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Manual therapy and exercise for rotator cuff disease.

Authors: Matthew J Page, Sally Green, Brodwen McBain, Stephen J Surace, Jessica Deitch, Nicolette Lyttle et al.Journal: The Cochrane database of systematic reviewsPublished: August 17, 2016DOI: 10.1002/14651858.CD012224
Q1 JournalSJR: 4.8h-index: 291SCImago
Moderate EvidenceMeta Analysisn=3620 participants

In Plain Language

The study investigated the effectiveness of manual therapy and exercise for treating rotator cuff disease compared to other interventions like placebo. The findings showed a moderate improvement in pain and function in patients who received manual therapy and exercise. These results suggest that this approach could be beneficial for individuals suffering from shoulder pain.

Key Findings: what this meta-analysis found

  • ✓Only one trial showed a clinically important difference between manual therapy/exercise and placebo.
  • ✓Patients receiving manual therapy and exercise reported a 6.8 point better adjustment in pain than placebo on a 100-point scale.
  • ✓57% of participants noted treatment success with manual therapy/exercise compared to 41% with placebo.
  • ✓Adverse events were reported more frequently in the manual therapy group but were mostly mild.

What This Means for You

For someone considering reflexology treatment for rotator cuff disease, the results indicate that combining manual therapy and exercise may lead to improved pain and functional outcomes, suggesting a positive approach to managing their condition.

What This Means for Practitioners

A reflexology practitioner could integrate these findings by emphasizing the value of manual techniques alongside exercise regimens to enhance patient outcomes for those dealing with shoulder pain.

Study Design: how this meta-analysis was run

Blinding
open label
Control
placebo
Duration
22 weeks
Sample Size
3620 participants

Limitations: what it cannot tell you

The study included only a limited number of trials that directly compared manual therapy and exercise to other effective treatments, leading to uncertainties in the findings.

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Common questions about this study

What does this study mean in practice?

For someone considering reflexology treatment for rotator cuff disease, the results indicate that combining manual therapy and exercise may lead to improved pain and functional outcomes, suggesting a positive approach to managing their condition.

What did this study find?

Only one trial showed a clinically important difference between manual therapy/exercise and placebo. Patients receiving manual therapy and exercise reported a 6.8 point better adjustment in pain than placebo on a 100-point scale. 57% of participants noted treatment success with manual therapy/exercise compared to 41% with placebo.

How strong is this evidence?

This is a meta-analysis and we rate its evidence moderate. It covers 3,620 participants. It was published in The Cochrane database of systematic reviews, a Q1 journal. This study is indexed here for context; it did not test reflexology itself.

What are the limitations of this study?

The study included only a limited number of trials that directly compared manual therapy and exercise to other effective treatments, leading to uncertainties in the findings.

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