Are manual therapy applications an effective treatment approach in patients with glenohumeral arthritis? A randomized controlled trial

IF 1.8 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy Pub Date : 2026-07-01 Epub Date: 2026-04-14 DOI:10.1016/j.jht.2025.12.016

Sibel Gayretli Atan PT, PhD, Yıldız Analay Akbaba PT, PhD, Süleyman Altun MD

{"title":"Are manual therapy applications an effective treatment approach in patients with glenohumeral arthritis? A randomized controlled trial","authors":"Sibel Gayretli Atan PT, PhD, Yıldız Analay Akbaba PT, PhD, Süleyman Altun MD","doi":"10.1016/j.jht.2025.12.016","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Manual therapy applications can also be used in the conservative treatment of patients with Glenohumeral Osteoarthritis (GHOA).</div></div><div><h3>Purpose</h3><div>To compare the effectiveness of manual therapy plus exercise applications vs exercise alone in patients with GHOA.</div></div><div><h3>Study Design</h3><div>A randomized controlled clinical trial. The trial was registered at ClinicalTrials.gov, number NCT03958227.</div></div><div><h3>Methods</h3><div>Forty patients with GHOA were evaluated for treatment. The patients were randomly divided into two groups which were the exercise group and manual therapy plus exercise group. Both groups underwent a similar exercise program three times a week for 5 weeks. After drop outs (mean ± SD age, 60.1 ± 8.7 years; 22 female) 30 patients completed the study. Pain, range of motion, muscle strength, functionality, health-related quality of life were assessed with before and after 5 weeks of treatment. Patient satisfaction was assessed after treatment.</div></div><div><h3>Results</h3><div>After treatment, a statistically significant improvements in pain, joint range of motion, muscle strength, functionality, and quality of life were observed in both groups (<em>p</em> < 0.05). Shoulder internal rotation (<em>p</em> = 0.03), (ES = 0.15) and external rotation (<em>p</em> = 0.04), (ES = 0.25) ROM, abduction, internal rotation and external rotation muscle strength (<em>p</em> = 0.01, <em>p</em> = 0.009, <em>p</em> = 0.03), (ES = 0.21, ES = 0.22, ES = 0.14) DASH (<em>p</em> = 0.005), (ES = 0.25) and ASES (<em>p</em> = 0.005), (ES = 0.24) and PCS-12 (<em>p</em> = 0.004), (ES = 0.25) scores were improved in favor of the manual therapy group between groups.</div></div><div><h3>Conclusions</h3><div>Adding manual therapy to exercise programs in patients with Glenohumeral Osteoarthritis may be effective in reducing pain, increasing joint range of motion, muscle strength, functionality, and quality of life.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"39 3","pages":"Pages 646-655"},"PeriodicalIF":1.8000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hand Therapy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0894113025002170","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/14 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Manual therapy applications can also be used in the conservative treatment of patients with Glenohumeral Osteoarthritis (GHOA).

Purpose

To compare the effectiveness of manual therapy plus exercise applications vs exercise alone in patients with GHOA.

Study Design

A randomized controlled clinical trial. The trial was registered at ClinicalTrials.gov, number NCT03958227.

Methods

Forty patients with GHOA were evaluated for treatment. The patients were randomly divided into two groups which were the exercise group and manual therapy plus exercise group. Both groups underwent a similar exercise program three times a week for 5 weeks. After drop outs (mean ± SD age, 60.1 ± 8.7 years; 22 female) 30 patients completed the study. Pain, range of motion, muscle strength, functionality, health-related quality of life were assessed with before and after 5 weeks of treatment. Patient satisfaction was assessed after treatment.

Results

After treatment, a statistically significant improvements in pain, joint range of motion, muscle strength, functionality, and quality of life were observed in both groups (p < 0.05). Shoulder internal rotation (p = 0.03), (ES = 0.15) and external rotation (p = 0.04), (ES = 0.25) ROM, abduction, internal rotation and external rotation muscle strength (p = 0.01, p = 0.009, p = 0.03), (ES = 0.21, ES = 0.22, ES = 0.14) DASH (p = 0.005), (ES = 0.25) and ASES (p = 0.005), (ES = 0.24) and PCS-12 (p = 0.004), (ES = 0.25) scores were improved in favor of the manual therapy group between groups.

Conclusions

Adding manual therapy to exercise programs in patients with Glenohumeral Osteoarthritis may be effective in reducing pain, increasing joint range of motion, muscle strength, functionality, and quality of life.

查看原文本刊更多论文

手工疗法是肩关节关节炎患者的有效治疗方法吗？一项随机对照试验。

背景：手工疗法应用也可用于盂肱骨关节炎（GHOA）患者的保守治疗。目的：比较手工疗法加运动疗法与单独运动疗法对GHOA患者的疗效。研究设计：随机对照临床试验。该试验已在ClinicalTrials.gov注册，编号NCT03958227。方法：对40例GHOA患者进行治疗评价。将患者随机分为运动组和手工治疗加运动组。两组都进行了类似的锻炼计划，每周三次，持续5周。退出后（平均±SD年龄，60.1±8.7岁；22名女性）30例患者完成研究。在治疗前后5周对疼痛、活动范围、肌肉力量、功能、健康相关生活质量进行评估。治疗后评估患者满意度。结果：治疗后，两组患者疼痛、关节活动度、肌力、功能、生活质量改善均有统计学意义（p < 0.05）。肩关节内旋（p = 0.03）、外旋（p = 0.04）、外旋（p = 0.25）、ROM、外展、内旋、外旋肌力（p = 0.01、p = 0.009、p = 0.03）、（ES = 0.21、ES = 0.22、ES = 0.14）、DASH （p = 0.005）、（ES = 0.25）、ASES （p = 0.005）、（ES = 0.24）、PCS-12 （p = 0.004）、（ES = 0.25）评分组间均有改善，均有利于手工治疗组。结论：在关节肱骨关节炎患者的运动计划中加入手工疗法可能有效地减轻疼痛，增加关节活动范围，肌肉力量，功能和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.