Manual Therapy

Thoracic Thrust/Manipulation for Shoulder Pain

Francois Prizinski

Mid-Thoracic Thrust performed by Francois Prizinski, DPT, OCS

By: Francois Prizinski, DPT, OCS

There has been growing literature regarding regional interdependence of the lumbar spine and hip and their influence on more distal impairments and symptoms. In this post, I wanted to review the thoracic thrust techniques for their influence on shoulder pain. These articles make you think about the movement diagnosis from local structures and their influences on distal body parts function.

The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. MANUAL THERAPY, 14 (2009) 375–380

“Fifty-six patients (40 males, 16 females; mean age 31.2 8.9) with subacromial impingement syndrome (SIS) underwent a standardized shoulder examination, immediately followed by thoracic spine thrust manipulation (TSTM) techniques. Outcomes measured were the Numeric Pain and Rating Scale (NPRS) and the Shoulder Pain and Disability Index (SPADI), all collected at baseline and at a 48-h follow-up period. Additionally, the Global Rating of Change Scale (GRCS) was collected at 48-h follow-up to measure patient perceived change.At 48-h follow-up, the NPRS change scores for Neer impingement sign, Hawkins impingement sign, resisted empty can, resisted external rotation, resisted internal rotation, and active abduction were all statistically significant (p<0.01). The reduction in the SPADI score was also statistically significant (p < 0.001) and the mean GRCS score 1⁄4 1.4

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