Abstract
Clinical Scenario: Shoulder pain is a common complaint in the general population and the most prevalent cause is due to an impingement-related injury. There are many treatment options available for patients with shoulder impingement pathology including dry needling, myofascial release, joint mobilizations, and thoracic manipulations in combination with therapeutic exercise.
Clinical Question: In adults ranging from ages 18-60 with shoulder impingement pathologies, does the use of thoracic manipulations in addition to therapeutic exercises reduce shoulder pain and improve shoulder function and range of motion?
Summary of Key Findings: Two of the four studies identified the combination of thoracic manipulative therapy and adjunct exercise was more effective for treating patients with shoulder impingement-related injuries than exercise alone.
Clinical Bottom Line: Based on the results of the studies included in this critically appraised topic there is moderate evidence to support the use of thoracic manipulations in the treatment of shoulder impingement pathologies in adults.
Strength of Recommendation: Grade B evidence exists for the combined use of thoracic manipulations and exercise therapy when treating adults with shoulder impingement related injuries.
Clinical Question: In adults ranging from ages 18-60 with shoulder impingement pathologies, does the use of thoracic manipulations in addition to therapeutic exercises reduce shoulder pain and improve shoulder function and range of motion?
Summary of Key Findings: Two of the four studies identified the combination of thoracic manipulative therapy and adjunct exercise was more effective for treating patients with shoulder impingement-related injuries than exercise alone.
Clinical Bottom Line: Based on the results of the studies included in this critically appraised topic there is moderate evidence to support the use of thoracic manipulations in the treatment of shoulder impingement pathologies in adults.
Strength of Recommendation: Grade B evidence exists for the combined use of thoracic manipulations and exercise therapy when treating adults with shoulder impingement related injuries.
| Original language | American English |
|---|---|
| Pages | 87 |
| State | Published - 22 Feb 2021 |
| Event | Oklahoma State University Center for Health Sciences Research Days 2021: Poster presentation - Oklahoma State University Center for Health Sciences Campus, Tulsa, United States Duration: 22 Feb 2021 → 26 Feb 2021 |
Conference
| Conference | Oklahoma State University Center for Health Sciences Research Days 2021 |
|---|---|
| Country/Territory | United States |
| City | Tulsa |
| Period | 22/02/21 → 26/02/21 |
Keywords
- Thoracic manipulations
- Shoulder impingement
- Exercise