José A Delgado-Gil1, Eva Prado-Robles2, Daiana P Rodrigues-de-Souza3, Joshua A Cleland4, César Fernández-de-las-Peñas5, Francisco Alburquerque-Sendín6. 1. Physical Therapist, Primary Care Service Area, León, Spain. 2. Occupational Therapist, General Hospital, León, Spain. 3. Physical Therapist, Department of Psychology, Social and Anthropology, University of Salamanca, Salamanca, Spain. 4. Professor, Department of Physical Therapy, Franklin Pierce University, Manchester, NH. 5. Professor, Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, University Rey Juan Carlos, Alcorcón (Madrid), Spain. 6. Professor, Department of Nursing and Physical Therapy, University of Salamanca, Salamanca, Spain.
Abstract
OBJECTIVE: The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) to a sham technique in patients with shoulder impingement syndrome. METHODS: A randomized controlled trial was performed. Forty-two patients (mean ± SD age, 55 ± 9 years; 81% female) satisfied eligibility criteria, agreed to participate, and were randomized into an MWM group (n = 21) or sham manual contact (n = 21). The primary outcome measures including pain intensity, pain during active range of motion, and maximal active range of motion were assessed by a clinician blinded to group allocation. Outcomes were captured at baseline and after 2 weeks of MWM treatment or sham intervention. The primary analysis was the group × time interaction. RESULTS: The 2×2 analysis of variance revealed a significant group × time interaction for pain intensity during shoulder flexion (F = 7.054; P = .011), pain-free shoulder flexion (F = 32.853; P < .001), maximum shoulder flexion (F = 18.791; P < .01), and shoulder external rotation (F = 7.950; P < .01) in favor of the MWM group. No other significant differences were found. CONCLUSIONS:Patients with shoulder impingement syndrome who received 4 sessions of MWM exhibited significantly better outcomes for pain during shoulder flexion, pain-free range of shoulder flexion, maximal shoulder flexion, and maximal external rotation than those patients who were in the sham group.
RCT Entities:
OBJECTIVE: The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) to a sham technique in patients with shoulder impingement syndrome. METHODS: A randomized controlled trial was performed. Forty-two patients (mean ± SD age, 55 ± 9 years; 81% female) satisfied eligibility criteria, agreed to participate, and were randomized into an MWM group (n = 21) or sham manual contact (n = 21). The primary outcome measures including pain intensity, pain during active range of motion, and maximal active range of motion were assessed by a clinician blinded to group allocation. Outcomes were captured at baseline and after 2 weeks of MWM treatment or sham intervention. The primary analysis was the group × time interaction. RESULTS: The 2×2 analysis of variance revealed a significant group × time interaction for pain intensity during shoulder flexion (F = 7.054; P = .011), pain-free shoulder flexion (F = 32.853; P < .001), maximum shoulder flexion (F = 18.791; P < .01), and shoulder external rotation (F = 7.950; P < .01) in favor of the MWM group. No other significant differences were found. CONCLUSIONS:Patients with shoulder impingement syndrome who received 4 sessions of MWM exhibited significantly better outcomes for pain during shoulder flexion, pain-free range of shoulder flexion, maximal shoulder flexion, and maximal external rotation than those patients who were in the sham group.
Authors: Sergio Vinuesa-Montoya; María Encarnación Aguilar-Ferrándiz; Guillermo A Matarán-Peñarrocha; Manuel Fernández-Sánchez; Elena María Fernández-Espinar; Adelaida María Castro-Sánchez Journal: J Chiropr Med Date: 2016-11-24
Authors: Christopher Kevin Wong; Bryanna L Strang; Galen A Schram; Elizabeth A Mercer; Rebecca S Kesting; Kabi S Deo Journal: J Man Manip Ther Date: 2018-03-26
Authors: Emma Tejera-Falcón; Nuria Del Carmen Toledo-Martel; Francisco Manuel Sosa-Medina; Fátima Santana-González; Miriam Del Pino Quintana-de la Fe; Tomás Gallego-Izquierdo; Daniel Pecos-Martín Journal: BMC Musculoskelet Disord Date: 2017-09-18 Impact factor: 2.362