None listed
Conditions
Brief summary
Joint mobilizations are used for treating patients with shoulder pain, and are performed in different directions. Mobilizations lengthen capsule-ligament structures, impacting on activity of shoulder muscles. Our previous research suggests low intensity mobilizations lead to small changes in shoulder muscle activity. This project will explore whether: (1) shoulder mobilizations lead to changes in shoulder muscle activity; (2) muscle responses vary according to the direction of mobilization. This is a repeated-measures, two-treatment crossover, randomized trial, to assess the effect of shoulder mobilization on shoulder muscle activity levels. The inferior mobilization will consist of repeated glides applied at the shoulder, with the participant’s arm positioned at the end of shoulder abduction range. The posterior mobilization will consist of repeated posterior glides applied at the shoulder, with the participant arm placed at 120 degrees of shoulder abduction.
Interventions
The participants’ shoulder will be passively mobilized by an experienced musculoskeletal physiotherapist. The mobilizations will consist of 3 sets of 60 seconds of passive movement, at a rate of 2 Hz, with 30 seconds interval between sets. This dosage (grade +IV, 2 Hz, three sets of 60 seconds, with 30 seconds interval between sets) is commonly used clinically. Two different shoulder mobilizations will be performed (each mobilization will be performed on a different day).Data collection will take place in two sessions. The second session must occur within 10 days of the first session, and with at least 24 hours interposed. For each experimental condition, the participants’ shoulder will be positioned such that the gleno-humeral capsule and ligaments are lengthened. Thus, when the humerus is mobilized, the gleno-humeral capsule and ligaments will be repetitively stretched through passive mobilization. Each mobilization will be performed on a different day, and the order of the mobilization will be randomized. The inferior mobilization will consist of repeated glides applied at the shoulder, with the participant’s arm positioned at 120 degrees of shoulder abduction. The posterior mobilization will consist of repeated posterior glides applied at the shoulder, with the participant arm positioned in horizontal flexion.
Sponsors
Study design
Eligibility
Inclusion criteria
Participants will be included if they present no current neck and shoulder injuries.
Exclusion criteria
Participants will be excluded if they present any positive response to the cervical and shoulder screening tests.