Evidence-Based Upper Extremity Thrust Manipulation
Evidence Summary Table
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Author (Year) | Level of Evidence | Pathology | Upper Extremity Manipulation(s) Performed |
Struijs et al. (2003)[1] | 1b | Lateral Epicondylitis |
|
Nagrale et al. (2009)[2] | 1b | Lateral Epicondylitis |
|
Goyal et al. (2013)[3] | 1b | Lateral Epicondylitis |
|
Kearns et al. (2012)[4] | 4 | Cubital Tunnel Syndrome |
|
Sucher BM (1994)[5] | 1b |
Carpal Tunnel Syndrome |
|
Siu et al. (2012)[6] | 5 |
Carpal Tunnel Syndrome |
|
Lateral Epicondylitis
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Struijs et al. (2003)
• Manipulations Performed
o Wrist manipulated from neutral position to maximal extension
• Results
o Following 3 weeks of treatment, 62% of patients receiving wrist thrust manipulations reported being “much improved” or “completely improved” on a 6-point scale, while only 20% of patients from the control group were able to achieve those outcomes
o Manipulation of the wrist might have additional treatment effects compared with ultrasound, friction massage, and muscle stretching and strengthening exercises for management of lateral epicondylitis over the short term
Nagral et al. (2009)
Goyal et al. (2013)
Cubital Tunnel Syndrome[edit | edit source]
Kearns et al. (2012)
Carpal Tunnel Syndrome[edit | edit source]
Sucher BM (1994)
Siu et al. (2012)
References
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1. Struijs P, Damen PJ, Bakker E, Blankevoort L, Assendelft W, Dijk CN. Manipulation of the Wrist for Management of Lateral Epicondylitis: A Randomized Pilot Study. Phys Ther 2003; 83(7):608-616.
2. Nagrale AV, Herd CR, Ganvir S, Remteke G. Cyriax physiotherapy versus phonophoresis with supervised exercises in subjects with lateral epicondylagia: a randomized clinical trial. J Man Manip Ther. 2009; 17(3): 171-8.
3. Goyal M, Kumar A, Monga M, Moitra M. Effect of Wrist Manipulation & Cyriax Physiotherapy Training on Pain & Grip Strength in Lateral Epicondylitis Patients. J Ex Sci Physiother. 2003; 9(1): 17-22.
4. Kearns G, Sharon W. Medical diagnosis of cubital tunnel syndrome ameliorated with thrust manipulation of the elbow and carpals. J Man Manip Ther. 2012; 20(2): 90-95.
5. Sucher BM. Palpatory diagnosis and manipulative management of carpal tunnel syndrome. J Am Osteopath Assoc. 1994; 94(8): 647-63.
6. Siu G, Jaffe JD, Rafique M, Weinik MM. Osteopathic Manipulative Medicine for Carpal Tunnel Syndrome. J Am Osteopath Assoc. 2012; 112(3): 127-139.
- ↑ Struijs P, Damen PJ, Bakker E, Blankevoort L, Assendelft W, Dijk CN. Manipulation of the Wrist for Management of Lateral Epicondylitis: A Randomized Pilot Study. Phys Ther 2003; 83:608-616.
- ↑ Nagrale AV, Herd CR, Ganvir S, Remteke G. Cyriax physiotherapy versus phonophoresis with supervised exercises in subjects with lateral epicondylagia: a randomized clinical trial. J Man Manip Ther. 2009; 17(3): 171-8.
- ↑ Goyal M, Kumar A, Monga M, Moitra M. Effect of Wrist Manipulation & Cyriax Physiotherapy Training on Pain & Grip Strength in Lateral Epicondylitis Patients. J Ex Sci Physiother. 2003; 9(1): 17-22.
- ↑ Kearns G, Sharon W. Medical diagnosis of cubital tunnel syndrome ameliorated with thrust manipulation of the elbow and carpals. J Man Manip Ther. 2012; 20(2): 90-95.
- ↑ Sucher BM. Palpatory diagnosis and manipulative management of carpal tunnel syndrome. J Am Osteopath Assoc. 1994; 94(8): 647-63.
- ↑ Siu G, Jaffe JD, Rafique M, Weinik MM. Osteopathic Manipulative Medicine for Carpal Tunnel Syndrome. J Am Osteopath Assoc. 2012; 112(3): 127-139.