EFFECT OF LIVER MOBILITY AND MOTILITY IN CASE OF NON SPECIFIC RIGHT SHOULDER PAIN WITH MILD RESTRICTION OF MOVEMENT

Background: Shoulder pain is a common musculoskeletal condition that is a recognized as a disabling problem and cane be associated with substantial economic burden. The pain and disabilities associated with shoulder pain can have a large impact on individuals and their families, communities, and healthcare system affecting daily functioning, and ability to work .It is the third most common musculoskeletal complaint presenting to physical therapy. Objective: Reducing the non specific right shoulder pain and improve the range of motion using an osteopathic approach. Methods: The study was done on two patient aiming to reduce their right shoulder pain and mild restriction of shoulder rotation movement, we use visceral manipulation technique especially liver technique using liver for investigation and treatment purpose . Results: We found reduce the pain and improve range of movement of right shoulder after 15 min with the visceral manipulation techniques the approach is done for three times a week for two month.

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Is coracohumeral distance associated with pain-function, and shoulder range of movement, in chronic anterior shoulder pain?

BMC Musculoskeletal Disorders ◽

10.1186/s12891-017-1498-0 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 4

Author(s):

S. Navarro-Ledesma ◽

F. Struyf ◽

M. T. Labajos-Manzanares ◽

M. Fernandez-Sanchez ◽

A. Luque-Suarez

Keyword(s):

Shoulder Pain ◽

Range Of Movement ◽

Shoulder Range ◽

Anterior Shoulder Pain

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Abstract WP314: Frequency and Characteristics of Hemiplegic Shoulder Pain - A Population-Based Assessment

Stroke ◽

10.1161/str.44.suppl_1.awp314 ◽

2013 ◽

Vol 44 (suppl_1) ◽

Author(s):

Zoe A Allen ◽

Keyword(s):

Visual Analogue Scale ◽

Shoulder Pain ◽

Analogue Scale ◽

External Rotation ◽

South Australia ◽

Population Based ◽

Active Movement ◽

Range Of Movement ◽

Stroke Incidence ◽

Post Stroke

Background: Shoulder pain is common complication of stroke with multiple aetiological mechanisms but there are few population-based studies of the clinical profile, frequency and impact of the disorder. Objectives: To determine the frequency and characteristics of hemiplegic shoulder pain in the first year after stroke. Methods: Data on any shoulder pain were obtained in patients registered in a population-based stroke incidence study undertaken in a defined area of the western suburbs of Adelaide, South Australia, over a 12-month period to July 2010. Subjective (any, onset, severity [visual analogue scale] and aggravating factors) and three objective (modified Neer test, passive hand-behind-neck, and passive external rotation) measures of pain were undertaken at baseline, and 4 and 12 months post-stroke. Results: Among 301 stroke patients, shoulder pain data were available for 198 (66%), as 62 had died prior to the 4 month assessment and 41 either refused or were unavailable for assessment. Information on shoulder pain was available from 198 stroke survivors at baseline, 156 at 4 months and 148 at 12 months. Overall, 10% reported shoulder pain at baseline, whilst 21% reported pain at both follow-up assessments, so that overall approximately one third (27%) of patients reported some shoulder pain during 12 months post-stroke. The median pain score (visual analogue scale = 40) was highest at 4 months, and the characteristics varied from mild and prominent at rest (including night) in the early weeks, to being more associated with limited range of movement and aggravated by active movement towards 12 months, suggesting increasing musculoskeletal contributions to pain over time. Objective passive range of motion tests were associated with higher frequencies of pain than were elicited by self-reports. Conclusions: The frequency of post-stroke shoulder pain was similar to other population-based studies, suggesting limited progress in prevention and management of this complication. As the disorder is most common and severe after hospital-discharge, targeted protocols may facilitate identification and management.

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Effectiveness of Acromioclavicular Joint Mobilization and Physical Therapy vs Physical Therapy Alone in Patients with Frozen Shoulder: A Randomized Clinical Trial

10.21203/rs.3.rs-548390/v1 ◽

2021 ◽

Author(s):

Mohammad Rahbar ◽

Sepideh Ranjbar Kiyakalayeh ◽

Bina Eftekharsadat ◽

Behzad Izadseresht ◽

Neda Dolatkhah

Keyword(s):

Clinical Trial ◽

Physical Therapy ◽

Randomized Clinical Trial ◽

Shoulder Pain ◽

Acromioclavicular Joint ◽

Frozen Shoulder ◽

Secondary Outcome ◽

Control Group ◽

Joint Mobilization ◽

Active Abduction

Abstract Background: Frozen shoulder (FS) is a prevalent musculoskeletal condition characterized by an often prolonged pain, disability and limited active and passive range of motion (ROM), however its management remains challenging yet. The objective of this trial was to compare the efficacy of acromioclavicular joint mobilization and physical therapy versus physical therapy in treatment of FS.Methods: In this single-blind randomized clinical trial, patients with diagnosis of FS were randomly allocated into mobilization + physical therapy (n=28) as experiment group, and physical therapy (n=28) as control group in two outpatient clinics of Tabriz University of Medical Sciences, Iran. The primary outcomes were self-reported shoulder pain-related disability measured by the Shoulder Pain and Disability Index (SPADI) questionnaire and goniometric assessment of shoulder ROM. The secondary outcome was the Visual Analogue Scale (VAS). Measures were performed at the baseline, immediately and one month after beginning the treatments.Results: Totally 51 patients with 25.73 ± 6.88 years old of age completed the study and their data were analyzed. VAS, SPADI, pain and disability improved more significantly in experiment group compared to control group immediately [-4.63 (-5.58- -3.67) vs. -2.22 (-2.96- -1.47), p<0.001; -23.08 (-28.63- -17.53) vs. -13.04 (-17.93- -8.16), p=0.008; -26.00 (-31.71- -20.29) vs. -16.35 (-23.39- -9.31), p=0.034 and -21.25 (-29.11- -13.39) vs. -10.98 (-17.53- -4.43), p=0.042, respectively] and one month after beginning of treatment [-5.58 (-6.45- -4.72) vs. -3.61 (-4.60- -2.62), p<0.001; -33.43 (-40.85- -26.01) vs. -20.03 (-26.00- -14.07), p=0.001; --42.83 (-49.09- -36.57) vs. -25.57 (-33.92- -17.21), p<0.001 and -27.55 (-36.19- -15.94) vs. -16.58 (-24.48- -8.67), p=0.041, respectively]. Active abduction ROM was also improved more significantly immediately after treatment in experiment group compared to control group [25.83 (11.45- 40.13) vs. 10.17 (1.02- 19.15), p=0.025], however there were no significant differences between two groups concerning other measured ROMs immediately and one month after treatment (all p>0.05). Conclusions: Acromioclavicular mobilization along with conventional physical therapy was more efficient in decreasing pain and disability and improving active abduction ROM compared to physical therapy in patients with FS. These findings would suggest a new therapeutic method for shoulder disorders with pain and disability.Trial registrationwww.irct.ir, IRCT20100605004104N7, registered 06.01.2019 (https://www.irct.ir/trial/35900)

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Association between ultrasound assessment of glenohumeral subluxation and shoulder pain, muscle strength, active range of movement and upper limb function in people with stroke

European Journal of Physiotherapy ◽

10.1080/21679169.2018.1549273 ◽

2019 ◽

Vol 22 (2) ◽

pp. 79-85

Author(s):

Praveen Kumar ◽

Michael Bradley ◽

Selena Gray ◽

Annette Swinkels

Keyword(s):

Muscle Strength ◽

Shoulder Pain ◽

Upper Limb ◽

Range Of Movement ◽

Limb Function ◽

Upper Limb Function ◽

Ultrasound Assessment

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An Update of Systematic Reviews Examining the Effectiveness of Conservative Physical Therapy Interventions for Subacromial Shoulder Pain

Journal of Orthopaedic and Sports Physical Therapy ◽

10.2519/jospt.2020.8498 ◽

2020 ◽

Vol 50 (3) ◽

pp. 131-141 ◽

Cited By ~ 7

Author(s):

Louise Pieters ◽

Jeremy Lewis ◽

Kevin Kuppens ◽

Jill Jochems ◽

Twan Bruijstens ◽

...

Keyword(s):

Physical Therapy ◽

Shoulder Pain ◽

Systematic Reviews ◽

Therapy Interventions

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Does the pectoralis minor length influence acromiohumeral distance, shoulder pain-function, and range of movement?

Physical Therapy in Sport ◽

10.1016/j.ptsp.2018.08.009 ◽

2018 ◽

Vol 34 ◽

pp. 43-48 ◽

Cited By ~ 2

Author(s):

S. Navarro-Ledesma ◽

M. Fernandez-Sanchez ◽

A. Luque-Suarez

Keyword(s):

Shoulder Pain ◽

Range Of Movement ◽

Pectoralis Minor ◽

Acromiohumeral Distance

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Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions

Physical Therapy ◽

10.2522/ptj.20050218 ◽

2007 ◽

Vol 87 (5) ◽

pp. 497-512 ◽

Cited By ~ 39

Author(s):

Stephanie K Carter ◽

John A Rizzo

Keyword(s):

Physical Therapy ◽

Medical Expenditure Panel Survey ◽

Functional Decline ◽

Medical Expenditure ◽

Advanced Degree ◽

Musculoskeletal Condition ◽

Related Factors ◽

Musculoskeletal Conditions ◽

Therapy Services ◽

Physical Therapy Services

Background and PurposeBecause musculoskeletal conditions contribute to functional decline and activity limitation, physical therapy intervention may be an appropriate health care resource. The purpose of this research was to identify determinants of outpatient physical therapy use by people with musculoskeletal conditions.SubjectsThe subjects were adult noninstitutionalized civilians who participated in the Medical Expenditure Panel Survey from 1996 to 2000 and who had at least one musculoskeletal condition (N=18,546).MethodsLogistic regression was used to identify predisposing, need, and enabling variables associated with receiving outpatient physical therapy services.ResultsFactors that were positively associated with receiving physical therapy services were having more than one musculoskeletal condition, having some limitation in function, having 7 or more ICD-9 (International Classification of Diseases, 9th Revision) codes, having a college or advanced degree, and residing in an urban area. Factors that were negatively associated with receiving physical therapy services were being older than 65 years of age, having no high school degree, Hispanic ethnicity, African-American race, having public insurance or no insurance, and living in any US census region besides the Northeast.Discussion and ConclusionThe results of this study indicate that health- and non–health-related factors influence outpatient physical therapy use.

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