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

2 comments

  1. Shoulder pain is becoming a concern these days. A person who is experiencing always wishes to get rid of the pain and we thankfully have great remedies for the same. Thank you for sharing the post.

    Like

  2. With the rapid competition in any field, there are hardly few people who are lucky enough not to have back pain and shoulder pain. Helpful information. Thanks for the post.

    Like

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

%d bloggers like this: