PMID- 25595413
OWN - NLM
STAT- MEDLINE
DCOM- 20161214
LR  - 20220409
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 20
IP  - 4
DP  - 2015 Aug
TI  - Immediate changes in pressure pain sensitivity after thoracic spinal manipulative 
      therapy in patients with subacromial impingement syndrome: A randomized 
      controlled study.
PG  - 540-6
LID - S1356-689X(14)00238-0 [pii]
LID - 10.1016/j.math.2014.12.003 [doi]
AB  - BACKGROUND: Thoracic SMT can improve symptoms in patients with subacromial 
      impingement syndrome. However, at this time the mechanisms of SMT are not well 
      established. It is possible that changes in pain sensitivity may occur following 
      SMT. OBJECTIVES: To assess the immediate pain response in patients with shoulder 
      pain following thoracic spinal manipulative therapy (SMT) using pressure pain 
      threshold (PPT), and to assess the relationship of change in pain sensitivity to 
      patient-rated outcomes of pain and function following treatment. DESIGN: 
      Randomized Controlled Study. METHODS: Subjects with unilateral subacromial 
      impingement syndrome (n = 45) were randomly assigned to receive treatment with 
      thoracic SMT or sham thoracic SMT. PPT was measured at the painful shoulder 
      (deltoid) and unaffected regions (contralateral deltoid and bilateral lower 
      trapezius areas) immediately pre- and post-treatment. Patient-rated outcomes were 
      pain (numeric pain rating scale - NPRS), function (Pennsylvania Shoulder Score - 
      Penn), and global rating of change (GROC). RESULTS: There were no significant 
      differences between groups in pre-to post-treatment changes in PPT (p >/= 0.583) 
      nor were there significant changes in PPT within either group (p >/= 0.372) 
      following treatment. NPRS, Penn and GROC improved across both groups (p < 0.001), 
      but there were no differences between the groups (p >/= 0.574). CONCLUSION: There 
      were no differences in pressure pain sensitivity between participants receiving 
      thoracic SMT versus sham thoracic SMT. Both groups had improved patient-rated 
      pain and function within 24-48 h of treatment, but there was no difference in 
      outcomes between the groups.
CI  - Published by Elsevier Ltd.
FAU - Kardouni, Joseph R
AU  - Kardouni JR
AD  - Total Army Injury and Health Outcomes Database (TAIHOD) Research Team, U.S. Army 
      Research Institute of Environmental Medicine, Natick, MA, USA. Electronic 
      address: joseph.r.kardouni.mil@mail.mil.
FAU - Shaffer, Scott W
AU  - Shaffer SW
AD  - U.S. Army Baylor University Doctoral Program in Physical Therapy, Fort Sam 
      Houston, TX, USA.
FAU - Pidcoe, Peter E
AU  - Pidcoe PE
AD  - Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, 
      USA.
FAU - Finucane, Sheryl D
AU  - Finucane SD
AD  - Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, 
      USA.
FAU - Cheatham, Seth A
AU  - Cheatham SA
AD  - Department of Orthopaedic Surgery, Virginia Commonwealth University Medical 
      Center, Richmond, VA, USA.
FAU - Michener, Lori A
AU  - Michener LA
AD  - Division of Biokinesiology and Physical Therapy, University of Southern 
      California, Los Angeles, CA, USA.
LA  - eng
GR  - UL1TR000058/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
DEP - 20141222
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Female
MH  - Humans
MH  - Male
MH  - Manipulation, Spinal/*methods
MH  - Pain Measurement/*methods
MH  - Range of Motion, Articular/physiology
MH  - Shoulder Impingement Syndrome/*therapy
MH  - *Thoracic Vertebrae
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Pressure pain threshold
OT  - Subacromial impingement
OT  - Thoracic manipulation
EDAT- 2015/01/18 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/01/18 06:00
PHST- 2014/07/03 00:00 [received]
PHST- 2014/11/26 00:00 [revised]
PHST- 2014/12/10 00:00 [accepted]
PHST- 2015/01/18 06:00 [entrez]
PHST- 2015/01/18 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - S1356-689X(14)00238-0 [pii]
AID - 10.1016/j.math.2014.12.003 [doi]
PST - ppublish
SO  - Man Ther. 2015 Aug;20(4):540-6. doi: 10.1016/j.math.2014.12.003. Epub 2014 Dec 
      22.