Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Combination Approach using Manual Therapy and Exercise in the Treatment of Shoulder Impingement Syndrome


Affiliations
1 College of Allied Health Sciences, Gulf Medical University, Ajman, United Arab Emirates
2 Gulf Medical College Hospital and Research Center, Ajman, United Arab Emirates
     

   Subscribe/Renew Journal


The purpose of this case study was to compare the effectiveness of traditional physical therapy
interventions of using therapeutic modality and exercise versus a combined approach using
mobilization with movement and exercises in the treatment of shoulder impingement syndrome. A
total of 5 patients diagnosed with shoulder impingement syndrome were selected from the hospital.
Patients then participated in the programs, which were held twice a week for two months. Main
outcome measures included 24-hour pain (VAS), shoulder active range of motion (AROM), and shoulder
function (SPADI). Repeated-measures analysis indicated significant decreases in pain, improved
function, and increases in AROM. The MWM had a higher percentage of change from pre- to posttreatment
on pain measures pain (VAS): 0.6 to 0.2 following 4 session treatment, higher percentage of
change on the SPADI and in AROM.
This study suggests that performing glenohumeral mobilizations with movement (MWM) in combination
with a supervised exercise program may result in a greater decrease in pain and improved function
although studies with larger samples and discriminate sampling methods are needed.

Keywords

Exercise, Glenohumeral Mobilization, Mobilization with Movement
Subscription Login to verify subscription
User
Notifications
Font Size



  • A Combination Approach using Manual Therapy and Exercise in the Treatment of Shoulder Impingement Syndrome

Abstract Views: 1066  |  PDF Views: 0

Authors

Annamma Mathew
College of Allied Health Sciences, Gulf Medical University, Ajman, United Arab Emirates
Abedi Afsaneh
Gulf Medical College Hospital and Research Center, Ajman, United Arab Emirates

Abstract


The purpose of this case study was to compare the effectiveness of traditional physical therapy
interventions of using therapeutic modality and exercise versus a combined approach using
mobilization with movement and exercises in the treatment of shoulder impingement syndrome. A
total of 5 patients diagnosed with shoulder impingement syndrome were selected from the hospital.
Patients then participated in the programs, which were held twice a week for two months. Main
outcome measures included 24-hour pain (VAS), shoulder active range of motion (AROM), and shoulder
function (SPADI). Repeated-measures analysis indicated significant decreases in pain, improved
function, and increases in AROM. The MWM had a higher percentage of change from pre- to posttreatment
on pain measures pain (VAS): 0.6 to 0.2 following 4 session treatment, higher percentage of
change on the SPADI and in AROM.
This study suggests that performing glenohumeral mobilizations with movement (MWM) in combination
with a supervised exercise program may result in a greater decrease in pain and improved function
although studies with larger samples and discriminate sampling methods are needed.

Keywords


Exercise, Glenohumeral Mobilization, Mobilization with Movement

References