Purpose: Identify individuals with shoulder pain who are likely to experience immediate improvement in pain and disability following cervical and thoracic spine manipulation.

Stage of CPR Development: Invalidated (Mintken et al., 2017)

Rule:

1. Pain-free shoulder flexion < 127°
2. Shoulder internal rotation < 53° at 90° of abduction
3. Negative Neer test
4. Not taking medications for their shoulder pain
5. Symptoms less than 90 days

Derivation Study (Mintken et al., 2010):

Variables Sensitivity Specificity +LR Prob of Success
2 0.90 0.61 2.30 78%
3 0.51 0.90 5.30 89%
4 0.27 1.00 100%

Validation Study (Mintken et al., 2017):

Analysis p-value
Linear Mixed-Model with Repeated Measures 0.094
Positive on Rule MT+Ex v. Ex Only (SPADI) 0.69
3-way Interaction (SPADI) 0.27
3-way Interaction (Pain Score) 0.70
Repeated Measures Analyses (SPADI) 0.62
Repeated Measures Analyses (Pain Score) 0.87

Continued Learning…

screen shot 2019-01-13 at 4.00.26 pm screen shot 2019-01-13 at 4.02.08 pm

screen shot 2019-01-13 at 1.52.39 pm


Continued Reading…

      


Screen Shot 2019-01-01 at 12.03.37 PM

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s