The effectiveness of manual therapy in the management of musculoskeletal disorders of the shoulder: A systematic review

Abstract A systematic review of randomised controlled trials (RCTs) was conducted to determine the effectiveness of manual therapy (MT) techniques for the management of musculoskeletal disorders of the shoulder. Seven electronic databases were searched up to January 2007, and reference lists of retr...

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Bibliographic Details
Published in:Manual therapy 2009-10, Vol.14 (5), p.463-474
Main Authors: Ho, Chung-Yee Cecilia, Sole, Gisela, Munn, Joanne
Format: Article
Language:English
Subjects:
Humans
Manual therapy
Massage
Musculoskeletal Diseases - complications
Musculoskeletal Diseases - rehabilitation
Musculoskeletal Manipulations - methods
Neck Pain - rehabilitation
Physical Medicine and Rehabilitation
Randomized Controlled Trials as Topic
Shoulder
Shoulder Impingement Syndrome - rehabilitation
Shoulder Pain - etiology
Shoulder Pain - rehabilitation
Systematic review
Treatment Outcome
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Summary:Abstract A systematic review of randomised controlled trials (RCTs) was conducted to determine the effectiveness of manual therapy (MT) techniques for the management of musculoskeletal disorders of the shoulder. Seven electronic databases were searched up to January 2007, and reference lists of retrieved articles and relevant MT journals were screened. Fourteen RCTs met the inclusion criteria and their methodological qualities were assessed using the PEDro scale. Results were analyzed within diagnostic subgroups (adhesive capsulitis (AC), shoulder impingement syndrome [SIS], non-specific shoulder pain/dysfunction) and a qualitative analysis using levels of evidence to define treatment effectiveness was applied. For SIS, there was no clear evidence to suggest additional benefits of MT to other interventions. MT was not shown to be more effective than other conservative interventions for AC, however, massage and Mobilizations-with-Movement may be useful in comparison to no treatment for short-term outcomes for shoulder dysfunction.
ISSN:1356-689X
1532-2769
DOI:10.1016/j.math.2009.03.008