The effectiveness of manual therapy in supraspinatus tendinopathy

Senbursa, Gamze; Baltacı, Gül; Atay, Özgür Ahmet

doi:10.3944/aott.2011.2385

Cited by 59 publications

(33 citation statements)

References 24 publications

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“…1,3,6,[10][11][12]22,27,35,[42][43][44]48 Seven studies did not report treatment effect estimates, only the conclusions of statistical testing or results in a graphical form. 1,2,6,10,11,43,53 Efforts made to contact the contributing authors to obtain additional results were all unsuccessful.…”

Section: /16mentioning

confidence: 99%

“…Fourteen studies [1][2][3]5,6,10,11,27,28,35,37,[42][43][44] used a visual analog scale (VAS) or a numeric pain-rating scale to measure a variety of pain-related outcomes. Nine trials 4,5,10,22,27,28,42,44,52 used validated functional outcome measures.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Five studies 5,12,27,28,48 had a score of at least 69% (11/16), indicating a moderate to low risk of bias. The other 16 studies [1][2][3][4]6,10,11,22,35,37,[42][43][44][52][53][54] scored less than 69%, indicating a high risk of bias. The agreement between reviewers on the overall risk-of-bias score was excellent, with an intraclass correlation coefficient of 0.93 (95% CI: 0.84, 0.97).…”

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confidence: 99%

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The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Desjardins‐Charbonneau¹,

Roy²,

Dionne³

et al. 2015

J Orthop Sports Phys Ther

105

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® T t STUDY DESIGN:Systematic review and metaanalysis. T t OBJECTIVES:To evaluate the efficacy of manual therapy (MT) for patients with rotator cuff (RC) tendinopathy. T t BACKGROUND:Rotator cuff tendinopathy is a highly prevalent musculoskeletal disorder, for which MT is a common intervention used by physical therapists. However, evidence regarding the efficacy of MT is inconclusive. T t METHODS:A literature search using terms related to shoulder, RC tendinopathy, and MT was conducted in 4 databases to identify randomized controlled trials that compared MT to any other type of intervention to treat RC tendinopathy. Randomized controlled trials were assessed with the Cochrane risk-of-bias tool. Meta-analyses or qualitative syntheses of evidence were performed. T t RESULTS:Twenty-one studies were included.The majority had a high risk of bias. Only 5 studies had a score of 69% or greater, indicating a moderate to low risk of bias. A small but statistically significant overall effect for pain reduction of MT compared with a placebo or in addition to another intervention was observed (n = 406), which may or may not be clinically important, given a mean difference of 1.1 (95% confidence interval: 0.6, 1.6) on a 10-cm visual analog scale. Adding MT to an exercise program (n = 226) significantly decreased pain (mean difference, 1.0; 95% confidence interval: 0.7, 1.4), as reported on a 10-cm visual analog scale, which may or may not be clinically important. Based on qualitative analyses, it is unclear whether MT used alone or added to an exercise program improves function. T t CONCLUSION:For patients with RC tendinopathy, based on low-to moderate-quality evidence, MT may decrease pain; however, it is unclear whether it can improve function. More methodologically sound studies are needed to make definitive conclusions. T t LEVEL OF EVIDENCE:Therapy, level 1a-. Ther 2015;45(5):330-350. Epub 26 Mar 2015. doi:10.2519/jospt.2015 T t KEY WORDS: mobilization, physical therapy, shoulder impingement syndrome, shoulder pain S houlder pain is highly prevalent and among mus culoskeletal disorders is the third most common reason for visiting a primary care physician. 16,33,46 As many as two thirds of people who have shoulder complaints receive a diagnosis of rotator cuff (RC) tendinopathy. 46 Rotator cuff tendinopathy often leads to decreased function, 34 lower health related quality of life, 34 poor sleep quality, 47 and work absenteeism. J Orthop Sports Phys 40Rotator cuff tendinopathy is a broad diagnosis, and mounting evidence suggests that diagnoses such as shoulder impingement syndrome, RC tendinitis/ tendinosis, as well as subacromial bursitis may be considered as the same clinical entity. 19 Conservative treatment of RC tendinopathy generally includes rest, nonsteroidal anti-inflammatory drugs, and rehabilitation interventions such as exercise.19 High-level evidence supports exercise as an effective treatment. 20 In conjunction with exercise, physical therapists often add manual therapy (MT) interventions to address impairm...

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Section: /16mentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

mentioning

confidence: 99%

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The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Desjardins‐Charbonneau¹,

Roy²,

Dionne³

et al. 2015

J Orthop Sports Phys Ther

105

View full text Add to dashboard Cite

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“…Two MT trials compared MT plus exercise with exercise alone; 1 was high quality 63 and 1 low quality. 65 Both found no added benefit from MT.…”

Section: Shoulder Impingement Syndromementioning

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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“…[26][27][28][29][30][31][32][33] Furthermore, the manual physiotherapy regimen utilized in the current study, CPA, has previously been shown effective in disrupting adhesions, decreasing pain, and improving the overall quality of life in patients with recurrent SBO. [34][35][36][37] CPA integrates techniques from an array of manual modalities to optimize individualized treatment, focusing intently on the patient's specific areas of restriction.…”

Section: Discussionmentioning

confidence: 99%

Manual physical therapy clears adhesive bowel obstruction and strictures in a patient with Crohn’s disease

Weinstock¹,

Pratt²,

Wurn³

et al. 2018

IJCR

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A woman with Crohn's disease with prior resection presented with a one-year history of persistent abdominal pain. The small bowel follow-through radiograph demonstrated the presence of two strictures in the small intestine due to adhesive scarring.Opting for conservative management, the patient underwent a specialized manual physical therapy regimen. Following treatment, the patient experienced significant decrease of abdominal pain and improved biomechanical function. Radiologic imaging revealed complete resolution of both strictures. Manual physical therapy may be a viable non-operative option to manage small bowel strictures or obstruction.

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The effectiveness of manual therapy in supraspinatus tendinopathy

Cited by 59 publications

References 24 publications

The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

The Efficacy of Manual Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-analysis

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Manual physical therapy clears adhesive bowel obstruction and strictures in a patient with Crohn’s disease

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