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| ID | Type | Description | Link |
|---|---|---|---|
| Ethics Committee 465/2011 | Other Grant/Funding Number | FAPESP / 2013/07120-1 |
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| Name | Class |
|---|---|
| Fundação de Amparo à Pesquisa do Estado de São Paulo | OTHER_GOV |
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The hypothesis of this study is that thoracic spine manipulation would reduce pain in subjects with SIS and cause changes in scapular kinematics and muscle activity in subjects with impingement symptoms and in asymptomatic subjects. With this study, the investigators want to answer if possible changes in scapular motion and muscle activity following a TSM depend on the symptoms or if it is generic to individuals without shoulder dysfunction and not specific to subjects with shoulder impingement.
Subjects with shoulder impingement signs will be evaluated and will be compared with subjects asymptomatic for shoulder symptoms. Both subjects will be randomly assigned to one of two intervention groups: thoracic spinal manipulation (TSM) or sham intervention. We want to know if possible changes in scapular motion and muscle activity following a TSM depend on the symptoms or if it is generic to everyone. Also, we want to know if TSM reduces shoulder pain immediately and in a short-therm period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shoulder impingement_TSM | Experimental | For the manipulation intervention, the subjects were in a seated position and a thrust technique was performed. If no cavitation was detected with the manipulation, the thrust was repeated up to 3 times. |
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| Shoulder impingement_sham | Sham Comparator | For the sham intervention, the subjects were positioned in the same seated position with the therapist holding the patient in the same position as for the thrust manipulation. In this position, the therapist applied all the same forces as done for a thrust-manipulation and held that position for a few seconds, but a thrust was not used. |
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| Asymptomatic_TSM | Active Comparator | For the manipulation intervention, the subjects were in a seated position and a thrust technique was performed. If no cavitation was detected with the manipulation, the thrust was repeated up to 3 times |
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| Asymptomatic_sham | Sham Comparator | For the sham intervention, the subjects were positioned in the same seated position with the therapist holding the patient in the same position as for the thrust manipulation. In this position, the therapist applied all the same forces as done for a thrust-manipulation and held that position for a few seconds, but a thrust was not used. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Shoulder impingement_TSM | Procedure | A physiotherapist with 4 years of experience in manual therapy will administer the TSM targeting the middle thoracic spine of the subjects. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in scapular orientation from first to third day | 3D scapular kinematic (upward/downward rotation; internal/external rotation; anterior/posterior tilt) was assessed pre- and-post thoracic spinal manipulation and sham interventions at first and second days. At the third day of evaluation the measure was assessed only once. | Day 1; day 2; day 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in shoulder function from first to third day | Shoulder function was assessed at the beginning of each data collection day (days 1 to 3) using Disabilities of the Arm, Shoulder and Hand (DASH) and Western Ontario Rotator Cuff Index (WORC) questionnaires. | Day 1; Day 2; Day 3 |
| Change in scapular muscle activity from first to third day |
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Inclusion Criteria (symptomatic subjects): To present with at least 3 of the following findings:
Exclusion Criteria (symptomatic subjects):
Exclusion Criteria (asymptomatic subjects):
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| Name | Affiliation | Role |
|---|---|---|
| Paula R Camargo, doctor | Universidade Federal de Sao Carlos | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidade Federal de São Carlos | São Carlos | São Paulo | 13565-905 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28259517 | Derived | Haik MN, Alburquerque-Sendin F, Camargo PR. Short-Term Effects of Thoracic Spine Manipulation on Shoulder Impingement Syndrome: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2017 Aug;98(8):1594-1605. doi: 10.1016/j.apmr.2017.02.003. Epub 2017 Mar 1. |
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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 |
|---|---|
| D020393 | Manipulation, Spinal |
| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Asymptomatic_TSM | Procedure | A physiotherapist with 4 years of experience in manual therapy administered the TSM targeting the middle thoracic spine of the subjects. |
|
|
| Shoulder impingement_sham | Procedure | A physiotherapist with 4 years of experience in manual therapy administered the sham intervention targeting the middle thoracic spine of the subjects. |
|
|
| Asymptomatic_sham | Procedure | A physiotherapist with 4 years of experience in manual therapy administered the sham intervention targeting the middle thoracic spine of the subjects. |
|
|
3D scapular kinematic was assessed pre- and-post thoracic spinal manipulation and sham interventions at first and second days. At the third day of evaluation the measure was assessed only once. |
| Day 1; Day 2; Day 3 |
| Change in shoulder pain from first to third day | Shoulder pain was assessed pre- and-post thoracic spinal manipulation and sham interventions at first and second days. At the third day of evaluation the measure was assessed only once. | Day 1; Day 2; Day 3 |