Effectiveness of Passive Joint Mobilisation for Shoulder Dysfunction: A Review of the Literature

Chen, Judy

doi:10.5772/35202

Cited by 1 publication

(2 citation statements)

References 149 publications

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“…Furthermore, hyperalgesia and associated movement impairment associated with shoulder disorders imposes functional deficits in daily activities 6,7 which significantly contributes to the emotional and psychological distress of the patient. 8 Moreover 41% of patients with shoulder disorders were found to have persistent symptoms on annual follow-up 9 and up to 30% of workers were availing sick leave due to shoulder dysfunction, 10 thus imposing a substantial financial burden on the individual and society. 11,8 Physiotherapy is often the first approach used in the conservative management of people with musculoskeletal dysfunction of the shoulder.…”

Section: Introductionmentioning

confidence: 99%

“…8 Moreover 41% of patients with shoulder disorders were found to have persistent symptoms on annual follow-up 9 and up to 30% of workers were availing sick leave due to shoulder dysfunction, 10 thus imposing a substantial financial burden on the individual and society. 11,8 Physiotherapy is often the first approach used in the conservative management of people with musculoskeletal dysfunction of the shoulder. This may include manual therapy techniques in conjunction with stretching and strengthening exercises, and electrotherapeutic modalities.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Satpute¹,

Bhandari²,

Hall³

2015

Journal of Manipulative and Physiological Therapeutics

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Objectives: Shoulder pain and impairment is a prevalent and disabling condition. While some Mulligan mobilization with movement (MWM) techniques have been shown to have beneficial effects, Hand Behind Back (HBB) MWM has not been investigated. The aim of this study was to investigate the effects of HBB MWM on shoulder pain, impairment and disability. Methods: We conducted a double blind randomized controlled trial in 44 subjects with shoulder pain and movement impairment presenting to an Indian general hospital. Subjects were allocated to receive either MWM and exercise/hot pack (n=22) or exercise/hot pack alone (n=22). The primary outcome was HBB range of motion (ROM). Secondary variables were shoulder internal rotation ROM, pain intensity score, and shoulder disability identified by the Shoulder Pain and Disability index (SPADI). All variable were evaluated by a blinded assessor before and immediately after 9 treatment sessions spread over 3-weeks. Results: A total of 60 patients were screened and 44 randomized. The average duration of symptoms was 4.1 and 4.7 weeks in the exercise and MWM groups respectively. Paired t-tests revealed that both groups demonstrated statistically significant improvements (p< 0.001) with large effect sizes for all variables. However, for all variables the MWM with exercise group showed significantly greater improvements (p< 0.05) than the exercise group. HBB ROM showed a mean difference of 9.31˚ (95% CI 7.38 to 11.27), favoring greater improvement in the MWM with exercise group. Conclusions: Shoulder HBB MWM with exercise improves outcomes in patients with acute shoulder pain and disability greater than exercise/hot packs alone.

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