Adding manual therapy to exercise does not improve disability in shoulder pain patients .
Cervicothoracic Manual Therapy Plus Exercise Therapy Versus Exercise Therapy Alone in the Management of Individuals With Shoulder Pain: A Multicenter Randomized Controlled Trial.
J Orthop Sports Phys Ther. 2016 Aug;46(8):617-28. doi: 10.2519/jospt.2016.6319.140 patients experiencing shoulder pain were included in this study to determine if the addition of cervicothoracic manual therapy to exercise therapy resulted in a greater reduction in disability and pain. Patients were randomized to manual therapy plus exercise or exercise alone. Outcomes measures were assessed over a 6-month period including the Shoulder Pain and Disability Index (SPADI), QuickDASH score, a numeric pain rating scale, and additional measures of patient perceived improvement. There were no significant differences in disability and pain measures at any time point over the 6 months. At certain times, the manual therapy group had greater perceived improvement, but these differences were not of clinical relevance.
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