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.
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 [...]
Primary care randomized clinical trial: Manual therapy effectiveness in comparison with TENS in patients with neck pain.
This study investigated effectiveness of manual therapy (MT) with transcutaneous electrical nerve stimulation (TENS) to reduce pain intensity in patients with mechanical neck disorder (MND). A randomized multi-centered controlled clinical trial was performed in 12 Primary Care Physiotherapy Units in Madrid Region. Ninety patients were included with diagnoses of subacute or chronic MND without neurological [...]
Manipulative therapy in addition to usual care for patients with shoulder complaints: results of physical examination outcomes in a randomized controlled trial.
The purpose of this study was to examine the effect of manipulative therapy on the shoulder girdle, in addition to usual care provided by the general practitioner, on the outcomes of physical examination tests for the treatment of shoulder complaints. This was a randomized controlled trial in a primary care setting in the Netherlands. A [...]
The relationship of the audible pop to hypoalgesia associated with high-velocity, low-amplitude thrust manipulation: a secondary analysis of an experimental study in pain-free participants.
High-velocity, low-amplitude (HVLA) manipulation is an effective treatment of low back pain (LBP); however, the corresponding mechanisms are undetermined. Hypoalgesia is associated with HVLA manipulation and suggests specific mechanisms of action. An audible pop (AP) is also associated with HVLA manipulation; however, the influence of the AP on the hypoalgesia associated with HVLA manipulation is [...]
The temporal effects of a single session of high-velocity, low-amplitude thrust manipulation on subjects with spinal pain
The purpose of this review is to summarize the literature on the temporal neurophysiological effects of a single HVLAT in patients with spinal pain. A systematic search of English articles was conducted. Of the 478 articles identified, five articles ultimately met inclusion criteria into this review. These studies were of moderate to high quality. In [...]
Certificate in Spinal Manual Therapy – London, UK – 4 Sept
This intensive evidenced based 8-day programme is designed to give clinicians with varied experience and background training the opportunity to advance their knowledge and clinical expertise in the area of spinal manual therapy. Specialist musculoskeletal physiotherapist Kim Robinson will present an exciting programme that covers to an advanced level, examination, clinical reasoning, and management for [...]
Manipulation or mobilisation for neck pain.
The objective of this study was to assess if manipulation or mobilisation improves pain, function/disability, patient satisfaction, quality of life, and global perceived effect in adults with acute/subacute/chronic neck pain with or without cervicogenic headache or radicular findings. 27 trials (1522 participants) were included. Cervical Manipulation for subacute/chronic neck pain : Moderate quality evidence suggested [...]