Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic review

Objective: To determine the effectiveness of thoracic spinal thrust manipulation for shoulder impingement syndrome in the improvement of pain, range of motion and functional outcomes. Method: The systematic review was conducted by 2 researchers independently using search strategy developed for di...

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Main Authors: Bazal Bukhari, Ashfaq Ahmad, Arooj Fatima, Sarwat Ali
Format: Article
Language:English
Published: Pakistan Medical Association 2023-02-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5151
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author Bazal Bukhari
Ashfaq Ahmad
Arooj Fatima
Sarwat Ali
author_facet Bazal Bukhari
Ashfaq Ahmad
Arooj Fatima
Sarwat Ali
author_sort Bazal Bukhari
collection DOAJ
description Objective: To determine the effectiveness of thoracic spinal thrust manipulation for shoulder impingement syndrome in the improvement of pain, range of motion and functional outcomes. Method: The systematic review was conducted by 2 researchers independently using search strategy developed for different databases, including Cochrane Central register of control trials, PubMed, Pedro and MEDLINE, for relevant articles published between 2008 and 2020. The search strategy was designed for each database by combining the key terms and Boolean operators related to the review’s objective. Results: Of the 312 studies identified, 14(%) were included. Of them, 4(%) were in favour of thoracic thrust manipulation, 8(%) did not support thoracic thrust manipulation as the sole treatment and 2(%) favoured thoracic thrust manipulation along with exercises. Conclusion: Studies indicated immediate improvement in range of motion as well as pain after thrust manipulation, but others reported no such clinical difference. Manipulation should be combined with other exercise therapy to ensure some clinical improvement. Key Words: Rotator cuff impingement, Rotator cuff impingement syndrome, Shoulder impingement, Shoulder impingement syndrome, Spinal manipulation.
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spelling doaj.art-4edc3d4fdf6947a7828bd7f9e0817bc62023-05-25T04:20:46ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-02-0173210.47391/JPMA.5151Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic reviewBazal Bukhari0Ashfaq Ahmad1Arooj Fatima 2Sarwat Ali3University Institute of Physical Therapy, University of Lahore, Lahore, PakistanUniversity Institute of Physical Therapy, University of Lahore, Lahore, PakistanUniversity Institute of Physical Therapy, University of Lahore, Lahore, PakistanUniversity Institute of Physical Therapy, University of Lahore Teaching Hospital, Lahore, Pakistan Objective: To determine the effectiveness of thoracic spinal thrust manipulation for shoulder impingement syndrome in the improvement of pain, range of motion and functional outcomes. Method: The systematic review was conducted by 2 researchers independently using search strategy developed for different databases, including Cochrane Central register of control trials, PubMed, Pedro and MEDLINE, for relevant articles published between 2008 and 2020. The search strategy was designed for each database by combining the key terms and Boolean operators related to the review’s objective. Results: Of the 312 studies identified, 14(%) were included. Of them, 4(%) were in favour of thoracic thrust manipulation, 8(%) did not support thoracic thrust manipulation as the sole treatment and 2(%) favoured thoracic thrust manipulation along with exercises. Conclusion: Studies indicated immediate improvement in range of motion as well as pain after thrust manipulation, but others reported no such clinical difference. Manipulation should be combined with other exercise therapy to ensure some clinical improvement. Key Words: Rotator cuff impingement, Rotator cuff impingement syndrome, Shoulder impingement, Shoulder impingement syndrome, Spinal manipulation. https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5151
spellingShingle Bazal Bukhari
Ashfaq Ahmad
Arooj Fatima
Sarwat Ali
Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic review
Journal of the Pakistan Medical Association
title Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic review
title_full Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic review
title_fullStr Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic review
title_full_unstemmed Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic review
title_short Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: systematic review
title_sort effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome systematic review
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5151
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