Investigating the effects of mobilization with movement and exercise on pain modulation processes in shoulder pain - a single cohort pilot study with short-term follow up

Author(s)

Haik, Melina N. ; Evans, Kerrie ; Smith, Ashley ; Bisset, Leanne

• Document type: Journal article
• Source: OURNAL OF MANUAL & MANIPULATIVE THERAP; v. N/A, p. 10-pg., 2022-02-11.

Abstract

Objective: To explore the association between manual therapy and exercise and pain modulation and clinical characteristics in people with musculoskeletal shoulder pain. Methods: This is a prospective, longitudinal, single cohort pilot study. People with shoulder pain for longer than 6 weeks underwent 4 weeks of glenohumeral mobilization with movement and shoulder exercises. Measures of pain modulation, shoulder pain, disability, range of motion and psychosocial factors were assessed at baseline and immediately after the 4-week period of treatment. Treatment effectiveness was assessed through parametric, non-parametric and multilevel modeling statistics. Results: Twenty-three individuals participatedwith no loss to follow-up. Significant and meaningful improvements in shoulder pain (NRS mean change 1.6/10, 95% CI 0.4 to 2.7), disability (SPADI mean change 20.5/100, 95% CI 13.1 to 27.9) and range of motion (mean change 33 degrees, 95% CI 23 to 43 degrees) were observed following treatment. Statistical but non-clinically meaningful changes were observed in temporal summation of pain (mean change 0.3/10, 95% CI 0.1 to 0.4) and anxiety (mean change 0.86/21, 95% CI 0.18 to 1.55). Significant reductions were observed in temporal summation of pain (mean change 0.3/10, 95% CI 0.1 to 0.4) and anxiety (mean change 0.86/21, 95% CI 0.18 to 1.55), however these were not considered clinically important. No association was found between clinical characteristics and sensory measures. No association was found between clinical characteristics and sensory measures. Conclusion: Glenohumeral mobilization with movement and exercise did not improve pain modulation, despite improvements in pain, function and range of motion, in people with shoulder pain. (AU)

• FAPESP's process: 14/06004-0 - The effect of Mulligan's Mobilisation-with-Movement (MWM) manual therapy technique on glenohumeral and scapular kinematics
• Grantee: Melina Nevoeiro Haik Guilherme
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate
• FAPESP's process: 13/07120-1 - Effects of thoracic spinal manipulation on scapular kinematics, pain and scapulothoracic muscles in asymptomatic and shoulder impingement syndrome subjects - randomized controlled trial
• Grantee: Melina Nevoeiro Haik Guilherme
• Support Opportunities: Scholarships in Brazil - Doctorate