A study by Temple University College of Public Health associate professor Dr. Scott Burns has found that a clinical prediction rule intended to determine whether patients with shoulder pain are likely to benefit from cervicothoracic manipulation could not be validated.
The paper, published in the April issue of the Journal of Orthopaedic and Sports Physical Therapy, reported researchers’ study of 140 participants reporting shoulder pain who were randomly assigned to receive either two sessions of range-of-motion exercises plus six sessions of stretching and strengthening exercises or two sessions of cervicothoracic manipulation and range-of-motion exercises followed by six sessions of stretching and strengthening exercise. Outcomes of disability and pain showed no significant three-way interactions for any of the predictor variables.
“The results of the current study did not validate the previously identified prognostic variables; therefore, we cannot support using these in clinical practice,” the authors wrote.
Dr. Burns coauthored the study with researchers from the University of Colorado School of Medicine, University of Colorado-Boulder, University of Southern California, University of Puget Sound, Franklin Pierce University, and four clinical facilities across the United States.
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