Differences between clinician- and self-administered shoulder sustained mobilization on scapular and shoulder muscle activity during shoulder abduction: A repeated-measures study on asymptomatic individuals

Ribeiro, Daniel Cury; Sole, Gisela; Shemmell, Jonathan

doi:10.1016/j.msksp.2017.04.010

Cited by 11 publications

(6 citation statements)

References 38 publications

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“…When calculating sample size, the assumed standard deviation (SD) was calculated based on a previous similar study conducted by our group, which compared the initial effects of MWM vs sham MWM on the angular onset of pain in the frontal plane in patients with RCRSP. 51 Assuming a SD of 19° for the difference in angular onset of pain changes from the baseline to the follow-up assessment (after receiving 3 sets of 10 repetitions of MWM) between the two treatment arms, a sample size of 28 participants per group is required to detect a 14.5° difference between the two treatment arms, with a power of 80% and a significance level of 5%. Therefore, a total number of 56 participants will be recruited.…”

Section: Methodsmentioning

confidence: 99%

Initial effect of high-volume mobilisation with movement on shoulder range of motion and pain in patients with rotator cuff-related shoulder pain: protocol for a randomised controlled trial (Evolution Trial)

et al. 2023

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IntroductionMobilisation with movement (MWM) is commonly used for treating patients with rotator cuff-related shoulder pain (RCRSP). However, the evidence supporting MWM efficacy for improving shoulder range of motion (ROM) and pain in patients with RCRSP is limited. It is also unclear whether higher volume MWM leads to better clinical outcomes compared with lower volume MWM in patients with RCRSP. The primary aim of this study is to assess the effect of MWM on the angular onset of pain during shoulder abduction in patients with RCRSP.Methods and analysisSixty participants with RCRSP will be randomised to receive either MWM or sham MWM intervention. The primary outcome is the angular onset of pain during shoulder abduction, and secondary outcomes are pain intensity at the angular onset of pain during shoulder abduction, maximum shoulder ROM, pain intensity during maximum shoulder abduction, pressure pain threshold, mechanical temporal summation, global rating of change scale (GROC) and Brief Pain Inventory-Short Form (BPI-SF). The angular onset of pain and the pain intensity at that range will be assessed at baseline, after 1 set and 3 sets of 10 repetitions of MWM or sham MWM. The GROC will be measured immediately after receiving 3 sets of interventions and on day 3 after interventions. The BPI-SF will be measured on days 1, 3, 5 and 7 after interventions. Other secondary outcomes will be assessed at baseline and after 3 sets of interventions. A linear mixed effects model with a random intercept will be used to compare changes in the outcome measures between MWM and sham MWM interventions.Ethics and disseminationThis study has been approved by the University of Otago Ethics Committee (Ref. H21/117). Findings from this study will be disseminated through presentations at international and national conferences and will be submitted for publication in a peer-reviewed journal.Trial registration numberACTRN 12621001723875.

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Section: Methodsmentioning

confidence: 99%

Initial effect of high-volume mobilisation with movement on shoulder range of motion and pain in patients with rotator cuff-related shoulder pain: protocol for a randomised controlled trial (Evolution Trial)

et al. 2023

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“…The inclusion of asymptomatic participants might help to understand the mechanisms of joint mobilisations to manage rotator cuff-related shoulder pain. For example, previous studies have reported that it is important to have a clear understanding of normal neuromuscular response to joint mobilisation in asymptomatic participants, especially when compared with patients with rotator cuff-related shoulder pain 28 29. There may be other studies reporting joint mobilisation mechanisms.…”

Section: Methods and Analysismentioning

confidence: 99%

Dosage of joint mobilisation for the management of rotator cuff-related shoulder pain: protocol for a scoping review

Wang

Chapple

Quinn³

et al. 2022

BMJ Open

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IntroductionRotator cuff-related shoulder pain is the most common diagnosis of shoulder pain, which ranks as the third most common musculoskeletal disorder. The first-line treatment for patients with rotator cuff-related shoulder pain is physiotherapy, and joint mobilisation is widely used in conjunction with other modalities. The type and dosage of joint mobilisations could influence treatment outcomes for patients with rotator cuff-related shoulder pain, although research evidence is inconclusive.ObjectivesTo (1) systematically search, identify and map the reported type and dosage of joint mobilisations used in previous studies for the management of patients with rotator cuff-related shoulder pain; and (2) summarise the rationale for adopting a specific joint mobilisation dosage.Methods and analysisWe will follow the methodological framework outlined by Arksey and O’Malley and report the results as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guideline. Two authors will independently screen and extract data from the six databases: PubMed, Scopus, Web of Science, CINAHL, Cochrane Library and SPORTDiscus, with publication date from their inceptions to 25 August 2021. A third author will be consulted if the two authors disagree about the inclusion of any study in the review. We will summarise the results using descriptive statistics and qualitative thematic analysis.Ethics and disseminationEthical approval is not required for this protocol. Mapping and summarising the reported type and dosage of joint mobilisations for patients with rotator cuff-related shoulder pain from previous studies will provide a foundation for further optimal selection of type and dosage of joint mobilisations for treating patients with rotator cuff-related shoulder pain. The review is part of an ongoing research that focuses on joint mobilisation for patients with rotator cuff-related shoulder pain. The results will be disseminated through presentations at academic conferences and a peer-reviewed publication.

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“…[34], diagnosis was non-specific SP on supposed peripheral nociceptive pain mechanism. At the end of the physiotherapy session, the patient was instructed to perform self-mobilization of the shoulder as home exercise twice a day for 3 days until the next physiotherapy treatment [35,36].…”

Section: Case Presentationmentioning

confidence: 99%

An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report

Storari¹,

Barbari²,

Brindisino

et al. 2021

Arch Physiother

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Background Shoulder pain (SP) may originate from both musculoskeletal and visceral conditions. Physiotherapists (PT) may encounter patients with life-threatening pathologies that mimic musculoskeletal pain such as Acute Myocardial Infarction (AMI). A trained PT should be able to distinguish between signs and symptoms of musculoskeletal or visceral origin aimed at performing proper medical referral. Case presentation A 46-y-old male with acute SP lasting from a week was diagnosed with right painful musculoskeletal shoulder syndrome, in two successive examinations by the emergency department physicians. However, after having experienced a shift of the pain on the left side, the patient presented to a PT. The PT recognized the signs and symptoms of visceral pain and referred him to the general practitioner, which identified a cardiac disease. The final diagnosis was acute myocardial infarction. Conclusion This case report highlights the importance of a thorough patient screening examination, especially for patients treated in an outpatient setting, which allow distinguishing between signs and symptoms of musculoskeletal from visceral diseases.

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Differences between clinician- and self-administered shoulder sustained mobilization on scapular and shoulder muscle activity during shoulder abduction: A repeated-measures study on asymptomatic individuals

Cited by 11 publications

References 38 publications

Initial effect of high-volume mobilisation with movement on shoulder range of motion and pain in patients with rotator cuff-related shoulder pain: protocol for a randomised controlled trial (Evolution Trial)

Initial effect of high-volume mobilisation with movement on shoulder range of motion and pain in patients with rotator cuff-related shoulder pain: protocol for a randomised controlled trial (Evolution Trial)

Dosage of joint mobilisation for the management of rotator cuff-related shoulder pain: protocol for a scoping review

An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report

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