A Systematic Review of Manipulative Therapy for the Treatment of Shoulder Pain

Pribicevic, Mario; Pollard, Henry; Bonello, Rod; Luca, Katie de

doi:10.1016/j.jmpt.2010.08.019

Cited by 26 publications

(23 citation statements)

References 46 publications

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“…15,16,23 These reviews found favorable results suggesting these interventions, mostly highlighting multimodal care, are beneficial for pain and function; however, the results are based on mostly low-level evidence from case reports and series. Although reviews report clinical use of multimodal treatments, a description is still lacking regarding what multi-modal components of chiropractic care are appropriate for specific shoulder conditions.…”

Section: Nonspecific Spmentioning

confidence: 99%

“…12 Reviews of MTs (eg, manipulation and mobilization) and multimodal treatments have found favorable effects supporting their use for the management of shoulder conditions. [13][14][15][16][17] However, clinical trials studying these treatments are inconsistently conducted, tend to have low to moderate levels of scientific rigor, and infrequently collect long-term outcomes. Therefore, evidence is still inconclusive regarding the appropriate use of many MTs for shoulder conditions.…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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Section: Nonspecific Spmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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“…Patients were excluded if they exhibited any of following criteria 1 : the presence of any red flags 2 ; a history of frozen shoulder 3 ; disorders of the acromioclavicular joint 4 ; degenerative arthritis of the glenohumeral joint 5 ; known calcifying tendonitis (if identified by radiograph) 6 ; posttraumatic disorders; or 7 shoulder surgery or elbow, hand, or wrist surgery and blatantly misdiagnosed cervical spine disorders.…”

Section: Participantsmentioning

confidence: 99%

“…Several factors contribute to subacromial impingement syndrome, including rotator cuff weakness, posterior capsule tightness, poor scapulohumeral rhythm, and muscle imbalance of the scapular upward rotation force couple. 1 The most prevalent diagnosis, among the different causes of shoulder pain, is rotator cuff tendinopathy with impingement. 2 The prevalence of shoulder pain ranges from 20% to 50% in the general population.…”

Section: Introductionmentioning

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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“…13 An additional two large systematic reviews investigated the effects of manual therapy (MT) to the upper quadrant including the glenohumeral joint, shoulder girdle, cervical and thoracic spine in patients with shoulder pain. 21,22 Another systematic review investigated the role of TMT in treating a variety of musculoskeletal conditions, including three trials associated with the shoulder. 23 These reviews were all inclusive of trials, such as Winters et al 24 and Bang and Deyle, 25 who did not control or separate TMT from other shoulder girdle manual therapy (SG-MT).…”

Section: Introductionmentioning

confidence: 99%

Thoracic manual therapy in the management of non-specific shoulder pain: a systematic review

Peek¹,

Miller²,

Heneghan³

2015

Journal of Manual & Manipulative Therapy

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Objectives: Non-specific shoulder pain (NSSP) is often persistent and disabling leading to high socioeconomic costs. Cervical manipulation has demonstrated improvements in patients with NSSP, although risks associated with thrust techniques are documented. Thoracic manual therapy (TMT) may utilise similar neurophysiological effects with less risk. The current evidence for TMT in treating NSSP is limited to systematic reviews of manual therapy (MT) applied to the upper quadrant. These reviews included trials that used shoulder girdle manual therapy (SG-MT) in the TMT group. This limits the scope of their conclusions with regard to the exclusive effectiveness of TMT for NSSP. Methods: This review used a steering group for subject and methodological expertise and was reported in line with Preferred Reporting items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Key databases were searched (1990-2014) using relevant search terms and medical subject headings (MeSH); eligibility was evaluated independently by two reviewers based on pre-defined criteria. Study participants had NSSP including impingement syndrome and excluding cervical pain. Interventions included cervicothoracic junction and TMT with or without supplementary exercises. Studies that included MT applied to the shoulder girdle including the glenohumeral joint, acromioclavicular joint or sternoclavicular joint in the TMT group, without a control, were excluded. Included studies utilised outcome measures that monitored pain and disability scores. Randomized controlled trials (RCTs) and clinical studies were eligible. Using a standardised form, each reviewer independently extracted data. Risk of bias was assessed using GRADE and PEDro scale. Results were tabulated for semi-quantitative comparison. Results: Over 912 articles were retrieved: three RCTs, one single-arm trial and three pre-post test studies were eligible. Studies varied from poor to high quality. Three RCTs demonstrated that TMT reduced pain and disability at 6, 26 and 52 weeks compared with usual care. Two pre-post test studies found between 76% and 100% of patients experienced significant pain reduction immediately post-TMT. An additional pre-post test study and a single-arm trial showed reductions in pain and disability scores 48 hours post-TMT. Discussion: Thoracic manual therapy accelerated recovery and reduced pain and disability immediately and for up to 52 weeks compared with usual care for NSSP. Further, high-quality RCTs investigating the effect of TMT in isolation for the treatment of patients with NSSP are now required.

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A Systematic Review of Manipulative Therapy for the Treatment of Shoulder Pain

Cited by 26 publications

References 46 publications

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

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

Thoracic manual therapy in the management of non-specific shoulder pain: a systematic review

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