PMID- 23850070 OWN - NLM STAT- MEDLINE DCOM- 20140403 LR - 20220310 IS - 1532-6586 (Electronic) IS - 0161-4754 (Linking) VI - 36 IP - 7 DP - 2013 Sep TI - Immediate effect of scapular repositioning with active cervical rotation in acute spasmodic torticollis. PG - 412-7 LID - S0161-4754(13)00104-8 [pii] LID - 10.1016/j.jmpt.2013.05.020 [doi] AB - OBJECTIVES: The aim of this preliminary study was to investigate the immediate effects on pain and pressure pain threshold (PPT) of a scapular repositioning technique in patients with acute spasmodic torticollis. METHODS: A randomized, single blind pilot study was conducted. The subjects were 23 individuals (age 20-40 years) with a clinical diagnosis of spasmodic torticollis. Visual analog scale pain score, cervical active ranges of motion, and PPT were assessed before and after the intervention. The comparison group was treated with only conventional physiotherapy (microwave diathermy, submaximal isometrics, and ergonomic advice). The intervention group was given scapular repositioning with active cervical rotation technique, in addition to conventional physiotherapy treatment. RESULTS: There were significant improvements in intensity of pain (P < .01), cervical rotation to the ipsilateral side (P < .01), cervical side flexion to the contralateral side (P < .01), and PPT (P < .01) immediately after the treatment of the scapular repositioning and conventional therapy compared with the conventional therapy alone. CONCLUSION: The present pilot study demonstrated that scapular repositioning may have an immediate hypoalgesic effect on individuals with spasmodic torticollis in terms of pain severity, PPT, and cervical range of motion. Therefore, further controlled trials are warranted. CI - Copyright (c) 2013 National University of Health Sciences. Published by Mosby, Inc. All rights reserved. FAU - Desai, Niyati A AU - Desai NA AD - Clinical Physical Therapist, Pravara Institute of Medical Sciences, Loni, Maharashtra State, 413 736 India. niyati.1432@gmail.com FAU - Khatri, Subhash M AU - Khatri SM FAU - Agarwal, Apeksha B AU - Agarwal AB LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20130710 PL - United States TA - J Manipulative Physiol Ther JT - Journal of manipulative and physiological therapeutics JID - 7807107 SB - IM MH - Acute Disease MH - Adult MH - Follow-Up Studies MH - Humans MH - Musculoskeletal Manipulations/*methods MH - Pain Measurement MH - Pain Threshold MH - Patient Satisfaction/statistics & numerical data MH - *Physical Therapy Modalities MH - Pilot Projects MH - Range of Motion, Articular/*physiology MH - Rotation MH - *Scapula MH - Severity of Illness Index MH - Shoulder Joint/physiopathology MH - Single-Blind Method MH - Torticollis/diagnosis/*rehabilitation MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Dyskinesia OT - Hypesthesia OT - Scapula OT - Torticollis EDAT- 2013/07/16 06:00 MHDA- 2014/04/04 06:00 CRDT- 2013/07/16 06:00 PHST- 2012/08/28 00:00 [received] PHST- 2013/03/03 00:00 [revised] PHST- 2013/03/25 00:00 [accepted] PHST- 2013/07/16 06:00 [entrez] PHST- 2013/07/16 06:00 [pubmed] PHST- 2014/04/04 06:00 [medline] AID - S0161-4754(13)00104-8 [pii] AID - 10.1016/j.jmpt.2013.05.020 [doi] PST - ppublish SO - J Manipulative Physiol Ther. 2013 Sep;36(7):412-7. doi: 10.1016/j.jmpt.2013.05.020. Epub 2013 Jul 10.