Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic spinal manipulation in addition to shoulder mobilization and exercise for improving range of motion, pain, physical function and fear avoidance beliefs in patients with subacromial shoulder impingement. Hypotheses It is hypothesized that those subjects who receive spinal manipulation in addition to shoulder mobilization and exercise will achieve greater improvements in range of motion, pain, function and fear avoidance beliefs at two weeks following treatment conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the subjects who did not receive the spinal manipulation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
University of Illinois at Chicago
Chicago, Illinois, United States
Physical Therapy Services
Elizabethton, Tennessee, United States
East Tennessee State University
Johnson City, Tennessee, United States
Shoulder Pain and Disability Index Change over time
Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks
Time frame: 2 weeks, 4 weeks, discharge
Numeric Pain Rating Scale change over time
Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks
Time frame: 2 weeks, 4 weeks, discharge
Fear Avoidance Beliefs Questionnaire change over time
Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks
Time frame: 2 weeks, 4 weeks, discharge
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