All the patients were assessed before and at the end of the treatment (15th day). The main outcome assessments included the evaluation of severity of pain by visual analogue scale (VAS) and shoulder flexion, abduction, and external rotation ROM measurements by a universal goniometry. Shoulder pain and disability index (SPADI) was used to measure pain and disability associated with shoulder pathology. Statistically significant differences were found in the treatment results of all parameters in MT + KT + EX and HILT + MT + KT + EX groups (p < 0.05). When the means of ROM and SPADI results of three groups were compared, statistically significant differences were found between all the groups (p < 0.05). These differences were significant especially between the groups MT + KT + EX and KT + EX (p < 0.05) and HILT + MT + KT + EX and KT + EX (p < 0.05). HILT and MT were found to be more effective in minimizing pain and disability and increasing ROM in patients with SAIS. Further studies with follow-up periods are required to determine the advantages of these treatments conclusively.

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Shoulder functionality after manual therapy in subjects with shoulder impingement syndrome: A case series

Cited by 15 publications

References 27 publications

The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Manual therapy and exercise for rotator cuff disease

Short-term effects of high-intensity laser therapy, manual therapy, and Kinesio taping in patients with subacromial impingement syndrome

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