Is manual therapy good for reducing hemiplegic shoulder pain?

The effect of manual therapy on pain and functionality of patients wi̇th hemiplegic shoulder pain.


The aim of this study is to examine the effect of manual therapy techniques on the improvement of parameters such as shoulder pain and motor functionality of upper extremity and range of motion with hemiplegic shoulder pain.

Thirty patients between 18-75 were included in the study. The participants were divided into two groups as 15 patients in Manual Therapy Group and 15 patients in Control Group. Stretching, strengthening, Range of Motion, Activities of Daily Living Exercises, cold application and Transcutaneous Electrical Nerve Stimulation were applied to all patients. Manual therapy was applied to Manual Therapy Group in addition to classical physiotherapy. Assessments were made before and after treatment. The demographic and clinical data of the patients were recorded. Goniometer for a rangeof motion of the shoulder, Visual Analogue Scale for pain, Fugl-Meyer upper extremity motor functionality scale and Barthel index for functionality were used for assessments and treatments. SPSS v23.0 was used for statistical analysis. p ≤ 0.05 was considered a statistically significant difference. Statistically significant differences were found in all clinical values in both groups (p < 0.05).In the comparison between the groups, there was no statistically significant difference was found in all clinical evaluations (p> 0.05).

As a result, it was seen that manual therapy had no superiority over other modalities in the point of pain, functionality, range of motion.These two methodscan be applied to the patients when planning of rehabilitation progress and manual therapy can be used for treatment if physiotherapist considers it as a necessity.

Keywords: Stroke, Shoulder Pain, Hemiplegia, Manual Therapies, Upper Extremity

– Study made by Emre Demir

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