In people with shoulder pain, mobilisation with movement and exercise improves function and pain more than sham mobilisation with movement and exercise: a randomised trial

Review written by Jared Powell info

Key Points

  1. Adding MWM to an exercise program for people with rotator cuff related shoulder pain (RCRSP) improves shoulder function more than sham mobilization with movement (MWM).
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BACKGROUND & OBJECTIVE

Rotator cuff related shoulder pain (RCRSP) is the most common form of shoulder pain, and it frequently manifests as pain and dysfunction during one or more planes of movement – most notably shoulder abduction and external rotation. Therefore, if there was a technique or method that could reliably reduce shoulder pain with a particular movement, it may make life better for the person experiencing the shoulder pain. Enter mobilization with movement (MWM). MWM is basically a joint glide/mobilization applied from an external source (therapist/belt etc.) combined with an active movement, typically in the most affected direction of movement.

The authors of this randomized controlled trial were looking to answer the following question: Does adding a MWM technique to an exercise program make it superior to a sham MWM and exercise program?

Rotator cuff related shoulder pain is the most common form of shoulder pain.
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Adding some manual therapy, of any description, to an exercise program for people with rotator cuff related shoulder pain, may make some people get a bit better a bit quicker.

METHODS

Randomized controlled trial with concealed allocation, blinded outcome assessment and intention-to-treat analysis.

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