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| Name | Class |
|---|---|
| University of Illinois at Chicago | OTHER |
| Walsh University | OTHER |
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Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic spinal manipulation in addition to shoulder mobilization and exercise for improving range of motion, pain, physical function and fear avoidance beliefs in patients with subacromial shoulder impingement.
Hypotheses It is hypothesized that those subjects who receive spinal manipulation in addition to shoulder mobilization and exercise will achieve greater improvements in range of motion, pain, function and fear avoidance beliefs at two weeks following treatment conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the subjects who did not receive the spinal manipulation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thoracic Mobilization | Experimental | thoracic mobilization in addition to shoulder mobilization plus exercise |
|
| exercise only | Active Comparator | shoulder mobilization plus exercise alone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| thoracic mobilization & shoulder mobilization & exercise | Other |
| ||
| shoulder mobilization & exercise |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Pain and Disability Index Change over time | Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks | 2 weeks, 4 weeks, discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale change over time | Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks | 2 weeks, 4 weeks, discharge |
| Fear Avoidance Beliefs Questionnaire change over time |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder range of motion change over time | Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks | 2 weeks, 4 weeks, discharge |
| test of resistance change over time - number of repetitions performed |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alexis A Wright, Phd | High Point University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Illinois at Chicago | Chicago | Illinois | 60612 | United States | ||
| Physical Therapy Services |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28912631 | Derived | Wright AA, Donaldson M, Wassinger CA, Emerson-Kavchak AJ. Subacute effects of cervicothoracic spinal thrust/non-thrust in addition to shoulder manual therapy plus exercise intervention in individuals with subacromial impingement syndrome: a prospective, randomized controlled clinical trial pilot study. J Man Manip Ther. 2017 Sep;25(4):190-200. doi: 10.1080/10669817.2016.1251377. Epub 2016 Nov 7. |
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| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Other |
|
Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks
| 2 weeks, 4 weeks, discharge |
The test is performed by asking the patient to hold the shoulder at 90 degrees of shoulder flexion and follow a 20cm wide spiral using their affected arm. The patient is asked to complete as many spiral movements as possible until stopped secondary to pain. The maximum number of repetitions to be performed is 20. Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks |
| 2 weeks, 4 weeks, discharge |
| Elizabethton |
| Tennessee |
| 37643 |
| United States |
| East Tennessee State University | Johnson City | Tennessee | 37604 | United States |