title: Shoulder functionality after manual therapy in subjects with shoulder impingement syndrome: a case series.
abstract: The aim of the study was to identify the differences in functionality of the upper limb in subjects suffering from shoulder impingement syndrome after intervention by two manual therapy protocols. Randomized, single-blind study with a sample of 22 subjects (58 ± 10.86 years old) divided into two groups. The conventional-group (n = 11) received mobilizations of the shoulder and the experimental-group (n = 11) was treated with soft tissue techniques in the cervical and upper thoracic regions. These two groups received electrotherapy and postural advices. The treatment lasted three weeks (15 daily sessions of 1 h and 30 min). Both active and passive range of motion (ROM) and self-perceived functionality of the upper limb (DASH questionnaire) were measured. The experimental group showed a significant improvement in the DASH scores and both groups improved mobility in the intra-group comparison pre-intervention versus post-intervention (p < .05), but not statistically significant differences were found in the between-group comparison (p > .05). Our results suggest that a combined treatment with electrotherapy, postural hygiene and manual therapy, regardless of the protocol, improves shoulder mobility and functionality.
authors.affiliation: Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, Spain. amheredia@us.es
authors.forename: Alberto Marcos
authors.initials: AM
authors.lastname: Heredia-Rizo
authors.forename: Antonia
authors.initials: A
authors.lastname: López-Hervás
authors.forename: Patricia
authors.initials: P
authors.lastname: Herrera-Monge
authors.forename: Ana
authors.initials: A
authors.lastname: Gutiérrez-Leonard
authors.forename: Fernando
authors.initials: F
authors.lastname: Piña-Pozo
mesh_terms: D000328:Adult; D000368:Aged; D001132:Arm / Q000502:physiology; D053587:Arthrometry, Articular; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology*; D019534:Shoulder Impingement Syndrome / Q000503:physiopathology* / Q000534:rehabilitation / Q000628:therapy*; D012785:Shoulder Joint / Q000502:physiology*; D016896:Treatment Outcome