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Grimes, Jason K. - One of the best experts on this subject based on the ideXlab platform.

  • The Comparative Effects of Upper Thoracic Spine Thrust Manipulation Techniques in Individuals With Subacromial Pain Syndrome: A Randomized Clinical Trial
    'Journal of Orthopaedic & Sports Physical Therapy (JOSPT)', 2019
    Co-Authors: Grimes, Jason K., Puentedura Emilio, Cheng M. Samuel, Seitz, Amee L.
    Abstract:

    Study Design: Randomized clinical trial. Background: Shoulder pain is a common musculoskeletal disorder encountered by physical therapists with as much as 44% of shoulder pain attributed to subacromial pain syndrome (SPS). Thoracic spine thrust manipulation (TSTM) has been reported to be effective in the short-term for improving pain and function in individuals with SPS, but the mechanisms of this remain elusive. Furthermore, it is unknown whether individuals with SPS respond differently based on the TSTM technique received. Objectives: The purpose of this study was to compare the immediate effects of a supine TSTM, seated TSTM, and sham manipulation on the primary outcomes of self-reported pain, function, and satisfaction and secondary biomechanical impairments examined in individuals with SPS. Methods: Sujects were randomized to receive a seated TSTM (n=20), supine TSTM (n=20), or sham manipulation (n=20). The primary outcomes of self-reported pain, function, and satisfaction were measured through the Penn Shoulder Score. Secondary outcomes were changes in scapular upward rotation and posterior tilt, peak force generated in tests for the middle trapezius, lower trapezius, and serratus anterior, and Pectoralis Minor Muscle length. Impairment measures were immediately reassessed and the Penn Shoulder Score was reassessed at 48 hours. Results: There were no significant between group differences in immediate or short-term follow-up outcomes. Conclusions: Two TSTM techniques resulted in no differences in pain, satisfaction and function when compared to a sham. TSTM does not appear to have an immediate effect on the scapular impairments examined. Level of Evidence: Therapy, level 1

  • The Immediate Effects of a Seated versus Supine Upper Thoracic Spine Thrust Manipulation Compared to Sham Manipulation in Individuals with Subacromial Pain Syndrome – A Randomized Controlled Trial
    DigitalCommons@SHU, 2017
    Co-Authors: Grimes, Jason K.
    Abstract:

    Background: Individuals with Subacromial Pain Syndrome (SPS) often present with a variety of contributing factors. It is possible that a subgroup exists within SPS that has primary impairments of scapular mobility and/or Muscle strength. In an attempt to better identify scapular contributions in SPS, the Scapular Assistance Test (SAT) and Scapula Reposition Test (SRT) have been described. Additionally, thoracic spine thrust manipulation has been shown to be effective for shoulder pain. Problem Statement: It is currently unknown whether or not there are impairments in scapulothoracic Muscle force generation or scapular mobility in individuals with SPS who have positive results on the SAT and SRT. It also remains unknown whether individuals with SPS respond differently in the immediate effects on scapular motion, scapulothoracic Muscle force generation, pain, or function following different manipulation techniques. Methodology: Sixty subjects with shoulder pain were enrolled in the study. Baseline measures were obtained for scapular upward rotation and posterior tilt, scapulothoracic Muscle force generation, Pectoralis Minor Muscle length, pain, and function. Participants were randomized to receive a seated thrust manipulation, supine thrust manipulation, or sham manipulation. Measures were reassessed immediately after treatment and the Penn Shoulder Score (PSS) was reassessed at 48 hours. Results: The results indicated no significant differences in scapular upward rotation or posterior tilt, or Muscle force generation based on the results of the SAT or SRT. There was a small but significant difference in Pectoralis Minor Muscle length based on the result of the SAT. There were no significant between-group differences in scapular motion, Muscle force generation, or Pectoralis Minor Muscle length based on the treatment received. There were no significant differences in 48-hour improvement in pain, function, satisfaction, and total PSS scores. Small but significant within group changes existed on several measures. Discussion: The SAT and SRT may be ineffective in differentiating scapular movement associated impairments. Thoracic spine thrust manipulation resulted in no greater immediate improvements in scapular motion, strength, Pectoralis Minor Muscle length, pain, or function compared to a sham treatment. The improvements in pain and function are likely not biomechanical in nature and are likely not derived from the manipulative thrust

Seitz, Amee L. - One of the best experts on this subject based on the ideXlab platform.

  • The Comparative Effects of Upper Thoracic Spine Thrust Manipulation Techniques in Individuals With Subacromial Pain Syndrome: A Randomized Clinical Trial
    'Journal of Orthopaedic & Sports Physical Therapy (JOSPT)', 2019
    Co-Authors: Grimes, Jason K., Puentedura Emilio, Cheng M. Samuel, Seitz, Amee L.
    Abstract:

    Study Design: Randomized clinical trial. Background: Shoulder pain is a common musculoskeletal disorder encountered by physical therapists with as much as 44% of shoulder pain attributed to subacromial pain syndrome (SPS). Thoracic spine thrust manipulation (TSTM) has been reported to be effective in the short-term for improving pain and function in individuals with SPS, but the mechanisms of this remain elusive. Furthermore, it is unknown whether individuals with SPS respond differently based on the TSTM technique received. Objectives: The purpose of this study was to compare the immediate effects of a supine TSTM, seated TSTM, and sham manipulation on the primary outcomes of self-reported pain, function, and satisfaction and secondary biomechanical impairments examined in individuals with SPS. Methods: Sujects were randomized to receive a seated TSTM (n=20), supine TSTM (n=20), or sham manipulation (n=20). The primary outcomes of self-reported pain, function, and satisfaction were measured through the Penn Shoulder Score. Secondary outcomes were changes in scapular upward rotation and posterior tilt, peak force generated in tests for the middle trapezius, lower trapezius, and serratus anterior, and Pectoralis Minor Muscle length. Impairment measures were immediately reassessed and the Penn Shoulder Score was reassessed at 48 hours. Results: There were no significant between group differences in immediate or short-term follow-up outcomes. Conclusions: Two TSTM techniques resulted in no differences in pain, satisfaction and function when compared to a sham. TSTM does not appear to have an immediate effect on the scapular impairments examined. Level of Evidence: Therapy, level 1

Puentedura Emilio - One of the best experts on this subject based on the ideXlab platform.

  • The Comparative Effects of Upper Thoracic Spine Thrust Manipulation Techniques in Individuals With Subacromial Pain Syndrome: A Randomized Clinical Trial
    'Journal of Orthopaedic & Sports Physical Therapy (JOSPT)', 2019
    Co-Authors: Grimes, Jason K., Puentedura Emilio, Cheng M. Samuel, Seitz, Amee L.
    Abstract:

    Study Design: Randomized clinical trial. Background: Shoulder pain is a common musculoskeletal disorder encountered by physical therapists with as much as 44% of shoulder pain attributed to subacromial pain syndrome (SPS). Thoracic spine thrust manipulation (TSTM) has been reported to be effective in the short-term for improving pain and function in individuals with SPS, but the mechanisms of this remain elusive. Furthermore, it is unknown whether individuals with SPS respond differently based on the TSTM technique received. Objectives: The purpose of this study was to compare the immediate effects of a supine TSTM, seated TSTM, and sham manipulation on the primary outcomes of self-reported pain, function, and satisfaction and secondary biomechanical impairments examined in individuals with SPS. Methods: Sujects were randomized to receive a seated TSTM (n=20), supine TSTM (n=20), or sham manipulation (n=20). The primary outcomes of self-reported pain, function, and satisfaction were measured through the Penn Shoulder Score. Secondary outcomes were changes in scapular upward rotation and posterior tilt, peak force generated in tests for the middle trapezius, lower trapezius, and serratus anterior, and Pectoralis Minor Muscle length. Impairment measures were immediately reassessed and the Penn Shoulder Score was reassessed at 48 hours. Results: There were no significant between group differences in immediate or short-term follow-up outcomes. Conclusions: Two TSTM techniques resulted in no differences in pain, satisfaction and function when compared to a sham. TSTM does not appear to have an immediate effect on the scapular impairments examined. Level of Evidence: Therapy, level 1

Cheng M. Samuel - One of the best experts on this subject based on the ideXlab platform.

  • The Comparative Effects of Upper Thoracic Spine Thrust Manipulation Techniques in Individuals With Subacromial Pain Syndrome: A Randomized Clinical Trial
    'Journal of Orthopaedic & Sports Physical Therapy (JOSPT)', 2019
    Co-Authors: Grimes, Jason K., Puentedura Emilio, Cheng M. Samuel, Seitz, Amee L.
    Abstract:

    Study Design: Randomized clinical trial. Background: Shoulder pain is a common musculoskeletal disorder encountered by physical therapists with as much as 44% of shoulder pain attributed to subacromial pain syndrome (SPS). Thoracic spine thrust manipulation (TSTM) has been reported to be effective in the short-term for improving pain and function in individuals with SPS, but the mechanisms of this remain elusive. Furthermore, it is unknown whether individuals with SPS respond differently based on the TSTM technique received. Objectives: The purpose of this study was to compare the immediate effects of a supine TSTM, seated TSTM, and sham manipulation on the primary outcomes of self-reported pain, function, and satisfaction and secondary biomechanical impairments examined in individuals with SPS. Methods: Sujects were randomized to receive a seated TSTM (n=20), supine TSTM (n=20), or sham manipulation (n=20). The primary outcomes of self-reported pain, function, and satisfaction were measured through the Penn Shoulder Score. Secondary outcomes were changes in scapular upward rotation and posterior tilt, peak force generated in tests for the middle trapezius, lower trapezius, and serratus anterior, and Pectoralis Minor Muscle length. Impairment measures were immediately reassessed and the Penn Shoulder Score was reassessed at 48 hours. Results: There were no significant between group differences in immediate or short-term follow-up outcomes. Conclusions: Two TSTM techniques resulted in no differences in pain, satisfaction and function when compared to a sham. TSTM does not appear to have an immediate effect on the scapular impairments examined. Level of Evidence: Therapy, level 1

A Cotten - One of the best experts on this subject based on the ideXlab platform.

  • imaging assessment of thoracic outlet syndrome
    Radiographics, 2006
    Co-Authors: Xavier Demondion, Pascal Herbinet, Serge Van Sint Jan, Nathalie Boutry, Christophe Chantelot, A Cotten
    Abstract:

    The thoracic outlet includes three compartments (the interscalene triangle, costoclavicular space, and retroPectoralis Minor space), which extend from the cervical spine and mediastinum to the lower border of the Pectoralis Minor Muscle. Dynamically induced compression of the neural, arterial, or venous structures crossing these compartments leads to thoracic outlet syndrome (TOS). The diagnosis is based on the results of clinical evaluation, particularly if symptoms can be reproduced when various dynamic maneuvers, including elevation of the arm, are undertaken. However, clinical diagnosis is often difficult; thus, the use of imaging is required to demonstrate neurovascular compression and to determine the nature and location of the structure undergoing compression and the structure producing the compression. Cervical plain radiography should be performed first to assess for bone abnormalities and to narrow the differential diagnosis. Computed tomographic (CT) angiography or magnetic resonance (MR) imaging performed in association with postural maneuvers is helpful in analyzing the dynamically induced compression. B-mode and color duplex ultrasonography (US) are good supplementary tools for assessment of vessel compression in association with postural maneuvers, especially in cases with positive clinical features of TOS but negative features of TOS at CT and MR imaging. US may also allow analysis of the brachial plexus. However, MR imaging remains the method of choice when searching for neurologic compression.