CPR for Cervicothoracic Manipulation and Shoulder Pain: Difference between revisions
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== Rule == | == Rule == | ||
The following five criteria are considered predictors of improved short term shoulder pain prognosis following cervicothoracic manpulation: <br>1. Pain-free shoulder flexion < 120˚<br>2. Shoulder internal rotation < 53˚ @ 90˚ of abduction<br>3. Negative Neer’s Test<br>4. Not taking medications for their shoulder pain<br>5. Symptoms < 90 days<br><br> | The following five criteria are considered predictors of improved short term shoulder pain prognosis following cervicothoracic manpulation: <br>1. Pain-free shoulder flexion < 120˚<br>2. Shoulder internal rotation < 53˚ @ 90˚ of abduction<br>3. Negative Neer’s Test<br>4. Not taking medications for their shoulder pain<br>5. Symptoms < 90 days<br><br> | ||
Diagnostic values of results (95% Confidence Intervals) are as follows: | Diagnostic values of results (95% Confidence Intervals) are as follows: | ||
{| | {| width="715" cellspacing="1" cellpadding="1" border="1" align="left" style="" | ||
|- | |- | ||
| <u>'''Number of Positive Criteria<br>'''</u> | | <u>'''Number of Positive Criteria<br>'''</u> | ||
| '''<u>Sensitivity</u>'''<br> | | '''<u>Sensitivity</u>'''<br> | ||
| <br><u>'''Specificity<br>'''</u><br> | | <br><u>'''Specificity<br>'''</u><br> | ||
| <u>'''Positive Likelihood Ratio'''</u><br> | | <u>'''Positive Likelihood Ratio'''</u><br> | ||
| <u>'''Probability of Success'''</u>(%)<sup>a</sup><u>'''<br>'''</u> | | <u>'''Probability of Success'''</u>(%)<sup>a</sup><u>'''<br>'''</u> | ||
|- | |- | ||
| | | | ||
Met at least 1<br> | Met at least 1<br> | ||
| 1.0 (0.90, 1.0)<br> | | 1.0 (0.90, 1.0)<br> | ||
| 0.19 (0.08, 0.38)<br> | | 0.19 (0.08, 0.38)<br> | ||
| 1.0 (1.2, 1.5)<br> | | 1.0 (1.2, 1.5)<br> | ||
| 61<br> | | 61<br> | ||
|- | |- | ||
| Met at least 2<br> | | Met at least 2<br> | ||
| 0.90 (0.77, 0.96)<br> | | 0.90 (0.77, 0.96)<br> | ||
| 0.61 (0.42, 0.78)<br> | | 0.61 (0.42, 0.78)<br> | ||
| 2.3 (1.5, 3.6)<br> | | 2.3 (1.5, 3.6)<br> | ||
| 78<br> | | 78<br> | ||
|- | |- | ||
| Met at least 3<br> | | Met at least 3<br> | ||
| 0.51 (0.37, 0.65)<br> | | 0.51 (0.37, 0.65)<br> | ||
| 0.90 (0.73, 0.97)<br> | | 0.90 (0.73, 0.97)<br> | ||
| 5.3 (1.7, 16.0)<br> | | 5.3 (1.7, 16.0)<br> | ||
| 89<br> | | 89<br> | ||
|- | |- | ||
| Met at least 4<br> | | Met at least 4<br> | ||
| 0.27 (0.15, .41)<br> | | 0.27 (0.15, .41)<br> | ||
| 1.0 (0.86, 1.0)<br> | | 1.0 (0.86, 1.0)<br> | ||
| ∞<br> | | ∞<br> | ||
| 100<br> | | 100<br> | ||
|- | |- | ||
| Met all 5<br> | | Met all 5<br> | ||
| 0.04 (0.01, 0.15)<br> | | 0.04 (0.01, 0.15)<br> | ||
| 1.0 (0.86, 1.0)<br> | | 1.0 (0.86, 1.0)<br> | ||
| ∞<br> | | ∞<br> | ||
| | | | ||
100 | 100 | ||
|} | |} |
Revision as of 03:37, 19 April 2011
Purpose[edit | edit source]
To identify prognostic factors for individuals with shoulder pain likely to experience improvements in pain and disability following the application of cervicothoracic spine thrust and nonthrust manipulation.
Rule[edit | edit source]
The following five criteria are considered predictors of improved short term shoulder pain prognosis following cervicothoracic manpulation:
1. Pain-free shoulder flexion < 120˚
2. Shoulder internal rotation < 53˚ @ 90˚ of abduction
3. Negative Neer’s Test
4. Not taking medications for their shoulder pain
5. Symptoms < 90 days
Diagnostic values of results (95% Confidence Intervals) are as follows:
Number of Positive Criteria |
Sensitivity |
Specificity |
Positive Likelihood Ratio |
Probability of Success(%)a |
Met at least 1 |
1.0 (0.90, 1.0) |
0.19 (0.08, 0.38) |
1.0 (1.2, 1.5) |
61 |
Met at least 2 |
0.90 (0.77, 0.96) |
0.61 (0.42, 0.78) |
2.3 (1.5, 3.6) |
78 |
Met at least 3 |
0.51 (0.37, 0.65) |
0.90 (0.73, 0.97) |
5.3 (1.7, 16.0) |
89 |
Met at least 4 |
0.27 (0.15, .41) |
1.0 (0.86, 1.0) |
∞ |
100 |
Met all 5 |
0.04 (0.01, 0.15) |
1.0 (0.86, 1.0) |
∞ |
100 |
Table[edit | edit source]
Evidence[edit | edit source]
==
Interventions[edit | edit source]
Manual Techniques for the Cervicothoracic Spine
References[edit | edit source]
Mintken PE, Cleland JA, Carpenter KJ, Bieniek ML, Keirns M, Whitman JM. Some Factors Predict Short-Term Outcomes in Individuals with Shoulder Pain Receiving Cervicothoracic Manipulation: A Single-Arm Trial. Phys Ther. 2010; 90(1): 26-42.