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Titre : | Osteopathic treatment of patients with shoulder pain. A pragmatic randomized controlled trial (2020) |
Auteurs : | Florian Schwerla ; Torsten Hinse ; Markus Klosterkamp ; Thomas Schmitt ; Michaela Rütz ; Karl-Ludwig Resch |
Type de document : | Article |
Dans : | Journal of Bodywork and Movement Therapies (Vol. 24, n° 3, July 2020) |
Article en page(s) : | p. 21-28 |
Note générale : | doi:10.1016/j.jbmt.2020.02.009 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Manipulation ostéopathique ; Ostéopathie ; Scapulalgie |
Résumé : |
Background:
Shoulder complaints are common in the general population. Typically, the diagnosis of a specific pathology is lacking. The objective of this trial was to evaluate the effectiveness of an osteopathic treatment in patients suffering from shoulder pain. Methods: A pragmatic randomized controlled trial was conducted in patients with a history of shoulder pain of 6 weeks to 12 months, and a pain intensity level of at least 40% on the visual analogue scale (VAS). Participants were identified from the general population in Germany and allocated by means of external randomization to an intervention group or a control group. Patients in the intervention group received five osteopathic treatments at intervals of two weeks. Treatment was custom tailored and based on osteopathic principles. Controls received their osteopathic treatment after an 8-week untreated waiting period. Primary outcome parameters were pain intensity and frequency, measured by VAS and Likert Scales. Secondary outcome parameters were shoulder specific pain and disability (Shoulder Pain and Disability Index, SPADI), and quality of life (SF-36). Results: A total of 70 patients aged 2570 years (average age 45.6 ± 13.4 years) were included, 36 in the intervention group and 34 in the control group. The inter-group comparison of changes revealed clinically relevant improvements in favor of the intervention group for the main outcome parameters maximal pain intensity (VAS: between group difference of means 41.5; 95% CI: 34.6 to 48.3; p Conclusions: Five osteopathic treatments over a period of eight weeks led to statistically significant and clinically relevant positive changes of pain and disability in patients suffering from shoulder pain. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1360859220300322 |