The Journal of Manual & Manipulative Therapy最新文献

{"title":"The healthcare buffet: preferences in the clinical decision-making process for patients with musculoskeletal pain.","authors":"Joel E Bialosky,&nbsp;Josh A Cleland,&nbsp;Paul Mintken,&nbsp;Jason M Beneciuk,&nbsp;Mark D Bishop","doi":"10.1080/10669817.2021.1989754","DOIUrl":"https://doi.org/10.1080/10669817.2021.1989754","url":null,"abstract":"<p><p>The preferences a person has for care are associated with outcomes for patients presenting with musculoskeletal pain conditions. These include preferences for differing levels of involvement in the decision-making process, preferences for the provider attributes, and preferences for particular interventions. In this paper, we discuss these various forms of preference, as well as how they influence clinical care within shared decision-making frameworks. We also present a conceptual framing for how patient preferences can be incorporated in clinical decision-making by orthopedic manual physical therapists. Finally, research implications for interpreting findings from clinical studies are discussed.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"68-77"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967189/pdf/YJMT_30_1989754.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manual Therapy Treatment for Penile Pain- A Clinical Case Report with 6-Month Follow-up.","authors":"Yingzhi Li,&nbsp;Howe Liu,&nbsp;Charles Nichols,&nbsp;David C Mason","doi":"10.1080/10669817.2021.1985693","DOIUrl":"https://doi.org/10.1080/10669817.2021.1985693","url":null,"abstract":"<p><strong>Background: </strong>Male genital pain, which is neither related to genitourinary nor other obvious pathology, is an uncommon symptom in male patients and not frequently treated using manual therapy. The purpose of this case study is to describe a clinical reasoning process in combination with anatomy-based differential diagnosis and manual treatment for genital pain.</p><p><strong>Case description: </strong>A male patient with a 3-week acute onset of genital pain was hospitalized and referred for evaluation and treatment after unsuccessful treatment with medication and acupuncture. Clinical examination was performed indicating a possible nerve entrapment followed by interventions of ligamentous articular strain, high-velocity low-amplitude (HVLA) manipulation, and strain- and counterstain, coupled with soft tissue stretching to lumbar and inguinal areas to address a possible lumbar referral potentially from L1 and/or ilioinguinal nerve entrapment.</p><p><strong>Outcomes: </strong>After 4 consecutive days of manipulative treatment, pain decreased from 9/10 to 0/10 and the Barthel Index improved from 50 to 95. A 6-month follow-up revealed complete resolution of symptoms with no recurrence.</p><p><strong>Discussion: </strong>This case illustrates that a detailed history and examination along with a reasoned diagnostic process to determine an appropriate intervention strategy may improve patient care using manual therapy techniques.</p><p><strong>Conclusion: </strong>By utilizing a deductive reasoning process related to the penile area, clinicians may better apply manual therapy techniques for successful treatment.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"124-131"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967196/pdf/YJMT_30_1985693.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39525898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracic spine thrust manipulation for individuals with cervicogenic headache: a crossover randomized clinical trial.","authors":"Amy W McDevitt,&nbsp;Joshua A Cleland,&nbsp;Daniel I Rhon,&nbsp;Rebecca A K Altic,&nbsp;Drew J Courtney,&nbsp;Paul E Glynn,&nbsp;Paul E Mintken","doi":"10.1080/10669817.2021.1947663","DOIUrl":"https://doi.org/10.1080/10669817.2021.1947663","url":null,"abstract":"<p><strong>Objective: </strong>To determine if thoracic spine manipulation (TSM) improves pain and disability in individuals with cervicogenic headache (CeH).</p><p><strong>Methods: </strong>A randomized controlled crossover trial was conducted on 48 participants (mean age: 34.4 years) with CeH symptoms. Participants were randomized to 6 sessions of TSM or no treatment (Hold) and after 4-weeks, groups crossed over. Outcomes were collected at 4, 8 and 12 weeks and included: headache disability inventory (HDI), neck disability index (NDI), and the global rating of change (GRC). Outcomes were analyzed using a linear mixed-effects model with Bonferroni correction. Odds of achieving the minimal clinically important difference (MCID) on the GRC of +4 or greater were also calculated. Scores at 4 weeks represent the only timepoint where 1 group is fully treated and other group has not received any treatment.</p><p><strong>Results: </strong>Comparing hold to active treatment, HDI were not significantly different between groups (mean difference = 7.39, 95 CI: -4.39 to 19.18; P = 0.214) at any timepoint; the NDI was significant (mean difference = 6.90, 95 CI: 0.05 to 13.75; P = 0.048) at 4 weeks. Odds of achieving the +4 MCID on the GRC (OR = 38.0, 95 CI: 6.6 to 220.0; p < 0.001) favored TSM at 4 weeks.</p><p><strong>Conclusion: </strong>TSM had no effect on headache-related disability but resulted in significant improvements in neck-related disability and participant reported perceived improvement. Future studies are needed to examine the long-term impact of TSM in this population.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"78-95"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967200/pdf/YJMT_30_1947663.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39189728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of different physiotherapy interventions in the management of cervicogenic headache: a pilot randomized controlled trial.","authors":"Monika Rani,&nbsp;Jaspreet Kaur","doi":"10.1080/10669817.2021.1962687","DOIUrl":"https://doi.org/10.1080/10669817.2021.1962687","url":null,"abstract":"<p><strong>Background: </strong>Cervicogenic headache is a secondary headache which leads to decreased functional activity, quality of life and functional disability.</p><p><strong>Objective: </strong>To determine the feasibility and acceptability of different physiotherapy interventions in the management of cervicogenic headache and to determine sample size for a full trial.</p><p><strong>Trial design: </strong>A pilot randomized controlled trial.</p><p><strong>Settings: </strong>Various physiotherapy outpatient department.</p><p><strong>Methods: </strong>Participants suffering from cervicogenic headache with age 20- 60 years were randomly allocated into four groups. Sessions were given over 4 weeks 4 times a week (16 sessions). The primary outcomes were feasibility of participant recruitment, assessment procedure, retention, adherence, and acceptability. The secondary outcomes were headache impact test-6 for a headache disability, headache diary for headache intensity, frequency, duration, and neck disability index for neck pain, disability measured at baseline, 4th week, and follow up after 1 month.</p><p><strong>Result: </strong>178 subjects were screened based on selection criteria. Out of them, 93 (52%) were eligible and 80 (86%) participated in the study. 96.25% of participants completed the final 8-week assessment. Overall 93.75% of participants completed the entire assessment item across all time points. 95% completed all treatment sessions. 97.5-100% of participants were satisfied with the treatment protocol. No adverse effects were reported by participants. Based on the data obtained from the pilot trial, sample size was determined as 35 participants in each group.</p><p><strong>Conclusion: </strong>The results indicate that the trial methodology and intervention are feasible for implementing a full-powered randomized controlled trial to determine the effectiveness of physiotherapy intervention in the management of cervicogenic headache.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"96-104"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967208/pdf/YJMT_30_1962687.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39297057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Effect of Manual Therapy &amp; Taping on Subacute Ankle Sprains with Potential Syndesmotic Sprain: A Case Series.","authors":"Joshua D Shumway,&nbsp;Derek Vraa","doi":"10.1080/10669817.2021.1974240","DOIUrl":"https://doi.org/10.1080/10669817.2021.1974240","url":null,"abstract":"<p><strong>Study design: </strong>Case Series.</p><p><strong>Background: </strong>Syndesmotic ankle sprains can occur in up to 17% of ankle trauma and can lead to long-term disability. This study describes the management of seven patients with subacute, high-grade ankle sprains with concerns of concurrent syndesmotic strain utilizing manual therapy and rigid sports taping.</p><p><strong>Methods: </strong>Seven active duty military members with clinically diagnosed, high-grade ankle sprains and concern for syndesmotic sprain participated in this case series. All patients received multi-modal treatment consisting of manual therapy, rigid sports taping, progressive exercises, and proprioceptive training. Decrease in Numeric Pain Rating Scale (NPRS) following manual therapy and taping treatment, number of sessions before discharge, and the Global Rating of Change (GROC) at discharge were retrospectively reviewed.</p><p><strong>Results: </strong>All patients demonstrated an immediate decrease in NPRS following treatment on average of 5 points (range, 3-8 points) with a functional asterisk sign. The improvement in pain and function was maintained until the next treatment session with a mean GROC score of +3. The mean time until recovery was 5.4 weeks (range, 1-8 weeks).</p><p><strong>Discussion: </strong>A multimodal approach for patients diagnosed clinically with high-grade ankle sprains and concern for syndesmotic sprain was useful to immediately reduce pain and improve function, and improvements were maintained throughout the duration of care. This study is the first to assess a combination of manual therapy and rigid sports taping for the treatment of suspected syndesmotic ankle sprains, and more stringent research is needed to validate the findings.</p><p><strong>Level of evidence: </strong>Therapy, 4.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"116-123"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967195/pdf/YJMT_30_1974240.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39407949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurodynamics: is tension contentious?","authors":"Richard Ellis,&nbsp;Giacomo Carta,&nbsp;Ricardo J Andrade,&nbsp;Michel W Coppieters","doi":"10.1080/10669817.2021.2001736","DOIUrl":"https://doi.org/10.1080/10669817.2021.2001736","url":null,"abstract":"<p><p>Tensioning techniqueswere the first neurodynamic techniques used therapeutically in the management of people with neuropathies. This article aims to provide a balanced evidence-informed view on the effects of optimal tensile loading on peripheral nerves and the use of tensioning techniques. Whilst the early use of neurodynamics was centered within a mechanical paradigm, research into the working mechanisms of tensioning techniques revealed neuroimmune, neurophysiological, and neurochemical effects. <i>In-vitro</i> and <i>ex-vivo</i> research confirms that tensile loading is required for mechanical adaptation of healthy and healing neurons and nerves. Moreover, elimination of tensile load can have detrimental effects on the nervous system. Beneficial effects of tensile loading and tensioning techniques, contributing to restored homeostasis at the entrapment site, dorsal root ganglia and spinal cord, include neuronal cell differentiation, neurite outgrowth and orientation, increased endogenous opioid receptors, reduced fibrosis and intraneural scar formation, improved nerve regeneration and remyelination, increased muscle power and locomotion, less mechanical and thermal hyperalgesia and allodynia, and improved conditioned pain modulation. However, animal and cellular models also show that 'excessive' tensile forces have negative effects on the nervous system. Although robust and designed to withstand mechanical load, the nervous system is equally a delicate system. Mechanical loads that can be easily handled by a healthy nervous system, may be sufficient to aggravate clinical symptoms in patients. This paper aims to contribute to a more balanced view regarding the use of neurodynamics and more specifically tensioning techniques.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"3-12"},"PeriodicalIF":2.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/b8/YJMT_30_2001736.PMC8865101.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39627420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta-analysis.","authors":"Kiran Satpute,&nbsp;Sue Reid,&nbsp;Thomas Mitchell,&nbsp;Grant Mackay,&nbsp;Toby Hall","doi":"10.1080/10669817.2021.1955181","DOIUrl":"https://doi.org/10.1080/10669817.2021.1955181","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effects of mobilization with movement (MWM) on pain, range of motion (ROM), and disability in the management of shoulder musculoskeletal disorders.</p><p><strong>Methods: </strong>Six databases and Scopus, were searched for randomized control trials. The ROB 2.0 tool was used to determine risk-of-bias and GRADE used for quality of evidence. Meta-analyses were performed for the sub-category of frozen shoulder and shoulder pain with movement dysfunction to evaluate the effect of MWM in isolation or in addition to exercise therapy and/or electrotherapy when compared with other conservative interventions.</p><p><strong>Results: </strong>Out of 25 studies, 21 were included in eight separate meta-analyses for pain, ROM, and disability in the two sub-categories. For frozen shoulder, the addition of MWM significantly improved pain (SMD -1.23, 95% CI -1.96, -0.51)), flexion ROM (MD -11.73, 95% CI -17.83, -5.64), abduction ROM (mean difference -13.14, 95% CI -19.42, -6.87), and disability (SMD -1.50, 95% CI (-2.30, -0.7). For shoulder pain with movement dysfunction, the addition of MWM significantly improved pain (SMD -1.07, 95% CI -1.87, -0.26), flexion ROM (mean difference -18.48, 95% CI- 32.43, -4.54), abduction ROM (MD -32.46, 95% CI - 69.76, 4.84), and disability (SMD -0.88, 95% CI -2.18, 0.43). The majority of studies were found to have a high risk of bias.</p><p><strong>Discussion: </strong>MWM is associated with improved pain, mobility, and function in patients with a range of shoulder musculoskeletal disorders and the effects clinically meaningful. However, these findings need to be interpreted with caution due to the high levels of heterogeneity and risk of bias.</p><p><strong>Level of evidence: </strong>Treatment, level 1a.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"13-32"},"PeriodicalIF":2.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10669817.2021.1955181","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39263963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inter-rater reliability of scapular dyskinesis classification in overhead athletes by entry-level physical therapy students.","authors":"Juan Guerrero-Henriquez,&nbsp;Mauricio Oyarce-Mella,&nbsp;Jimmy Reyes Rocabado,&nbsp;David Olivares-Ponce,&nbsp;Omar Olivares-Lee,&nbsp;Stefano Pérez-Pasten,&nbsp;Martin Vargas-Matamala","doi":"10.1080/10669817.2021.1972653","DOIUrl":"https://doi.org/10.1080/10669817.2021.1972653","url":null,"abstract":"<p><strong>Background: </strong>Scapular dyskinesis (SD) is a dysfunction associated with shoulder pathologies in overhead athletes and its classification is highly complex, especially in entry-level physical therapy students.</p><p><strong>Objective: </strong>This research aimed to determine the effect of a video training method on inter-rater reliability of physical therapy entry-level students with no clinical experience while performing SD ratings under 4-type, severity, and 'yes or no' criteria in overhead athletes.</p><p><strong>Methods: </strong>A total of 49 overhead athletes were evaluated by video recordings in posterior view of lifting tasks. Two entry-level students without clinical experience performed SD classifications according to previously mentioned criteria on both scapula in two separate sessions, with 1 week of difference. Data analysis was conducted based on the kappa coefficient (k) and its confidence intervals (CI).</p><p><strong>Results: </strong>The 'yes or no' criteria present better results than the 4-type and severity criteria. In addition, a better inter-rater agreement is evidenced in the second measurement compared to the first one. Furthermore, the k coefficients reach values like those achieved by experienced evaluators.</p><p><strong>Conclusion: </strong>Video training settings for scapular dyskinesis rating in entry-level physical therapist students with no clinical experience allows better inter-rater reliability values.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"56-60"},"PeriodicalIF":2.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865126/pdf/YJMT_30_1972653.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39366578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of manual therapy in patients with distal radius fracture: a systematic review and meta-analysis.","authors":"Héctor Gutiérrez-Espinoza,&nbsp;Felipe Araya-Quintanilla,&nbsp;Cristian Olguín-Huerta,&nbsp;Juan Valenzuela-Fuenzalida,&nbsp;Rodrigo Gutiérrez-Monclus,&nbsp;Victoria Moncada-Ramírez","doi":"10.1080/10669817.2021.1992090","DOIUrl":"https://doi.org/10.1080/10669817.2021.1992090","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effectiveness of manual therapy (MT) for functional outcomes in patients with distal radius fracture (DRF).</p><p><strong>Methods: </strong>An electronic search was performed in the Medline, Central, Embase, PEDro, Lilacs, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that included MT techniques with or without other therapeutic interventions in functional outcomes, such as wrist or upper limb function, pain, grip strength, and wrist range of motion in patients older than 18 years with DRF.</p><p><strong>Results: </strong>Eight clinical trials met the eligibility criteria; for the quantitative synthesis, six studies were included. For supervised physiotherapy plus joint mobilization versus home exercise program at 6 weeks follow-up, the mean difference (MD) for wrist flexion was 7.1 degrees (p = 0.20), and extension was 11.99 degrees (p = 0.16). For exercise program plus mobilization with movement versus exercise program at 12 weeks follow-up, the PRWE was -10.2 points (p = 0.02), the DASH was -9.86 points (p = 0.0001), and grip strength was 3.9 percent (p = 0.25). For conventional treatment plus manual lymph drainage versus conventional treatment, for edema the MD at 3-7 days was -14.58 ml (p = 0.03), at 17-21 days -17.96 ml (p = 0.009), at 33-42 days -15.34 ml (p = 0.003), and at 63-68 days -13.97 ml (p = 0.002).</p><p><strong>Conclusion: </strong>There was very low to high evidence according to the GRADE rating. Adding mobilization with movement and manual lymphatic drainage showed statistically significant differences in wrist, upper limb function, and hand edema in patients with DRF.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"33-45"},"PeriodicalIF":2.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865096/pdf/YJMT_30_1992090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39533121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of clinical measures with humeral torsion in young adults: a pilot study.","authors":"David M Werner,&nbsp;Eric V Bellm,&nbsp;Joseph M Day","doi":"10.1080/10669817.2021.1930861","DOIUrl":"https://doi.org/10.1080/10669817.2021.1930861","url":null,"abstract":"<p><strong>Purpose: </strong>Humeral retroversion alters range of motion and has been linked to injury risk. Clinically,palpation of the bicipital groove is used to quantify humeral torsion, but the accuracy of this procedure has not been fully examined. The purpose of this study was to investigate the relationship between clinical and diagnostic ultrasound (US) assessment of humeral torsion while considering shoulder position of the participant and clinical expertise of the examiner.</p><p><strong>Methods: </strong>Seventeen participants (34 shoulders, 16/17 right handed, 10/17 history of throwing) were recruited. US was assessed by an experienced assessor. Two clinical assessments of humeral torsion were performed by two assessors of different experience (expert and novice). Humeral torsion was assessed at 90 degrees shoulder abduction (Palp90) and 45 degrees shoulder abduction (Palp45). Within assessor intraclass correlation coefficients (ICC (3, 1) were calculated. Correlation coefficients (Pearson's) were generated to determine relationship between clinical and US examination findings.</p><p><strong>Results: </strong>Intra-rater reliability for clinical tests were good (ICCs .73 - .92) for both raters. Of the palpation tests, only the expert assessor was significantly correlated to the US measurement (p<.001) at Palp45 (r = .64) and Palp90 (r = .62). For the expert, there was a significantly lower angle calculated for Palp45 compared to Palp90 (p<.001).</p><p><strong>Conclusion: </strong>The accuracy of both palpation methods for assessing humeral retrotorsion may depend on the training background of the assessor. Further, the glenohumeral position of the patient during palpation should be consistent for the purposes of repeated testing.</p>","PeriodicalId":281286,"journal":{"name":"The Journal of Manual & Manipulative Therapy","volume":" ","pages":"360-366"},"PeriodicalIF":2.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10669817.2021.1930861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39013008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}