Manual physical therapy for injection-confirmed nonacute acromioclavicular joint pain

Prospective single-cohort study. To determine and document changes in pain and disability in patients with primary, nonacute acromioclavicular joint (ACJ) pain treated with a manual therapy approach. To our knowledge, there are no published studies on the physical therapy management of nonacute ACJ...

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Bibliographic Details
Published in:The journal of orthopaedic and sports physical therapy 2012-02, Vol.42 (2), p.66-80
Main Authors: Harris, Kevin D, Deyle, Gail D, Gill, Norman W, Howes, Robert R
Format: Article
Language:English
Subjects:
Acromioclavicular Joint - drug effects
Acromioclavicular Joint - physiopathology
Adult
Cohort Studies
Female
Humans
Injections
Male
Middle Aged
Pain Management - methods
Pain Measurement
Physical Therapy Modalities
Prospective Studies
Texas
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Summary:Prospective single-cohort study. To determine and document changes in pain and disability in patients with primary, nonacute acromioclavicular joint (ACJ) pain treated with a manual therapy approach. To our knowledge, there are no published studies on the physical therapy management of nonacute ACJ pain. Manual physical therapy has been successful in the treatment of other shoulder conditions. The chief inclusion criterion was greater than 50% pain relief with an ACJ diagnostic injection. Patients were excluded if they had sustained an ACJ injury within the previous 12 months. Treatment was conducted utilizing a manual physical therapy approach that addressed all associated impairments in the shoulder girdle and cervicothoracic spine. The primary outcome measure was the Shoulder Pain and Disability Index. Secondary measures were the American Shoulder and Elbow Surgeon and global rating of change scales. Outcomes were collected at baseline, 4 weeks, and 6 months. The Shoulder Pain and Disability Index and American Shoulder and Elbow Surgeon scale values were analyzed with a repeated-measures analysis of variance. Thirteen patients (11 male; mean ± SD age, 41.1 ± 9.6 years) completed treatment consisting of an average of 6.4 sessions. Compared to baseline, there was a statistically significant and clinically meaningful improvement for the Shoulder Pain and Disability Index at 4 weeks (P = .001; mean, 25.9 points; 95% confidence interval [CI]: 11.9, 39.8) and 6 months (P
ISSN:0190-6011
1938-1344
DOI:10.2519/jospt.2012.3866