RT Journal Article
T1 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
A1 Vinuesa-Montoya, Sergio
A1 Encarnacion Aguilar-Ferrandiz, Maria
A1 Mataran-Penarrocha, Guillermo A.
A1 Fernandez-Sanchez, Manuel
A1 Maria Fernandez-Espinar, Elena
A1 Maria Castro-Sanchez, Adelaida
K1 Shoulder Impingement Syndrome
K1 Musculoskeletal Manipulations
K1 Pain
K1 Disability Evaluation
K1 Movement
K1 Thoracic spine manipulation
K1 Manual physical-therapy
K1 Visual analog scale
K1 Scapular kinematics
K1 Thrust manipulation
K1 Follow-up
K1 Pain
K1 Mobilization
K1 Reliability
K1 Motion
AB 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.
PB Elsevier inc
SN 0899-3467
YR 2017
FD 2017-06-01
LK http://hdl.handle.net/10668/18813
UL http://hdl.handle.net/10668/18813
LA en
DS RISalud
RD Apr 7, 2025