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Comparison of Manual Therapy Technique to Therapeutic Exercise in the Treatment of Patients With Subacromial Impingement Syndrome: A Randomized Clinical Trial.

Authors: Zeynab Azin, Fahimeh Kamali, Nasrin Salehi Dehno, Sara Abolahrari-ShiraziJournal: Journal of manipulative and physiological therapeuticsPublished: November 1, 2023DOI: 10.1016/j.jmpt.2023.06.002
Q2 JournalSJR: 1.234h-index: 100SCImago
Strong EvidenceRandomized Controlled Trialn=60 participants

In Plain Language

This study examined the effects of manual therapy versus therapeutic exercise on shoulder pain and mobility in patients with subacromial impingement syndrome. It was found that both treatments significantly improved shoulder pain and range of motion, with manual therapy leading to greater reductions in pain. This research is important as it helps healthcare providers understand effective treatment options for this common condition.

Key Findings: what this randomised trial found

  • ✓Both manual therapy and therapeutic exercise improved shoulder pain, disability, and range of motion (P < .05).
  • ✓The manual therapy group showed a larger reduction in shoulder pain compared to the therapeutic exercise group (P < .001).
  • ✓Both groups exhibited similar improvements in disability and range of motion post-treatment and at follow-up.

What This Means for You

For individuals considering reflexology treatment for shoulder pain, this study suggests that manual therapy may provide more effective pain relief compared to exercise alone. Those with subacromial impingement syndrome might benefit greatly from consulting a practitioner who specializes in manual therapy techniques.

What This Means for Practitioners

Reflexology practitioners can apply these findings by recognizing the potential benefits of manual therapy techniques for patients suffering from shoulder pain. This information may enhance their treatment plans by integrating similar approaches focused on pain reduction and improved mobility.

Study Design: how this randomised trial was run

Blinding
single blind
Control
none
Duration
1 month
Sample Size
60 participants

Limitations: what it cannot tell you

The study did not utilize a placebo group, which may limit the generalizability of the results. Further research is needed to explore the long-term effects of both treatments.

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Common questions about this study

What does this study mean in practice?

For individuals considering reflexology treatment for shoulder pain, this study suggests that manual therapy may provide more effective pain relief compared to exercise alone. Those with subacromial impingement syndrome might benefit greatly from consulting a practitioner who specializes in manual therapy techniques.

What did this study find?

Both manual therapy and therapeutic exercise improved shoulder pain, disability, and range of motion (P < .05). The manual therapy group showed a larger reduction in shoulder pain compared to the therapeutic exercise group (P < .001). Both groups exhibited similar improvements in disability and range of motion post-treatment and at follow-up.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 60 participants. It was published in Journal of manipulative and physiological therapeutics, a Q2 journal. This study is indexed here for context; it did not test reflexology itself.

What are the limitations of this study?

The study did not utilize a placebo group, which may limit the generalizability of the results. Further research is needed to explore the long-term effects of both treatments.

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