Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: a randomized controlled trial.

Abstract

OBJECTIVE:

The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) to a sham technique in patients with shoulder impingement syndrome.

METHODS:

A randomized controlled trial was performed. Forty-two patients (mean ± SD age, 55 ± 9 years; 81% female) satisfied eligibility criteria, agreed to participate, and were randomized into an MWM group (n = 21) or sham manual contact (n = 21). The primary outcome measures including pain intensity, pain during active range of motion, and maximal active range of motion were assessed by a clinician blinded to group allocation. Outcomes were captured at baseline and after 2 weeks of MWM treatment or sham intervention. The primary analysis was the group × time interaction.

RESULTS:

The 2×2 analysis of variance revealed a significant group × time interaction for pain intensity during shoulder flexion (F = 7.054; P = .011), pain-free shoulder flexion (F = 32.853; P < .001), maximum shoulder flexion (F = 18.791; P < .01), and shoulder external rotation (F = 7.950; P < .01) in favor of the MWM group. No other significant differences were found.

CONCLUSIONS:

Patients with shoulder impingement syndrome who received 4 sessions of MWM exhibited significantly better outcomes for pain during shoulder flexion, pain-free range of shoulder flexion, maximal shoulder flexion, and maximal external rotation than those patients who were in the sham group.

• Authors: José A Delgado-Gil, Eva Prado-Robles, Daiana P Rodrigues-de-Souza, Joshua A Cleland, César Fernández-de-las-Peñas, Francisco Alburquerque-Sendín
• Journal: Journal of manipulative and physiological therapeutics (J Manipulative Physiol Ther) Vol. 38 Issue 4 Pg. 245-52 (May 2015) ISSN: 1532-6586 [Electronic] United States
• PMID: 25936465 (Publication Type: Journal Article, Randomized Controlled Trial)
• Copyright: Copyright © 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

Topics

• Analysis of Variance
• Arthralgia (physiopathology, therapy)
• Double-Blind Method
• Female
• Humans
• Male
• Middle Aged
• Musculoskeletal Manipulations (methods)
• Pain Measurement
• Range of Motion, Articular (physiology)
• Rotation
• Shoulder Impingement Syndrome (physiopathology, therapy)