Foreground Question:
Is physical therapy with exercise more effective than exercise in reducing pain in people with shoulder impingement?
P: People with “shoulder impingement”
I: Physical therapy with exercise
C: Exercise
O: Reduce pain
Background Question:
What is “Shoulder Impingment Syndrome?” Shoulder impingment syndrome (SIS), or medically known as subacromial impingment syndrome is a physiological condition in which structures within the shoulder complex are compressed. In healthy shoulder abduction, the convex part of the humeral head is be able to maneuver on the fixed concave glenoid fossa by means of a superior roll and inferior slide. The shoulder’s unique arthrokinematics allow the individual to safely move their arms away from …show more content…
In regards to my question, I have found that the intervention of manual therapy alongside exercise therapy is not as effective as exercise therapy alone in reducing pain. In the first article, the results showed that although pain was reduced with manual therapy and exercise, the difference in effectiveness between the two groups were not far apart. However, this doesn’t discredit the CI, which was at 95%, meaning that other individuals may do well if they are prescribed with manual therapy and exercise. The second article was not as a detailed as the first article, not including the CI or if there were any subjects who left or dropped out the testing. Regardless, their results showed similar to the first article in that pain was reduced with manual therapy and exercise therapy, but the difference between the two groups was not significant enough to be seen as effective. However, there was a slight difference favoring manual therapy and exercise over the other group. In conclusion, both articles were able to answer my question. Although each article’s ability to be generalized is limited, I believe it is a good assessment as to what could be used to reduce pain in people with
Is physical therapy with exercise more effective than exercise in reducing pain in people with shoulder impingement?
P: People with “shoulder impingement”
I: Physical therapy with exercise
C: Exercise
O: Reduce pain
Background Question:
What is “Shoulder Impingment Syndrome?” Shoulder impingment syndrome (SIS), or medically known as subacromial impingment syndrome is a physiological condition in which structures within the shoulder complex are compressed. In healthy shoulder abduction, the convex part of the humeral head is be able to maneuver on the fixed concave glenoid fossa by means of a superior roll and inferior slide. The shoulder’s unique arthrokinematics allow the individual to safely move their arms away from …show more content…
In regards to my question, I have found that the intervention of manual therapy alongside exercise therapy is not as effective as exercise therapy alone in reducing pain. In the first article, the results showed that although pain was reduced with manual therapy and exercise, the difference in effectiveness between the two groups were not far apart. However, this doesn’t discredit the CI, which was at 95%, meaning that other individuals may do well if they are prescribed with manual therapy and exercise. The second article was not as a detailed as the first article, not including the CI or if there were any subjects who left or dropped out the testing. Regardless, their results showed similar to the first article in that pain was reduced with manual therapy and exercise therapy, but the difference between the two groups was not significant enough to be seen as effective. However, there was a slight difference favoring manual therapy and exercise over the other group. In conclusion, both articles were able to answer my question. Although each article’s ability to be generalized is limited, I believe it is a good assessment as to what could be used to reduce pain in people with