{"title":"Effectiveness of Glenohumeral Joint Mobilization on Range of Motion and Pain in Patients With Rotator Cuff Disorders: A Systematic Review and Meta-Analysis","authors":"Héctor Gutiérrez-Espinoza PT, PhD , Iván Cuyul-Vásquez PT, MSc , Cristian Olguin-Huerta PT, MSc , Marcelo Baldeón-Villavicencio PT, MSc , Felipe Araya-Quintanilla PT, PhD","doi":"10.1016/j.jmpt.2023.05.009","DOIUrl":"10.1016/j.jmpt.2023.05.009","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>The purpose of this study was to determine the effectiveness of glenohumeral joint mobilization (JM) on range of motion and pain intensity </span>in patients with </span>rotator cuff (RC) disorders.</p></div><div><h3>Methods</h3><p><span>An electronic search was performed in the MEDLINE, CENTRAL, Embase, </span>PEDro<span><span>, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included </span>randomized clinical trials that investigated the effect of glenohumeral JM techniques with or without other therapeutic interventions on range of motion, pain intensity, and shoulder function in patients older than 18 years with RC disorders. Two authors independently performed the search, study selection, and data extraction, and assessed risk of bias. Grades of Recommendation Assessment, Development and Evaluation ratings were used to evaluate the quality of evidence in this study.</span></p></div><div><h3>Results</h3><p><span>Twenty-four trials met the eligibility criteria, and 15 studies were included in the quantitative synthesis. At 4 to 6 weeks, for glenohumeral JM with other manual therapy techniques vs other treatments, the mean difference (MD) for shoulder flexion was −3.42° (</span><em>P</em> = .006), abduction 1.54° (<em>P</em> = .76), external rotation 0.65° (<em>P</em><span> = .85), and Shoulder and Pain Disability Index score 5.19 points (</span><em>P</em> = .5), and standard MD for pain intensity was 0.16 (<em>P</em><span> = .5). At 4 to 5 weeks, for the addition of glenohumeral JM to an exercise program vs exercise program alone, the MD for the visual analog scale was 0.13 cm (</span><em>P</em> = .51) and the Shoulder and Pain Disability Index score was −4.04 points (<em>P</em> = .01).</p></div><div><h3>Conclusion</h3><p>Compared with other treatments or an exercise program alone, the addition of glenohumeral JM with or without other manual therapy techniques does not provide significant clinical benefit with respect to shoulder function, range of motion, or pain intensity in patients with RC disorders. The quality of evidence was very low to high according to Grades of Recommendation Assessment, Development and Evaluation ratings.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Pages 109-124"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10120623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martijn S. Stenneberg PhD , Herman ten Berge MSc , Bart de Leeuw MSc , Erik Cattrysse PhD , Rob de Bie PhD , Henrica de Vet PhD , Gwendolijne G.M. Scholten-Peeters PhD
{"title":"Variability of Active Cervical Range of Motion Within and Between Days in Healthy Participants: A Prospective Observational Study","authors":"Martijn S. Stenneberg PhD , Herman ten Berge MSc , Bart de Leeuw MSc , Erik Cattrysse PhD , Rob de Bie PhD , Henrica de Vet PhD , Gwendolijne G.M. Scholten-Peeters PhD","doi":"10.1016/j.jmpt.2023.06.001","DOIUrl":"10.1016/j.jmpt.2023.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to determine the intraday and interday variability and systematic change over the day of active cervical range of motion (aCROM) measurements in asymptomatic persons using a clinically applicable measurement device.</p></div><div><h3>Methods</h3><p>A prospective observational study was performed. Sixteen adults (8 men and 8 women, median age 51 years) without neck pain in the last 3 months were recruited in 2 physiotherapy practices. Active cervical range of motion was estimated using the Apple iPhone application “3D Range of Motion.” Measurements were performed 3 times a day for 7 days and spread over a period of 3 weeks. Mean values of aCROM were calculated. Intraday and interday variability was estimated by calculating limits of agreement.</p></div><div><h3>Results</h3><p>The limits of agreement for intraday variability ranged from ±12.1° for left rotation to ±15.5° for total rotation. For interday variability, the limits of agreement ranged from ±14.2° for right rotation to ±20.1° for total rotation. No systematic change over the day was found.</p></div><div><h3>Conclusion</h3><p>This study showed substantial intraday and interday variability of aCROM measurements in asymptomatic people. No trend toward an increased or decreased aCROM was observed during the course of the day. When interpreting aCROM values, clinicians should consider the degree of variation in aCROM measurements over time.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Pages 125-131"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10503032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mona Ramezani MS , Fatemeh Ehsani PT, PhD , Ali Gohari MD
{"title":"Effect of Functional Electrical Stimulation on Muscle Mass, Fatigue, and Quality of Life in Older Patients With COVID-19: A Randomized Clinical Trial Study","authors":"Mona Ramezani MS , Fatemeh Ehsani PT, PhD , Ali Gohari MD","doi":"10.1016/j.jmpt.2023.06.004","DOIUrl":"10.1016/j.jmpt.2023.06.004","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to evaluate the effects of functional electrical stimulation (FES) on muscle strength, fatigue, muscle mass, and quality of life (QoL) in older patients with COVID-19.</p></div><div><h3>Methods</h3><p>Older patients with COVID-19 were randomly divided into the following 2 groups: real FES (intervention group, n = 20) and sham FES (control group, n = 20). These patients received FES concurrent with the voluntary contraction of muscles for 10 consecutive sessions. Ultrasound imaging, pressure biofeedback, Chalder fatigue scale, and QoL were utilized to measure muscle mass, muscle strength, chronic fatigue, and QoL, respectively. Evaluations were performed at the beginning, immediately, and 1 month after the end of intervention.</p></div><div><h3>Results</h3><p>All variables showed statistically significant improvement immediately and 1 month after the intervention in the real FES group (<em>P</em> < .05). However, the tibialis anterior muscle mass and fatigue significantly improved immediately after the intervention in the sham FES group. However, the tibialis anterior and rectus femoris muscles strength and rectus femoris muscle mass were not significantly changed immediately and 1 month after the intervention (<em>P</em> > .05). There were significant differences in muscle mass, physical fatigue, muscle strength, and QoL between groups with more efficacy of real FES (<em>P</em> < .05).</p></div><div><h3>Conclusion</h3><p>For this sample of patients, FES improved fatigue, muscle strength, muscle mass, and QoL in older adults with COVID-19.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Pages 65-75"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41134988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information for Readers","authors":"","doi":"10.1016/S0161-4754(23)00070-2","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00070-2","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Page A2"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer F. Mullins PhD, DPT , Matthew C. Hoch PhD, ATC , Phillip Gribble PhD, ATC , Nicholas Heebner PhD, ATC , Kyle Kosik PhD, ATC , Philip Westgate PhD , Arthur J. Nitz PhD
{"title":"Examination of Dry Needling Dose and Effect Duration for Individuals With Chronic Ankle Instability","authors":"Jennifer F. Mullins PhD, DPT , Matthew C. Hoch PhD, ATC , Phillip Gribble PhD, ATC , Nicholas Heebner PhD, ATC , Kyle Kosik PhD, ATC , Philip Westgate PhD , Arthur J. Nitz PhD","doi":"10.1016/j.jmpt.2023.05.007","DOIUrl":"10.1016/j.jmpt.2023.05.007","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this study was to evaluate the effect of a single treatment vs serial </span>dry needling (DN) treatments of the fibularis longus on individuals with chronic ankle instability and to determine the longevity of any effect found.</p></div><div><h3>Methods</h3><p>Thirty-five adults with chronic ankle instability (24.17 ± 7.01 years, 167.67 ± 9.15 cm, 74.90 ± 13.23 kg) volunteered for a university laboratory repeated-measures study. All participants completed patient-reported outcomes and were objectively tested using the Star Excursion Balance Test (SEBT), threshold to detect passive motion (TTDPM) measurements, and single limb time-to-boundary measurements. Participants received DN treatment to the fibularis longus once weekly for 4 weeks on the affected lower extremity by a single physical therapist. Data were collected 5 times: baseline 1 week before initial treatment (T0), pre-treatment (T1A), immediately after the first treatment (T1B), after 4 weekly treatments (T2), and 4 weeks after the cessation of treatment (T3).</p></div><div><h3>Results</h3><p>Significant improvements were found for clinician-oriented (SEBT-Composite <em>P</em> < .001; SEBT-Posteromedial <em>P</em> = .024; SEBT-Posterolateral <em>P</em> < .001; TTDPM-Inversion <em>P</em> = .042) and patient-oriented outcome measures (Foot and Ankle Ability Measure–Activities of Daily Living <em>P</em> < .001; Foot and Ankle Ability Measure–Sport <em>P</em> = .001; Fear Avoidance Belief Questionnaire <em>P</em> = .021) following a single DN treatment. Compounding effects from additional treatments exhibited improvement of TTDPM (T1B to T2). No significant losses were noted 4 weeks after cessation of treatment (T2 to T3).</p></div><div><h3>Conclusion</h3><p>For the participants in this study, outcomes improved immediately following the first DN treatment. This improvement was sustained but not further improved with subsequent treatments.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Pages 132-142"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9818066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Functional Scapular Stabilization Training on Function and Pain in Frozen Shoulder Syndrome: A Randomized Controlled Trial","authors":"Saloni Karnawat MPT, Karvannan Harikesavan PhD, Prem Venkatesan PhD","doi":"10.1016/j.jmpt.2023.05.008","DOIUrl":"10.1016/j.jmpt.2023.05.008","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to determine the effect of functional scapular stabilization training compared with the standard physical therapy on function and pain in people with frozen shoulder syndrome (FSS).</p></div><div><h3>Methods</h3><p>In a single-blind randomized controlled trial<span><span>, 86 people with FSS were randomly allocated into the intervention group (functional stabilization training [n = 43]) and control group (standard physical therapy [n = 43]) using block randomization for 12 weeks. The primary outcome measures were the </span>Shoulder Pain and Disability Index<span> and the numeric pain rating scale. The secondary outcome measures were range of motion (ROM), range of passive abduction, and coracoid pain test. All the outcome measures were carried out by an independent blind outcome assessor at baseline and at the end of 12 weeks.</span></span></p></div><div><h3>Results</h3><p>A significant group × time interaction effect was observed for the Shoulder Pain and Disability Index (95% CI, 2.95-16.74; <em>P</em> < .01) and the numeric pain rating scale (95% CI, 0.67-2.07; <em>P</em> < .01) at the end of 12 weeks. The external rotation ROM showed a statistical significance with a mean change of 7.8° and <em>P</em> value of <.01.</p></div><div><h3>Conclusion</h3><p>The present findings show that scapular functional stabilization training resulted in improvement of function, reduction in pain, and greater improvement in external rotation ROM in patients with FSS. Also, our study findings suggest the involvement of rotator interval and inferior soft-tissue structures as indicated by the coracoid pain test and range of passive abduction.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Pages 86-97"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9780162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Postural Shifting Frequency on Perceived Musculoskeletal Discomfort During 1-Hour Sitting in Office Workers","authors":"Nipaporn Akkarakittichoke PhD , Pooriput Waongenngarm PhD , Prawit Janwantanakul PhD","doi":"10.1016/j.jmpt.2023.06.003","DOIUrl":"10.1016/j.jmpt.2023.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to evaluate the effects of postural shifting frequency on perceived musculoskeletal discomfort during 1 hour of sitting in healthy office workers.</p></div><div><h3>Methods</h3><p>An experimental study comparing 3 different postural shifting frequencies was conducted on 60 healthy office workers who were asked to sit for an hour. The effects of 3 postural shifts (ie, 10, 20, and 30 times/h) on discomfort, measured by Borg's CR-10 scale, were compared. A seat pressure mat was used to confirm an individual's postural shift.</p></div><div><h3>Results</h3><p>Postural shifting frequency of 10 to 30 times/h had significant effects on perceived discomfort in the neck, shoulder, and upper and lower back during 1-hour sitting. At the neck and shoulder, a postural shifting frequency of 30 times/h significantly reduced perceived discomfort compared to a postural shifting frequency of 10 times/h during 1-hour sitting. At the upper and lower back, a postural shifting frequency of 20 to 30 times/h significantly reduced perceived discomfort compared to a postural shifting frequency of 10 times/h.</p></div><div><h3>Conclusion</h3><p>Postural shifts of 30 times/h provided buffering effects on perceived musculoskeletal discomfort at the neck, shoulder, and upper and lower back.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Pages 76-85"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41132871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inside front cover Editorial board","authors":"","doi":"10.1016/S0161-4754(23)00068-4","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00068-4","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Page IFC"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Manual Therapy Technique to Therapeutic Exercise in the Treatment of Patients With Subacromial Impingement Syndrome: A Randomized Clinical Trial","authors":"Zeynab Azin MSc , Fahimeh Kamali PhD , Nasrin Salehi Dehno PhD , Sara Abolahrari-Shirazi PhD","doi":"10.1016/j.jmpt.2023.06.002","DOIUrl":"10.1016/j.jmpt.2023.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to compare the effects of manual therapy to therapeutic exercise on shoulder pain, disability, and range of motion (ROM) in patients with subacromial impingement syndrome (SAIS).</p></div><div><h3>Methods</h3><p>Sixty patients with SAIS were randomly assigned into the manual therapy (MT) and therapeutic exercise (TE) groups. Patients in the MT group were treated with joint mobilization, which was applied to the glenohumeral, acromioclavicular, sternoclavicular and scapulothoracic joints, and trigger point (TrP) inactivation using ischemic compression. Patients in the TE group performed therapeutic exercises. Shoulder pain, disability and active ROM (elevation, external rotation, and internal rotation) were assessed by the visual analog scale, the Shoulder Pain and Disability Index, and a goniometer, respectively. The outcomes were measured at baseline, after the intervention, and 1 month after the intervention.</p></div><div><h3>Results</h3><p>After the treatment, both groups had significant improvements in shoulder pain, disability, and ROM (<em>P</em> < .05). The MT group experienced a greater reduction in shoulder pain than the TE group (<em>P</em> < .001). However, in disability and ROM, both groups exhibited similar improvements in post-treatment and follow-up periods.</p></div><div><h3>Conclusion</h3><p>Both MT and TE were effective in improving shoulder pain, disability, and ROM in patients with SAIS. Greater improvement in shoulder pain was observed in the MT group.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Pages 98-108"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41135685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"TOC","authors":"","doi":"10.1016/S0161-4754(23)00069-6","DOIUrl":"https://doi.org/10.1016/S0161-4754(23)00069-6","url":null,"abstract":"","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":"46 2","pages":"Page A1"},"PeriodicalIF":1.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}