Mobilization with movement plus exercise versus exercise alone for patients with central sensitization associated with chronic subacromial pain syndrome: a sham-controlled randomized clinical trial

Review written by Todd Hargrove info

Key Points

  1. In patients with chronic subacromial pain syndrome and central sensitization, mobilization with movement (MWM) plus exercise showed no short-term advantages over sham-MWM or exercise alone.
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BACKGROUND AND OBJECTIVE

Subacromial pain syndrome is a common shoulder condition that can become chronic and involve central sensitization.

Mobilization with movement (MWM) is a manual therapy technique that applies specific joint mobilizations while the patient performs active movements. MWM has shown benefits for shoulder pain, but its effects on central sensitization remain unclear.

This study compared MWM plus exercise to sham-MWM plus exercise and exercise alone in patients with chronic subacromial pain syndrome and signs of central sensitization.

Subacromial pain syndrome is a common shoulder condition that can become chronic and involve central sensitization.
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Clinicians should view this study as tentative evidence that mobilization with movement may improve central sensitization beyond exercise alone.

METHODS

  • 63 adults with chronic subacromial pain syndrome (lasting >three months) and evidence of central sensitization were randomly assigned to three groups: MWM plus exercise, sham-MWM plus exercise, or exercise alone.
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