Cervicothoracic manual therapy: effective in shoulder pain?

Has cervicothoracic manual therapy additional value on top of exercise in the treatment of shoulder pain?

Up until today, exercise seems to be the most effective treatment for pain and disability in the shoulder region. Shoulder pain is often recurrent within the same year. Recent research has shown that exercise is as effective as a costicosteroid injection in non-specific shoulder pain and impingement.

On top of that, it has been shown that 40% of all patients with shoulder pain also present with movement disorders of the cervicothoracic spine.

A clinical prediction rule has been developed which can determine whether manual therapy of the cervicothoracic spine is effective in patients with shoulder pain (at least 3 positive). This prediction rule includes shoulder flexion less than 127, shoulder internal rotation les than 53 in 90 degrees abduction, negative Neer test, less than 90 days symptoms and no medication use.

Curious about the rest of the article?

Not yet a member of the Anatomy & Physiotherapy Society?
Check out the benefits of a membership and give it a try today. 

Already a member? Login here below

Signup for our weekly or monthly newsletter and get notified on updates on the themes you're interested in:

Frequence

Please enable the javascript to submit this form

Anatomy & Physiotherapy
Rijksweg Zuid 99
6134 AA Sittard
The Netherlands

Dutch Chamber
of Commerce 58306862
V.A.T. number 852977177B01
IBAN NL28INGB0008954265

A&P is a brand of