The addition of cervical unilateral posterior–anterior mobilisation in the treatment of patients with shoulder impingement syndrome: A randomised clinical trial

Cook, Chad; Learman, Ken; Houghton, Steve; Showalter, Christopher; O’Halloran, Bryan

doi:10.1016/j.math.2013.05.007

Cited by 28 publications

(32 citation statements)

References 38 publications

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“…In support of this rationale, Cook et al used P-A mobilisation in shoulder impingement patients and regarded their approach at risk for being sub-therapeutic despite providing 9-10 treatment sessions [21]. The question remains regarding how many treatments is optimum?…”

Section: Discussionmentioning

confidence: 99%

“…Effects have been shown to extend remotely to influence the shoulder [11][12][13] and elbow [14][15][16][17]. In addition to intrinsic shoulder structures with causation for shoulder pain [18][19][20], extrinsic structures like the cervical [11,12,21] and thoracic spines [22][23][24][25], and upper ribs [26] have been implicated.…”

Section: Introductionmentioning

confidence: 99%

“…These lateral (or transverse) glide mobilisations at the lower cervical segments provided short-term improvement to pain, ROM and external rotation strength in patients with insidious painful shoulders [13], patients with a painful arc during abduction [12], and in neck patients with concomitant shoulder muscle weakness [11]. In contrast, unilateral posterior-anterior mobilisations have not shown significant improvements in shoulder impingement patients [21]. As far as we are aware, no studies have examined the influence of A-P cervical mobilisations for shoulder problems, despite their common use in clinic [32].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients

Hauswirth

Ernst

Preusser

et al. 2017

BMR

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients

Hauswirth

Ernst

Preusser

et al. 2017

BMR

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“…One high-quality trial (n = 68) with patients of mean age 53 with SIS symptom duration N12 months found no additional benefit from combining cervical SMT with MT, compared with MT alone. 53 Three high-quality trials found no significant difference between thoracic SMT and sham thoracic SMT. However, in all 3 of these, only 1 SMT session was included and only short-term effects on pain were measured, with patients whose mean age was in the early 30s.…”

Section: Shoulder Impingement Syndromementioning

confidence: 98%

“…Three of the 5 reported that there were no adverse events in any group. One of these was on LLLT 51 ; 1 on MT, specifically cervical mobilization 53 ; and 1 on spinal manipulation. 58 Engebretsen et al 55 reported that 2 patients in the ESWT group dropped out because of pain, with 1 crossing over to the supervised exercise group, and that 1 patient in the supervised exercise group reported increased pain.…”

Section: Adverse Events Reported In Rctsmentioning

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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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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Manual therapy and exercise for rotator cuff disease

Page

Green

McBain³

et al. 2016

Cochrane Database of Systematic Reviews

136

149

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Despite identifying 60 eligible trials, only one trial compared a combination of manual therapy and exercise reflective of common current practice to placebo. We judged it to be of high quality and found no clinically important differences between groups in any outcome. Effects of manual therapy and exercise may be similar to those of glucocorticoid injection and arthroscopic subacromial decompression, but this is based on low quality evidence. Adverse events associated with manual therapy and exercise are relatively more frequent than placebo but mild in nature. Novel combinations of manual therapy and exercise should be compared with a realistic placebo in future trials. Further trials of manual therapy alone or exercise alone for rotator cuff disease should be based upon a strong rationale and consideration of whether or not they would alter the conclusions of this review.

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The addition of cervical unilateral posterior–anterior mobilisation in the treatment of patients with shoulder impingement syndrome: A randomised clinical trial

Cited by 28 publications

References 38 publications

Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients

Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Manual therapy and exercise for rotator cuff disease

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