Matches in SemOpenAlex for { <https://semopenalex.org/work/W2168983684> ?p ?o ?g. }
- W2168983684 endingPage "997" @default.
- W2168983684 startingPage "984" @default.
- W2168983684 abstract "Study Design Randomized controlled trial. Objective To evaluate the effects of an exercise protocol, with and without manual therapy, on scapular kinematics, function, pain, and mechanical sensitivity in individuals with shoulder impingement syndrome. Background Stretching and strengthening exercises have been shown to effectively decrease pain and disability in individuals with shoulder impingement syndrome. There is still conflicting evidence regarding the efficacy of adding manual therapy to an exercise therapy regimen. Methods Forty-six patients were assigned to 1 of 2 groups, one of which received a 4-week intervention of stretching and strengthening exercises (exercise alone) and the other the same intervention, supplemented by manual therapy targeting the shoulder and cervical spine (exercise plus manual therapy). All outcomes were measured preintervention and postintervention at 4 weeks. Outcome measures were scapular kinematics in the scapular and sagittal planes during arm elevation, function as determined through the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, pain as assessed with a visual analog scale, and mechanical sensitivity as assessed with pressure pain threshold. Results Independent of the intervention group, small, clinically irrelevant changes in scapular kinematics were observed postintervention. A significant group-by-time interaction effect (P = .001) was found for scapular anterior tilt during elevation in the sagittal plane, with a 3.0° increase (95% confidence interval [CI]: −1.5°, 7.5°) relative to baseline in the exercise-plus–manual therapy group compared to a decrease of 0.3° (95% CI: −4.2°, 4.8°) in the exercise-alone group. Pain, mechanical sensitivity, and the DASH score improved similarly for both groups by the end of the intervention period. Conclusion Adding manual therapy to an exercise protocol did not enhance improvements in scapular kinematics, function, and pain in individuals with shoulder impingement syndrome. The noted improvements in pain and function are not likely explained by changes in scapular kinematics. The study is registered at www.clinicaltrials.gov (NCT02035618). Level of Evidence Therapy, level 1b-. J Orthop Sports Phys Ther 2015;45(12):984–997. Epub 15 Oct 2015. doi:10.2519/jospt.2015.5939" @default.
- W2168983684 created "2016-06-24" @default.
- W2168983684 creator A5006065318 @default.
- W2168983684 creator A5036526490 @default.
- W2168983684 creator A5056158632 @default.
- W2168983684 creator A5077298905 @default.
- W2168983684 creator A5079590847 @default.
- W2168983684 creator A5088667728 @default.
- W2168983684 date "2015-12-01" @default.
- W2168983684 modified "2023-10-05" @default.
- W2168983684 title "Effects of Stretching and Strengthening Exercises, With and Without Manual Therapy, on Scapular Kinematics, Function, and Pain in Individuals With Shoulder Impingement: A Randomized Controlled Trial" @default.
- W2168983684 cites W1946309748 @default.
- W2168983684 cites W1966892791 @default.
- W2168983684 cites W1971528583 @default.
- W2168983684 cites W1973217553 @default.
- W2168983684 cites W1980527167 @default.
- W2168983684 cites W1981184636 @default.
- W2168983684 cites W1982138761 @default.
- W2168983684 cites W1983048735 @default.
- W2168983684 cites W1988547881 @default.
- W2168983684 cites W1995557364 @default.
- W2168983684 cites W1995657892 @default.
- W2168983684 cites W1997769138 @default.
- W2168983684 cites W2002534005 @default.
- W2168983684 cites W2011208019 @default.
- W2168983684 cites W2011402953 @default.
- W2168983684 cites W2017614862 @default.
- W2168983684 cites W2021137871 @default.
- W2168983684 cites W2023943500 @default.
- W2168983684 cites W2034346762 @default.
- W2168983684 cites W2037616199 @default.
- W2168983684 cites W2042807886 @default.
- W2168983684 cites W2055696713 @default.
- W2168983684 cites W2060030911 @default.
- W2168983684 cites W2060463528 @default.
- W2168983684 cites W2064913337 @default.
- W2168983684 cites W2066314060 @default.
- W2168983684 cites W2069233276 @default.
- W2168983684 cites W2071589343 @default.
- W2168983684 cites W2074184512 @default.
- W2168983684 cites W2076484664 @default.
- W2168983684 cites W2083482468 @default.
- W2168983684 cites W2088612488 @default.
- W2168983684 cites W2093638885 @default.
- W2168983684 cites W2095110905 @default.
- W2168983684 cites W2096238842 @default.
- W2168983684 cites W2097271321 @default.
- W2168983684 cites W2107587864 @default.
- W2168983684 cites W2108341823 @default.
- W2168983684 cites W2109879269 @default.
- W2168983684 cites W2114772172 @default.
- W2168983684 cites W2116774996 @default.
- W2168983684 cites W2118089720 @default.
- W2168983684 cites W2120887258 @default.
- W2168983684 cites W2123982268 @default.
- W2168983684 cites W2124754773 @default.
- W2168983684 cites W2127091435 @default.
- W2168983684 cites W2130491328 @default.
- W2168983684 cites W2132537736 @default.
- W2168983684 cites W2132836521 @default.
- W2168983684 cites W2134635461 @default.
- W2168983684 cites W2137660511 @default.
- W2168983684 cites W2142959662 @default.
- W2168983684 cites W2152944028 @default.
- W2168983684 cites W2153352561 @default.
- W2168983684 cites W2157624189 @default.
- W2168983684 cites W2159656646 @default.
- W2168983684 cites W2166405029 @default.
- W2168983684 cites W2167816016 @default.
- W2168983684 cites W2221469612 @default.
- W2168983684 cites W4244134189 @default.
- W2168983684 doi "https://doi.org/10.2519/jospt.2015.5939" @default.
- W2168983684 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26471852" @default.
- W2168983684 hasPublicationYear "2015" @default.
- W2168983684 type Work @default.
- W2168983684 sameAs 2168983684 @default.
- W2168983684 citedByCount "86" @default.
- W2168983684 countsByYear W21689836842016 @default.
- W2168983684 countsByYear W21689836842017 @default.
- W2168983684 countsByYear W21689836842018 @default.
- W2168983684 countsByYear W21689836842019 @default.
- W2168983684 countsByYear W21689836842020 @default.
- W2168983684 countsByYear W21689836842021 @default.
- W2168983684 countsByYear W21689836842022 @default.
- W2168983684 countsByYear W21689836842023 @default.
- W2168983684 crossrefType "journal-article" @default.
- W2168983684 hasAuthorship W2168983684A5006065318 @default.
- W2168983684 hasAuthorship W2168983684A5036526490 @default.
- W2168983684 hasAuthorship W2168983684A5056158632 @default.
- W2168983684 hasAuthorship W2168983684A5077298905 @default.
- W2168983684 hasAuthorship W2168983684A5079590847 @default.
- W2168983684 hasAuthorship W2168983684A5088667728 @default.
- W2168983684 hasConcept C111919701 @default.
- W2168983684 hasConcept C126322002 @default.
- W2168983684 hasConcept C126838900 @default.
- W2168983684 hasConcept C141071460 @default.
- W2168983684 hasConcept C142724271 @default.
- W2168983684 hasConcept C168563851 @default.