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Title: Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients
Authors : Hauswirth, Jürg
Ernst, Markus
Lanz Preusser, Marianne
Meichtry, André
Kool, Jan
Crawford, Rebecca
Published in : Journal of Back and Musculoskeletal Rehabilitation
Publisher / Ed. Institution : IOS Press
Publisher / Ed. Institution: Amsterdam
Issue Date: 23-Dec-2016
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Shoulder arthroscopy; Cervical spine mobilisation; Isometric strength; Pain; Range of motion
Subject (DDC) : 615.82: Physical therapy
617: Surgery
Abstract: BACKGROUND: Lateral gliding cervical spine mobilisation is shown to improve shoulder pain, disability and function. However, despite common clinical-use, no study reports the effect of unilateral anterior-posterior (A-P) cervical mobilisation on shoulder pain and function, and particularly in patients after arthroscopic shoulder surgery. OBJECTIVE: Examine the immediate effect of single-level Grade III cervical unilateral A-P mobilisation on shoulder pain, flexion and abduction range of motion (ROM) and external rotator strength compared to placebo cervical unilateral A-P light touch pressure. METHODS: Single session intervention with a crossover design in 32 (15 women) postoperative arthroscopic shoulder patients. RESULTS: Immediate and superior treatment effects were shown for A-P cervical mobilisation in improving flexion ROM, isometric strength of external rotation, and pain intensity during flexion (all p< 0.05) when compared to the placebo. However, effects may not be considered clinically meaningful. CONCLUSION: Unilateral A-P mobilisation applied to the cervical spine shows a tendency toward positively influencing post-arthroscopy shoulder pain and function. Further study examining cervical mobilisations directed in different planes to influence shoulder motion appear warranted.
Further description : In press The final publication is available at IOS Press through
Departement: Health Professions
Organisational Unit: Institute of Health Sciences (IGW)
Institute of Physiotherapy (IPT)
Publication type: Article in scientific Journal
DOI : 10.3233/BMR-160566
ISSN: 1053-8127
Appears in Collections:Publikationen Gesundheit

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