Abstract:
:The evidence to guide use of spinal manipulative therapy (SMT) for patients with shoulder pain is limited. A validated sham comparator is needed to ascertain the unique effects of SMT. We investigated the plausibility of a thoracic sham-SMT comparator for SMT in patients with shoulder pain. Participants (n = 56) with subacromial impingement syndrome were randomized to thoracic SMT or a sham-SMT. An examiner blinded to group assignment took measures pre- and post-treatment of shoulder active range of motion (AROM) and perceived effects of the assigned intervention. Treatment consisted of six upper, middle and lower thoracic SMT or sham-SMT. The sham-SMT was identical to the SMT, except no thrust was applied. Believability as an active treatment was measured post-treatment. Believability as an active treatment was not different between groups (χ(2) = 2.19; p = 0.15). Perceptions of effects were not different between groups at pre-treatment (t = 0.12; p = 0.90) or post-treatment (t = 0.40; p = 0.69), and demonstrated equivalency with 95% confidence between groups at pre- and post-treatment. There was no significant change in shoulder flexion in either group over time, or in the sham-SMT for internal rotation (p > 0.05). The SMT group had an increase of 6.49° in internal rotation over time (p = 0.04). The thoracic sham-SMT of this study is a plausible comparator for SMT in patients with shoulder pain. The sham-SMT was believable as an active treatment, perceived as having equal beneficial effects both when verbally described and after familiarization with the treatment, and has an inert effect on shoulder AROM. This comparator can be considered for used in clinical trials investigating thoracic SMT. IRB number: HM 13182.
journal_name
Man Therjournal_title
Manual therapyauthors
Michener LA,Kardouni JR,Sousa CO,Ely JMdoi
10.1016/j.math.2014.08.008subject
Has Abstractpub_date
2015-02-01 00:00:00pages
171-5issue
1eissn
1356-689Xissn
1532-2769pii
S1356-689X(14)00174-Xjournal_volume
20pub_type
杂志文章,随机对照试验相关文献
MANUAL THERAPY文献大全abstract::The purpose of this pilot study was to evaluate sensorimotor functions in patients with chronic neck pain with objective and quantitative methods. A group of 16 patients with chronic idiopathic neck pain of insidious onset or whiplash associated disorders (WAD) was compared to an equally sized group of healthy subject...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2006.10.002
更新日期:2008-05-01 00:00:00
abstract::SUMMARY. The paper summarizes a series of studies investigating reduced quadriceps femoris activation and its effect on rehabilitation of patients with traumatic and arthritic knee damage. It incorporates findings from related research fields and speculates on the physiological causes of reduced voluntary activation f...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1054/math.1997.0281
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND:Frozen shoulder, which is characterized by shoulder pain and limitation of the range of motion (ROM), is a common disorder. High-intensity laser therapy (HILT) was recently introduced in the musculoskeletal therapeutic field. OBJECTIVE:The objective of this study is to evaluate the clinical efficacy of HILT...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2015.02.009
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVES:This study was conducted to identify possible prognostic factors to predict drop-out and favorable outcome in patients following a multimodal treatment program at an outpatient rehabilitation clinic. METHODS:A retrospective cohort study was conducted on 437 patients with chronic neck pain involved in an exe...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.02.001
更新日期:2015-08-01 00:00:00
abstract::Exercises to retrain the orientation of the scapula are often used by physiotherapists to optimise shoulder girdle function. The movements and muscle activity required to assume this position have not yet been quantified. Further, patients often find this a difficult exercise to learn accurately, with no data being av...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2007.07.008
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Little is known about the physiologic mechanism of dry needling. While some evidence suggests that dry needling may decrease nocioceptive sensitivity and facilitate muscle function, no studies to date have examined these physiologic changes compared to clinical outcomes. OBJECTIVE:To examine changes in lumb...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.03.003
更新日期:2015-12-01 00:00:00
abstract::The majority of randomized clinical trials (RCTs) of spinal manipulative therapy have not adequately defined the terms 'mobilization' and 'manipulation', nor distinguished between these terms in reporting the trial interventions. The purpose of this study was to describe the spinal manipulative therapy techniques util...
journal_title:Manual therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.math.2004.07.008
更新日期:2005-02-01 00:00:00
abstract::Our purpose was to examine the effect of modifying symptomatic movement and alignment tests in a sample of people with LBP referred to physical therapy. Fifty-one patients (19 males, 32 females; mean age 37+/-10.59 yr) with LBP and a mean Oswestry Disability Index score of 34+/-18% were examined. The examination inclu...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2007.09.012
更新日期:2009-02-01 00:00:00
abstract:UNLABELLED:In both simulation and manual therapy studies, substantial variability has been shown when therapists attempt to replicate an applied force. Knowledge about the forces employed during treatment could reduce this variability. In the current project, a prototype for a mobilizing device incorporating a dynamome...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2006.06.009
更新日期:2007-05-01 00:00:00
abstract:STUDY DESIGN:Descriptive comparison study. OBJECTIVE:To assess the accuracy of two needle angle approaches for dry needling of the lumbar multifidus. BACKGROUND:Low back pain is a leading cause of disability around the world; the lumbar multifidus plays a vital role in low back health. Manual therapy such as dry need...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.08.008
更新日期:2016-12-01 00:00:00
abstract::Assessment of lumbar movement dysfunction commonly comprises trunk range of motion (ROM), movement or control impairment (MCI), and reposition error (RE). Those assessments are typically based on visual observation. Consequently it is not possible to reliably quantify back movements for intersubject comparisons, or fo...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.02.013
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Deficits in quadriceps femoris strength and voluntary activation have been well documented in chronic anterior cruciate ligament (ACL) injuries, but less is known about the acute or early phase after injury. OBJECTIVES:The aim of this study was to evaluate and compare the levels of quadriceps voluntary acti...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.11.007
更新日期:2016-04-01 00:00:00
abstract::Prolonged static posture has been identified as a major risk factor for work-related neck and upper limb disorders (WRNULD) in computer users. Previous research has mainly examined working postures in healthy pain-free individuals. The present study examined whether symptomatic subjects exhibited the same kinematic pa...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2005.01.005
更新日期:2005-11-01 00:00:00
abstract::Low back pain (LBP) is a very common but largely self-limiting condition. The problem arises however, when LBP disorders do not resolve beyond normal expected tissue healing time and become chronic. Eighty five percent of chronic low back pain (CLBP) disorders have no known diagnosis leading to a classification of 'no...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2005.07.001
更新日期:2005-11-01 00:00:00
abstract::This paper explores the notion of validity from different perspectives and addresses its integration with clinical reasoning. Whilst valuing the evidence-based practice (EBP) perspective in our quest for validation of practice, the authors posit that other perspectives may provide added value through their potential f...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/s1356-689x(02)00077-2
更新日期:2003-05-01 00:00:00
abstract::The purpose of this study was to outline the clinical tests that exhibit the highest diagnostic utility for the spine. Using a sensitive search strategy but highly restrictive inclusion criteria based on assessment of quality and reduction of bias, we identified 16 well constructed diagnostic accuracy studies of the s...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2010.07.004
更新日期:2011-02-01 00:00:00
abstract::The aim of the study was to evaluate the effect of an intervention including shoulder control and strengthening exercises on function in persons with shoulder impingement. Eight subjects with shoulder impingement were evaluated weekly during the nine weeks of this single-subject design study. The study was divided int...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2008.01.010
更新日期:2009-04-01 00:00:00
abstract::The contribution of the trunk muscles to spinal stability is well established. There is convincing evidence for the role of multifidus in spinal stability. Recently, emphasis has shifted to the deep fibres of this muscle (DM) and five key clinical beliefs have arisen: (i) that DM stabilizes the lumbar spine whereas th...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2006.02.004
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Goniometers are commonly used by physical therapists to measure range-of-motion (ROM) in the musculoskeletal system. These measurements are used to assist in diagnosis and to help monitor treatment efficacy. With newly emerging technologies, smartphone-based applications are being explored for measuring join...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.03.004
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Most people experience back pain at some point during their lives. Reports suggest that core stability interventions in subjects with non-specific low-back pain may increase function, thus decreasing pain. Reliable and validated clinical tests are required for implementing adequate rehabilitation and for eva...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2012.08.004
更新日期:2013-04-01 00:00:00
abstract::Several questionnaires are available to evaluate illness perceptions in patients, such as the illness perception questionnaire revised (IPQ-R) and the brief version (Brief IPQ). This study aims to systematically review the literature concerning the clinimetric properties of the IPQ-R and the Brief IPQ in patients with...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2014.05.001
更新日期:2015-02-01 00:00:00
abstract:INTRODUCTION:Little is known about the profile of osteopathic care in the United Kingdom (UK). To address this, a standardised data collection (SDC) tool was developed to record patient-based data within private practice. METHODS:The development of the SDC tool took place within a national network of research groups (...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2013.08.006
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Kinesiology tape (KINTAPE) is one of the most common adhesive therapeutic tapes. Apart from clinical applications, KINTAPE claims to be able to enhance functional performance by muscle activity facilitation. However, emerging evidence suggests that the isokinetic muscle strength remains similar when the plac...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2015.06.001
更新日期:2016-02-01 00:00:00
abstract::Prolonged sitting and psychosocial factors have been associated with musculoskeletal symptoms among adolescents. However, the impact of prolonged static sitting on musculoskeletal pain among South African high school students is uncertain. A prospective observational study was performed to determine whether sitting po...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2009.02.005
更新日期:2009-12-01 00:00:00
abstract::Valid questionnaires for measuring functional limitations in patients with Whiplash Associated Disorders (WAD) are lacking, since existing measures are not suitable for addressing the specific limitations of these patients and because of cross contamination between theoretical constructs. The objective of this study w...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.07.008
更新日期:2015-02-01 00:00:00
abstract::Patellar taping is regarded as an important element of the treatment of patellofemoral joint pain. Key to the successful use of patellar taping is the assessment of patella position. The reliability and validity of the techniques used to assess patella position has been questioned. The aim of the study was to assess t...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2006.06.013
更新日期:2007-08-01 00:00:00
abstract::In this study, the first normative database of movement control in the cervical spine has been established. For this purpose the Fly Test was used, which is a reliable and valid clinical test capable of detecting deficient movement control of the cervical spine in patients with neck pain and its associated disorders. ...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2012.09.006
更新日期:2013-06-01 00:00:00
abstract::Pelvic floor muscle (PFM) dysfunction has been recently associated with the development of low back pain (LBP). Transabdominal ultrasound imaging has been established as an appropriate method for visualizing and measuring PFM function. No study has directly evaluated PFM function in individuals with and without LBP. T...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2009.12.005
更新日期:2010-06-01 00:00:00
abstract::The aim of this study was to evaluate the effects of a session of plantar massage and joint mobilization of the feet and ankles on clinical balance performance in elderly people. A randomized, placebo-controlled, cross-over trial was used to examine the immediate effects of manual massage and mobilization of the feet ...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2009.03.004
更新日期:2009-12-01 00:00:00
abstract::Neck disorders are common, disabling and costly. Randomized trials were reviewed using a Cochrane format, to determine if manual therapy improves pain, function and patient satisfaction in adults suffering from neck disorders with and without radicular findings or headache. Sequenced computerized searches ended in Dec...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1054/math.2002.0465
更新日期:2002-08-01 00:00:00