International Journal of Physiotherapy and Research

Home Editorial Board Author Instructions Manuscript Submission Contactus


Welcome to International Journal of Physiotherapy and Research

b2



b3

Type of Article : Original Research

Year: 2016 | Volume 4 | Issue 3 | Page No. 1510-1517

Date of Publication: 11-06-2016

DOI: 10.16965/ijpr.2016.122

EFFECT OF CERVICO-THORACIC MOBILIZATION ON HEMIPLEGIC SHOULDER PAIN WITH SUPRASPINATUS TENDONITIS DUE TO IMPINGEMENT SYNDROME: AN EXPERIMENTAL STUDY

Snehanjali Jena , Monalisa Pattnaik , Patitapaban Mohanty *.
 
Swami Vivekanand National Institute of Rehabilitation Training and Research, Olatpur, Cuttack, Orissa, India.

Corresponding author: Dr. Patitapaban Mohanty, Ph. D., Assoc. Prof (PT), Swami Vivekanand National Institute of Rehabilitation Training and Research, Olatpur, P O Bairoi, Cuttack, Orissa 754010, India.
E-Mail: ppmphysio@rediffmail.com

Abstract:

Introduction: Biomechanically cervical and thoracic spine is involved in impingement syndrome in hemiplegia. Aim of the study is to find the effect of cervico-thoracic mobilization on hemiplegic shoulder pain with supraspinatus tendonitis due to impingement syndrome.
Materials and Methods: The selected subjects were randomly assigned in to experimental and control groups with 15 subjects each. Experimental group received conventional exercises along with manual therapy i.e. Maitland’s rhythmic oscillatory central PA mobilization of cervico-thoracic spine (C7-T4 vertebra) as tolerated by patient for a periods of 4 weeks. Control group received conventional exercises (stretching of internal rotators, supraspinatus muscle, weight bearing exercise, weight shifting exercises, strengthening, and scapular mobilization). Total duration of treatment was 5 days per week for 4 weeks.
Results: Result of the study suggested that both the control group and experimental group had a significant improvement in pain, ROM and disability in hemiplegic subjects with supraspinatus tendonitis causing impingement syndrome after treatment for 4 weeks. However, the experimental group showed greater change as compared to control group.
Conclusion: The study demonstrates that cervico–thoracic mobilization has better effect in improving pain, ROM and function compared to conventional treatment in hemiplegic subjects with supraspinatus tendonitis due to impingement syndrome.
Key Words: Supraspinatus Tendonitis, Impingement Syndrome, Hemiplegic Shoulder Pain, Mobilization.

References

  1. Randall L. Braddom. Physical medicine and rehabilitation, Saunders; 4th edition (December 21, 2010)
  2. Davies, Patricia M. Steps to follows-the comprehensive treatment of patients with hemiplegia. ISBN 978-3-642-57022-3
  3. Jaraczewska E, Long C. Kinesio® taping in stroke: improving functional use of the upper extremity in hemiplegia. Topics in Stroke rehabilitation. 2006 Jul;13(3):31-42.
  4. Treatment protocol for hemiplegic shoulder pain, toronto rehabilitation institute. NCT01232218, July 2012.
  5. Swati Mehta PhD (cand.), Robert Teasell MD, Norine Foley MSc. Painful hemiplegic shoulder.  evidence based  review of stroke rehabilitation. http://www.ebrsr.com/evidence-review/11-painful-hemiplegic-shoulder.
  6. M sterling, G. Jull, A. Wright , cervical mobilization, concurrent effect on pain, sympathetic activiyu and motor activity,manual therapy,2001;6(2):72-81.
  7. G.D Maitland. Maitland’s vertebral manipulation ,7th edition.
  8. Ivan Bautmans, Judith Van Arken, Mike Van Mackelenberg, and Tony Mets, rehabilitation using manual mobilization for thoracic kyphosis in elderly postmenopausal patients with osteoporosis J Rehabil Med 2010;42:129-135.
  9. Saharmann , S A, does postural assessment contribute to patient care, journal of ortho sports phy therapy, 2002;32(8):376-379.
  10. Gimsby  O & gray JC, interrelationship of the spine to shoulder girdle , in ram Dontalli (ed) , clinics in physical therapy, physical therapy of the shoulder ,3rd edition, new York, Churchill Livingstone, 1997, pp95e129.
  11. Basmajian J V ,1979, muscle alive. Their function revealed by electromyography, 4th edition , William and Wilkins Baltymore.
  12. Basmajian JV. Biofeedback in rehabilitation: A review of principles and practices. Archives of Physical Medicine and Rehabilitation 1981;62:469-475.
  13. Susan B. O'Sullivan , Thomas J. Schmitz. Physical Rehabilitation, 4th edition.
  14. Heng Zhao,Yupeng Ren,Yi-Ning Wu,Shu Q. Liu, and Li-Qun Zhang , Ultrasonic evaluations of Achilles tendon mechanical properties poststroke. J Appl Physiol (1985). 2009 Mar;106(3):843-849.
  15. G Leviseth. Changes in muscle fibre cross sectional area and concentration of Na,K-Atpase in deltoid muscle in patients with impingement syndrome. J ortho sports phy ther,1994;19:146.
  16. Carr, E. K., & Kenney, F. D. Positioning of the stroke patient: a review of the literature. International journal of nursing studies 1992;29(4):355-369.
  17. Well C. Manipulative procedure. I M, wells CE, Sramppom V, Dowsher D(ebs) pain.management and control in physiotherapy. Heimemann physiotherapy London. 1998.
  18. Dr. Dan Pope. Shoulder impingement part- 4. The thoracic spine and rib cage role in impingement , fitness pan free.
  19. Carla Benton. Thoracic manipulation with shoulder dysfunction, physiopedia.
  20. Culham E,Peat M, functional anatomy of the shoulder complex, J of ortho sports physical therapy, 1993;18:342-450.
  21. Magarey ME and Jones MA. Specific evaluation of the function of force couples relevant for stabilization of the glenohumeral joint. Manual Therapy 2003b;8:247-53.
  22. Wright A. Hypoalgesia post-manipulation therapy: a review of a potential neurophysiological mechanism. Manual Therapy 1995;1:11–6.
  23. Vicenzino B, Gutschlag F, Collins D, et al. An investigation of the effects of spinal manual therapy on forequarter pressure and ARTICLE IN PRESS 498 J. Perry, A. Green / Manual Therapy 13 (2008) 492–499Author's personal copy thermal pain thresholds and sympathetic nervous system activity in asymptomatic subjects: a preliminary report. In: Shacklock M, editor. Moving in on pain. Conference proceedings, Adelaide,Australia. Sydney: Butterworth-Heinemann; 1995. P. 185–93.
  24. M sterling, G. Jull, A. Wright , cervical mobilization, concurrent effect on pain, sympathetic activiyu and motor activity,manual therapy,2001;6(2):72-81.
  25. Henry Gray. thoroughly rev. and re-edited by Warren H. Lewis. Anatomy of the human body, 20th ed.
  26. Wainner RS, Whitman JM, Cleland JA, Flynn TW. Regional interdependence: a musculoskeletal examination model whose time has come. J Orthop Sports physther. 2007;37:658-660.
  27. Zusman M. Spinal manipulative therapy: review of some proposed mechanisms and a new hypothesis. Australian Journal of Physiotherapy 1986;32: 89-99.
  28. Zusman M. Mechanism of musculoskeletal physiotherapy. Physical Therapy Reviews 2004;9:39–49.
  29. Katavich L. Differential effects of spinal manipulative therapy on acute and chronic muscle spasm: a proposal for mechanisms and efficacy. Manual Therapy 1998;3:132-9.
  30. Snels, I. A., Dekker, J. H., van der Lee, J. H., Lankhorst, G. J., Beckerman, H., & Bouter, L. M. Treating patients with hemiplegic shoulder pain. American journal of physical medicine & rehabilitation. 2002;81(2):150-160.
  31. Effect of thoracic mobilization on shoulder range of motion,  Creigton university, clinical trial.gov identifier 2012.
  32. Bovend 'Eerdt TJ, Newman M, Barker K, Dawes H, Minelli C, Wade DT. The effects of stretching in spasticity: a systematic review. Arch Phys Med Rehabil. 2008 Jul;89(7):1395-406. Doi: 10.1016/j.apmr.2008.02.015. Epub 2008 Jun 13.
  33. Kebaetse M, mcclure P, Pratt NA. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999 Aug;80(8):945-50.
  34. Lynda mcclatchie, Judi Laprade, Shelley Martin, Susan B. Jaglal,  Denyse Richardson, Anne Agur. Mobilizations of the asymptomatic cervical spine can reduce signs of shoulder dysfunction in adults. Manual Therapy xxx 2008;1–6.
  35. Snels, I. A., Dekker, J. H., van der Lee, J. H., Lankhorst, G. J., Beckerman, H., & Bouter, L. M. Treating patients with hemiplegic shoulder pain. American journal of physical medicine & rehabilitation, 2002;81(2):150-160.
  36. Joshua R mccormack. Use of thoracic spine manipulation in the treatment of adhesive capsulitis: a case report. J Man Manip Ther. 2012 Feb;20(1):28–34.
  37. Warner JJ, micheli LJ, arsalian LE, kennedy J, kennedy R, patterns of flexibility,laxity and strength in normal shoulder and shoulders with instability and impingement,AM j sports med, 1990;18:366-375.
  38. Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther. 2000 Mar;30(3):126-37.  
  39. Najenson, T., Yacubovich, E., & Pikielni, S. S. Rotator cuff injury in shoulder joints of hemiplegic patients. Scandinavian journal of rehabilitation medicine, 1971;3(3):131.

 

Snehanjali Jena, Monalisa Pattnaik, Patitapaban Mohanty. EFFECT OF CERVICO-THORACIC MOBILIZATION ON HEMIPLEGIC SHOULDER PAIN WITH SUPRASPINATUS TENDONITIS DUE TO IMPINGEMENT SYNDROME: AN EXPERIMENTAL STUDY. Int J Physiother Res 2016;4(3):1510-1517. DOI: 10.16965/ijpr.2016.122

b2



b3




Search

Volume 1 (2013)

Volume 2 (2014)

Volume 3 (2015)

Volume 4 (2016)

Submit Manuscript

© 2014 ijmhr.org. IJAR & IJPR. IMED Research Publications Journals