Evidence-Based Upper Extremity Thrust Manipulation

Author (Year)	Level of Evidence	Pathology	Upper Extremity Manipulation(s) Performed
Struijs et al. (2003)	1b	Lateral Epicondylitis	Wrist manipulated from neutral position to maximal extension
Nagrale et al. (2009)	1b	Lateral Epicondylitis	Mill's manipulation
Goyal et al. (2013)	1b	Lateral Epicondylitis	Wrist manipulation (Scaphoid)
Kearns et al. (2012)	5	Cubital Tunnel Syndrome	Lateral thrust manipulation of humeral ulnar joint Palmar thrust manipulation of triquetrum on hamate
Sucher BM (1994)		Carpal Tunnel Syndrome	Opponens roll
Siu et al. (2012)		Carpal Tunnel Syndrome	Opponens roll Carpal bone HVLA Metacarophalangeal joint HVLA Carpometacarpal joint HVLA Posterior radial head HVLA

References

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; 83:608-616.

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.