PMID- 23206969
OWN - NLM
STAT- MEDLINE
DCOM- 20130524
LR  - 20121204
IS  - 1532-6586 (Electronic)
IS  - 0161-4754 (Linking)
VI  - 35
IP  - 9
DP  - 2012 Nov-Dec
TI  - Effects of passive upper extremity joint mobilization on pain sensitivity and 
      function in participants with secondary carpometacarpal osteoarthritis: a case 
      series.
PG  - 735-42
LID - S0161-4754(12)00214-X [pii]
LID - 10.1016/j.jmpt.2012.10.012 [doi]
AB  - OBJECTIVE: The purpose of this case series is to report on the effects of passive 
      joint mobilization (PJM) of the shoulder, elbow, and wrist on pain intensity, 
      pain sensitivity, and function in elderly participants with secondary 
      carpometacarpal osteoarthritis (CMC OA). METHODS: Fifteen inpatients from the 
      Department of Physical Therapy, Residenze Sanitarie Assistenziali, Collegno 
      (Italy), with secondary CMC OA (70-90 years old) were included in this study. All 
      patients received PJM of the dominant arm (shoulder, elbow, and wrist) for 4 
      sessions for 2 weeks. Pain severity was measured by visual analog scale, and pain 
      sensitivity was measured with pressure pain threshold (PPT) at CMC joint, at the 
      tubercle of the scaphoid bone, and at the unciform apophysis of the hamate bone. 
      Tip and tripod pinch strength were measured by a pinch gauge. RESULTS: Passive 
      joint mobilization reduced pain severity after the first follow-up by 30%, in 
      addition to increased PPT by 13% in the hamate bone. Strength was enhanced after 
      treatment. Tripod pinch increased by 18% in the dominant hand after treatment. 
      CONCLUSIONS: This case series provides preliminary evidence that PJM of upper 
      extremity joints diminished pain and may increase PPT tip and tripod pinch in 
      some participants with secondary CMC OA.
CI  - Copyright (c) 2012 National University of Health Sciences. Published by Mosby, Inc. 
      All rights reserved.
FAU - Villafane, Jorge H
AU  - Villafane JH
AD  - Department of Physical Therapy, Residenze Sanitarie Assistenziali A. Maritano, 
      Sangano, Italy. mail@villafane.it
FAU - Silva, Guillermo B
AU  - Silva GB
FAU - Chiarotto, Alessandro
AU  - Chiarotto A
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Manipulative Physiol Ther
JT  - Journal of manipulative and physiological therapeutics
JID - 7807107
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Carpometacarpal Joints/*physiopathology
MH  - Female
MH  - Hand Strength/physiology
MH  - Humans
MH  - Male
MH  - Musculoskeletal Manipulations/*methods
MH  - Osteoarthritis/physiopathology/*therapy
MH  - *Pain Measurement
MH  - Pain Threshold/physiology
MH  - Upper Extremity/*physiology
EDAT- 2012/12/05 06:00
MHDA- 2013/05/28 06:00
CRDT- 2012/12/05 06:00
PHST- 2012/01/06 00:00 [received]
PHST- 2012/04/21 00:00 [revised]
PHST- 2012/05/09 00:00 [accepted]
PHST- 2012/12/05 06:00 [entrez]
PHST- 2012/12/05 06:00 [pubmed]
PHST- 2013/05/28 06:00 [medline]
AID - S0161-4754(12)00214-X [pii]
AID - 10.1016/j.jmpt.2012.10.012 [doi]
PST - ppublish
SO  - J Manipulative Physiol Ther. 2012 Nov-Dec;35(9):735-42. doi: 
      10.1016/j.jmpt.2012.10.012.