Does passive mobilization of shoulder region joints provide additional benefit over advice and exercise alone for people who have shoulder pain and minimal movement restriction? A randomized controlled trial

Journal article


Yiasemides, Ross, Halaki, Mark, Cathers, Ian and Ginn, Karen 2011. Does passive mobilization of shoulder region joints provide additional benefit over advice and exercise alone for people who have shoulder pain and minimal movement restriction? A randomized controlled trial. Physical Therapy. 91 (2), pp. 178 - 189. https://doi.org/10.2522/ptj.20100111
AuthorsYiasemides, Ross, Halaki, Mark, Cathers, Ian and Ginn, Karen
Abstract

Background: Passive mobilization of shoulder region joints, often in conjunction with other treatment modalities, is used for the treatment of people with shoulder pain and minimal movement restriction. However, there is only limited evidence supporting the efficacy of this treatment modality. Objective: The purpose of this study was to determine whether passive mobilization of shoulder region joints adds treatment benefit over exercise and advice alone for people with shoulder pain and minimal movement restriction. Design: This was a randomized controlled clinical trial with short-, medium- and longer-term follow-up. Setting: The study was conducted in a metropolitan teaching hospital. Patients: Ninety-eight patients with shoulder pain of local mechanical origin and minimal shoulder movement restriction were randomly allocated to either a control group (n=51) or an experimental group (n=47). Intervention: Participants in both groups received advice and exercises designed to restore neuromuscular control at the shoulder. In addition, participants in the experimental group received passive mobilization specifically applied to shoulder region joints. Measurements: Outcome measurements of shoulder pain and functional impairment, self-rated change in symptoms, and painful shoulder range of motion were obtained at 1, 3, and 6 months after entry into the trial. All data were analyzed using the intention-to-treat principle by repeated-measures analyses of covariance. Results: No statistically significant differences were detected in any of the outcome measurements between the control and experimental groups at short-, medium-, or longer-term follow-up. Limitations: Therapists and participants were not blinded to the treatment allocation. Conclusion: This randomized controlled clinical trial does not provide evidence that the addition of passive mobilization, applied to shoulder region joints, to exercise and advice is more effective than exercise and advice alone in the treatment of people with shoulder pain and minimal movement restriction.

Year2011
JournalPhysical Therapy
Journal citation91 (2), pp. 178 - 189
ISSN0031-9023
Digital Object Identifier (DOI)https://doi.org/10.2522/ptj.20100111
Open accessOpen access
Page range178 - 189
Research GroupSchool of Behavioural and Health Sciences
Publisher's version
Permalink -

https://acuresearchbank.acu.edu.au/item/86w72/does-passive-mobilization-of-shoulder-region-joints-provide-additional-benefit-over-advice-and-exercise-alone-for-people-who-have-shoulder-pain-and-minimal-movement-restriction-a-randomized

  • 3
    total views
  • 0
    total downloads
  • 3
    views this month
  • 0
    downloads this month

Export as

Related outputs

Is subscapularis recruited in a similar manner during shoulder internal rotation exercises and belly press and lift off tests?
Ginn, Karen, Reed, Darren, Jones, Chelsea, Downes, Anthony, Cathers, Ian and Halaki, Mark 2017. Is subscapularis recruited in a similar manner during shoulder internal rotation exercises and belly press and lift off tests? Journal of Science and Medicine in Sport. 20 (6), pp. 566 - 571. https://doi.org/10.1016/j.jsams.2016.10.018
Shoulder muscle activation patterns and levels differ between open and closed-chain abduction
Reed, Darren, Cathers, Ian, Halaki, Mark and Ginn, Karen 2017. Shoulder muscle activation patterns and levels differ between open and closed-chain abduction. Journal of Science and Medicine in Sport. 21 (5), pp. 462 - 466. https://doi.org/10.1016/j.jsams.2017.07.024
Does load influence shoulder muscle recruitment patterns during scapular plane abduction?
Reed, Darren, Cathers, Ian Richard, Halaki, Mark and Ginn, Karen A. 2016. Does load influence shoulder muscle recruitment patterns during scapular plane abduction? Journal of Science and Medicine in Sport. https://doi.org/10.1016/j.jsams.2015.10.007
Does changing the plane of abduction influence shoulder muscle recruitment patterns in healthy individuals?
Reed, Darren, Cathers, Ian Richard, Halaki, Mark and Ginn, Karen A. 2016. Does changing the plane of abduction influence shoulder muscle recruitment patterns in healthy individuals? Manual Therapy. https://doi.org/10.1016/j.math.2015.04.014
Associations among work-related stress, cortisol, inflammation, and metabolic syndrome
Almadi, Tawfiq, Cathers, Ian and Chow, Chin Moi 2013. Associations among work-related stress, cortisol, inflammation, and metabolic syndrome. Psychophysiology. 50 (9), pp. 821 - 830. https://doi.org/10.1111/psyp.12069
Rotator cuff muscles perform different functional roles during shoulder external rotation exercises
Tardo, Daniel, Halaki, Mark, Cathers, Ian and Ginn, Karen 2013. Rotator cuff muscles perform different functional roles during shoulder external rotation exercises. Clinical Anatomy. 26 (2), pp. 236 - 243. https://doi.org/10.1002/ca.22128
Does supraspinatus initiate shoulder abduction?
Reed, Darren, Cathers, Ian, Halaki, Mark and Ginn, Karen 2013. Does supraspinatus initiate shoulder abduction? Journal of Electromyography and Kinesiology. 23 (2), pp. 425 - 429. https://doi.org/10.1016/j.jelekin.2012.11.008
Systematic nonlinear relations between joint mechanics and the neural reflex response with changes in stretch amplitude at the wrist
Halaki, Mark, O'Dwyer, Nicholas, Cathers, Ian and Heritier, Stephane 2012. Systematic nonlinear relations between joint mechanics and the neural reflex response with changes in stretch amplitude at the wrist. Journal of Biomechanics. 45 (16), pp. 2755 - 2762. https://doi.org/10.1016/j.jbiomech.2012.09.009
The association between work stress and inflammatory biomarkers in Jordanian male workers
Almadi, Tawfiq, Cathers, Ian, Mansour, Ayman M. Hamdan and Chow, Chin Moi 2012. The association between work stress and inflammatory biomarkers in Jordanian male workers. Psychophysiology. 49 (2), pp. 172 - 177. https://doi.org/10.1111/j.1469-8986.2011.01296.x
An electromyographic study of parkinsonian swallowing and its response to levodopa
Tawadros, Paul, Cordato, Dennis, Cathers, Ian and Burne, John 2012. An electromyographic study of parkinsonian swallowing and its response to levodopa. Movement Disorders Society. 27 (14), pp. 1811 - 1815. https://doi.org/10.1002/mds.25262
An Arabic version of the Perceived Stress Scale: Translation and validation study
Almadi, Tawfiq, Cathers, Ian, Mansour, Ayman M. H. and Chow, Chin Moi 2012. An Arabic version of the Perceived Stress Scale: Translation and validation study. International Journal of Nursing Studies. 49 (1), pp. 84 - 89. https://doi.org/10.1016/j.ijnurstu.2011.07.012
A comprehensive analysis of muscle recruitment patterns during shoulder flexion: An electromyographic study
Wattanaprakornkul, Duangjai, Halaki, Mark, Boettcher, Craig, Cathers, Ian and Ginn, Karen A. 2011. A comprehensive analysis of muscle recruitment patterns during shoulder flexion: An electromyographic study. Clinical Anatomy. 24 (5), pp. 619 - 626. https://doi.org/10.1002/ca.21123
Direction-specific recruitment of rotator cuff muscles during bench press and row
Wattanaprakornkul, Duangjai, Halaki, Mark, Cathers, Ian and Ginn, Karen 2011. Direction-specific recruitment of rotator cuff muscles during bench press and row. Journal of Electromyography and Kinesiology. 21 (6), pp. 1041 - 1049. https://doi.org/10.1016/j.jelekin.2011.09.002
Revision of the shoulder normalization tests is required to include rhomboid major and teres major
Ginn, K. A., Halaki, M. and Cathers, I. 2011. Revision of the shoulder normalization tests is required to include rhomboid major and teres major. Journal of Orthopaedic Research. 29 (12), pp. 1846 - 1849. https://doi.org/10.1002/jor.21488
The rotator cuff muscles have a direction specific recruitment pattern during shoulder flexion and extension exercises
Wattanaprakornkul, Duangjai, Cathers, Ian, Halaki, Mark and Ginn, Karen 2011. The rotator cuff muscles have a direction specific recruitment pattern during shoulder flexion and extension exercises. Journal of Science and Medicine in Sport. 14 (5), pp. 376 - 382. https://doi.org/10.1016/j.jsams.2011.01.001