Does Passive Mobilization of Shoulder Region Joints Provide Additional Benefit Over Advice and Exercise Alone for People Who Have Shoulder Pain and Minimal Movement Restriction? A Randomized Controlled Trial.
Background. Passive mobilization of shoulder region joints, often in conjunction with other treatment modalities, is used for the treatment of people with shoulder pain and minimal movement restriction. However, there is only limited evidence supporting the efficacy of this treatment modality. Objec...
| Publicado en: | Physical Therapy Vol. 91; no. 2; pp. 178 - 190 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Oxford University Press / USA
Feb2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104821697&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104821697 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Feb2011 vid: 91 iid: 2 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 104821697 58611731 10.2522/ptj.20100111 NLM21212375 104821697 ppf: 178 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Does Passive Mobilization of Shoulder Region Joints Provide Additional Benefit Over Advice and Exercise Alone for People Who Have Shoulder Pain and Minimal Movement Restriction? A Randomized Controlled Trial. aug: au: Yiasemides, Ross Halaki, Mark Cathers, Ian Ginn, Karen A. affil: Discipline of Physiotherapy, Faculty of Health Sciences, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia sug: subj: Joint Mobilization Shoulder Pain Therapy Therapeutic Exercise Patient Education Human Randomized Controlled Trials Range of Motion Questionnaires Clinical Assessment Tools Summated Rating Scaling Outcome Assessment Interrater Reliability Adult Middle Age Aged Aged, 80 and Over Female Male Confidence Intervals Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: Background. Passive mobilization of shoulder region joints, often in conjunction with other treatment modalities, is used for the treatment of people with shoulder pain and minimal movement restriction. However, there is only limited evidence supporting the efficacy of this treatment modality. Objective. The purpose of this study was to determine whether passive mobilization of shoulder region joints adds treatment benefit over exercise and advice alone for people with shoulder pain and minimal movement restriction. Design. This was a randomized controlled clinical trial with short-, medium- and longer-term follow-up. Setting. The study was conducted in a metropolitan teaching hospital. Patients. Ninety-eight patients with shoulder pain of local mechanical origin and minimal shoulder movement restriction were randomly allocated to either a control group (n51) or an experimental group (n47). Intervention. Participants in both groups received advice and exercises designed to restore neuromuscular control at the shoulder. In addition, participants in the experimental group received passive mobilization specifically applied to shoulder region joints. Measurements. Outcome measurements of shoulder pain and functional impairment, self-rated change in symptoms, and painful shoulder range of motion were obtained at 1, 3, and 6 months after entry into the trial. All data were analyzed using the intention-to-treat principle by repeated-measures analyses of covariance. Results. No statistically significant differences were detected in any of the outcome measurements between the control and experimental groups at short-, medium-, or longer-term follow-up. Limitations. Therapists and participants were not blinded to the treatment allocation. Conclusion. This randomized controlled clinical trial does not provide evidence that the addition of passive mobilization, applied to shoulder region joints, to exercise and advice is more effective than exercise and advice alone in the treatment of people with shoulder pain and minimal movement restriction. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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