Manual Therapy, Posturology & Rehabilitation Journal
http://app.periodikos.com.br/journal/mtprehab/article/doi/10.17784/mtprehabJournal.2016.14.383
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Effect of spinal manipulation on shoulder pain and range of motion in individuals with rotator cuff tendinopathy

Silva, Alyssa Conte; Padilha, Juliana Falcão; Marques, Jefferson Luiz Brum; Marques, Cláudia Mirian de Godoy

Downloads: 0
Views: 405

Abstract

Introduction: There are few studies that propose to identify the relations of the spinal manipulation on the pain and the mobility of the shoulder, especially in injuries of the rotator cuff. Objective: To analyze the effect of spinal manipulation on shoulder pain and range of motion in individuals with rotator cuff tendinopathy. Method: Quasi-experimental study with quantitative approach. The sample consisted of volunteers aged between 20 and 70 years, presenting pain for at least 6 months, with Rotator Cuff Tendinopathy (RCT). An evaluation form composed of the identification data was applied. Subsequently, the following evaluations were performed: kinetic-functional, pain through the Visual Analogue Scale (VAS) and Range of Motion (ROM) of the shoulder (flexion and abduction) using the goniometer. After the evaluations, the spinal manipulation (“Crossed Pisiform”) was performed on the thoracic spine, and then ROM and pain were evaluated. Statistical analysis showed the normality of the data by the Shapiro-Wilk test, comparing the effect of pre and post manipulation. A paired t-test was applied, adopting significance level of 5%. Results: Pain after spinal manipulation presented a significant reduction (p=0,019). The flexion movement after manipulation showed an increase in ROM in the shoulder with injury, but not significant (p=0,058), and for the abduction movement a significant increase was registered in both the shoulder with injury (p=0,01) and without injury (p=0,03). Conclusion: After spinal manipulation it was possible to verify decrease of shoulder pain as well as increase of shoulder ROM with and without injury in the abduction movement.

Keywords

Rotator cuff, Pain, Shoulder, Spinal manipulation, Range of Motion.

References

1. Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998;57(11):649–655.

2. Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population: a systematic review. Scand J Rheumatol. 2004;33(2):73-81.

3. Saggini R, Cavezza T, Di Pancrazio L, Pisciella V, Saladino G, Zuccaro MC, et al. Treatment of lesions of the rotator cuff. J Biol Regul Homeost Agents. 2010;24(4):453-9.

4. Lasbleiz S, Quintero N, Ea K, Petrover D, Aout M, Laredo JD, et al. Diagnostic value of clinical tests for degenerative rotator cuff disease in medical practice. Ann Phys Rehabil Med. 2014;57(4):228-43.

5. Willems JM, Jull GA, Ng JKF. An in vivo study of the primary and coupled rotations of the thoracic spine. Clin Biomech (Bristol, Avon). 1996;11(6):311-316.

6. Theodoridis D, Ruston S. The effect of shoulder movements on thoracic spine 3D motion. Clin Biomech (Bristol, Avon). 2002;17(5):418-21.

7. Meurer A, Grober J, Betz U, Decking J, Rompe JD. Mobility in patients with an impingement syndrome compared to healthy subjects--an inclinometric study. Z Orthop Ihre Grenzgeb. 2004;142(4):415-20.

8. Kromer TO, Tautenhahn UG, de Bie RA, Staal JB, Bastiaenen CH. Effects of physiotherapy in patients with shoulder impingement syndrome: a systematic review of the literature. J Rehabil Med. 2009;41(11):870-80.

9. Chaitow L. Osteopatia: Manipulação e estrutura do corpo. São Paulo: Summus; 1990.

10. Maitland G, Hengeveld E, Banks K, English K. Maitland’s Vertebral Manipulation. 7th ed. Philadelphia: Elsevier Butterworth-Heinemann, 2007.

11. Haik M, Sendín F, Silva C, Junior A, Ribeiro I, Camargo P. Scapular Kinematics pré-and post- thoracic thrust Manipulation in individuals with and without shoulder impingement symptoms: a randomized contolled study. J Orthop Sports Phys Ther. 2014;44(7):475-487.

12. Riley S, Bialosky J, Cote M, Swanson B, Tafuto V, Sizer P, et al. Thoracic spinal manipulation for musculoskeletal shoulder pain: Can an instructional set change patient expectation and outcome? Man. Ther. 2015;20(3):469-474.

13. Michener Lori, Kardouni Joseph, Sousa Catarina, Ely Jacqueline. Validation of a sham comparator for thoracic spinal manipulation in patients with shoulder pain. Man Ther. 2015;20(1):171-175.

14. Strunce J, Walker M, Boyles R, Young B. The immediate effects of thoracic spine and rib manipulation on subjects with primary complaints of shoulder pain. J Man Manip Ther. 2009;17(4):230-236.

15. Muth S, Barbe M, Lauer R, Mcclure P. The effects of thoracic spine manipulation in subjects with signs of rotator cuff tendinopathy. J Orthop Sports Phys Ther. 2012;42(12):1005-1016.

16. Hulley SB, Cummings SR, Grady DG. Designing clinical research: an epidemiological approach (Delineando a Pesquisa Clínica: uma abordagem epidemiológica). 4.ed. Artmed, Porto Alegre, 2015.

17. Michener LA, Walsworth MK, Doukas WC, Murphy KP. Reliability and Diagnostic Accuracy of 5 Physical Examination Tests and Combination of Tests for Subacromial Impingement. Arch Phys Med Rehabil. 2009;90(11):1898-903.

18. Fukuda H. Partial-thickness rotator cuff tears: a modern view on Codmans classic. J Shoulder Elbow Surg. 2000;9(2):163-168.

19. Shin KM. Partial-thickness rotator cuff tears. Korean J Pain. 2011;24(2):69-73.

20. Boyles RE, Ritland BM, Miracle BM, Barclay DM, Faul MS, Moore JH, et al. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Man Ther. 2009;14(4):375-80.

21. Mintken PE, Cleland JA, Carpenter KJ, Bieniek ML, Keirns M, Whitman JM. Some factors predict successful short-term outcomes in individuals with shoulder pain receiving cervicothoracic manipulation: a single-arm trial. Phys Ther. 2010;90(1):26-42.

22. Ricard F, Sallé JL. Tratado de Osteopatía. 3º.ed. Madrid: Panamericana, 2010.

23. Storchi S, Silva DM. Alteração na amplitude de movimento de abdução do braço após intervenção quiroprática em indivíduos com síndrome do impacto do ombro. Ter Man. 2012;10(49):317-321.

24. Filho CV. Análise da amplitude de movimento da coluna cervical antes e após a manipulação da coluna torácica. Faculdade Assis Gurgacz-FAG, Cascável, 2007.

5a9ee0850e8825292477d856 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections