The immediate effects of thoracic spine and rib manipulation on subjects with primary complaints of shoulder pain.

Shoulder pain is a common orthopedic condition seen by physical therapists, with many potential contributing factors and proposed treatments. Although manual physical therapy interventions for the cervicothoracic spine and ribs have been investigated for this patient population, the specific effects...

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Publicado en:Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) Vol. 17; no. 4; pp. 230 - 237
Autores principales: Strunce JB, Walker MJ, Boyles RE, Young BA
Formato: pictorial research tables/charts Journal Article
Publicado: Journal of Manual & Manipulative Therapy 2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Journal of Manual & Manipulative Therapy
      place: Forest Grove, Oregon
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        atl: The immediate effects of thoracic spine and rib manipulation on subjects with primary complaints of shoulder pain.
      aug:
        au:
          Strunce JB
          Walker MJ
          Boyles RE
          Young BA
        affil: Director of Rehabilitation Department, Northern Navajo Medical Center, Shiprock, NM
      sug:
        subj:
          Manual Therapy
          Ribs
          Shoulder Pain Therapy
          Thoracic Vertebrae
          Adolescence
          Adult
          Data Analysis Software
          Descriptive Statistics
          Female
          Human
          Male
          Middle Age
          Paired T-Tests
          Physical Examination
          Range of Motion
          Scales
          Shoulder Pain Epidemiology
          Shoulder Pain Etiology
          Test-Retest Reliability
          Treatment Outcomes
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Shoulder pain is a common orthopedic condition seen by physical therapists, with many potential contributing factors and proposed treatments. Although manual physical therapy interventions for the cervicothoracic spine and ribs have been investigated for this patient population, the specific effects of these treatments have not been reported. The purpose of this investigational study is to report the immediate effects of thoracic spine and rib manipulation in patients with primary complaints of shoulder pain. Using a test- retest design, 21 subjects with shoulder pain were treated during a single treatment session with high-velocity thrust manipulation to the thoracic spine or upper ribs. Post-treatment effects demonstrated a 51% (32mm) reduction in shoulder pain, a corresponding increase in shoulder range of motion (30°-38°), and a mean patient-perceived global rating of change of 4.2 (median 5). These immediate post-treatment results suggest that thoracic and rib manipulative therapy is associated with improved shoulder pain and motion in patients with shoulder pain, and further these interventions support the concept of a regional inter- dependence between the thoracic spine, upper ribs, and shoulder.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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