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Restoring Ability To Reach Behind Back

Posted by NAIOMT on Mar 14, 2017 9:37:15 AM

In the manual therapy video below, NAIOMT faculty instructor Bill TemesPT, MS, OCS, COMT, FAAOMPT works with the shoulder to restore range of motion.

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Topics: manual therapy, Manual Therapy, pain, Physical Therapy, shoulder pain, thoracic spine, Thoracic Spine, upper extremity

Abstract of the Week: Thoracic Manual Therapy in The Management of Non-specific Shoulder Pain

Posted by NAIOMT on Apr 4, 2016 9:31:52 PM

How many of you start your shoulder examination with a look at the cervical and thoracic spine? In the absence of trauma it makes the most sense to do a cervical and thoracic scan during the initial evaluation. The scapula is part of the shoulder girdle. A lot of the muscles that attach to the scapula are innervated by the cervical spine. If the patient presents with a cervical dysfunction they can wind up with altered muscle length of muscles that attach to the scapula. This can lead to altered scapula positioning at rest and with motion. If the patient has altered scapula movement it can lead to shoulder impingement during shoulder girdle movements.

The article below demonstrates that patients presenting with shoulder pain who received a thoracic manipulation experienced significant reduction in their shoulder pain and improved function. So don't forget to widen your focus and include the thoracic spine!

Objectives: 

Non-specific shoulder pain (NSSP) is often persistent and disabling leading to high socioeconomic costs. Cervical manipulation has demonstrated improvements in patients with NSSP, although risks associated with thrust techniques are documented. Thoracic manual therapy (TMT) may utilise similar neurophysiological effects with less risk. The current evidence for TMT in treating NSSP is limited to systematic reviews of manual therapy (MT) applied to the upper quadrant. These reviews included trials that used shoulder girdle manual therapy (SG-MT) in the TMT group. This limits the scope of their conclusions with regard to the exclusive effectiveness of TMT for NSSP. Read Methods and Results here.

For a deeper look into effectively treating a host of conditions, browse these upcoming manual therapy courses offered across the country.

**Abstract of the week shared by NAIOMT Instructor Stacy Soappman, PT, DSc, COMT, FAAOMPT.

 

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Topics: Abstract of the Week, cervical spine, Cervical Spine, shoulder pain, thoracic manual therapy, thoracic spine, Thoracic Spine, upper quadrant

Abstract of the Week: Thoracic Manual Therapy For Shoulder Pain

Posted by NAIOMT on Dec 7, 2015 10:07:54 PM

Abstract: Thoracic manual therapy in the management of non-specific shoulder pain

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Topics: abstract, Abstract of the Week, manual therapy, shoulder pain, thoracic spine, upper extremity

Abstract of The Week: Effect of Dry Needling for Myofascial Trigger Points in the Neck and Shoulders

Posted by NAIOMT on Sep 14, 2015 12:45:55 PM

Abstract: The effect of dry needling for myofascial trigger points in the neck and shoulders: a systematic review and meta-analysis. Ong J1, Claydon LS2.
This systematic review and meta-analysis sought investigate the efficacy of dry needling of myofascial trigger points in the neck and shoulders. Four of the quality articles reviewed compared dry needling to lidocaine injections on pain relief.

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Topics: Abstract of the Week, Dry Needling, dry needling course, Manual Therapy, neck pain, shoulder pain, TPDN

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