| Several treatment protocols have been developed for the clinical management of persons with shoulder pain. However available evidence does not support any protocol as being superior over others. Systematic reviews provide some evidence that certain physical therapy interventions are effective, but there is a need for high quality trials of physical therapy. Usually, physical therapy consists of active exercises or mobilisations. It is generally accepted that a-traumatic shoulder problems are the result subacromial impingement. Myofascial trigger points (MTP) in shoulder muscles may also lead to symptoms, that are often seen in shoulder patients. Little is known about the treatment of MTP in patients with shoulder disorders. We want to investigate the prevalence of MTrP in common shoulder disorders. The aim of RCT is to investigate whether physical therapy modalities to inactivate MTP reduce symptoms and improve function in daily activities in a population of chronic shoulder patients. The aim of this research is to 1) explore and describe the use of passive segmental motion testing of the spine within clinical reasoning and decision-making in manual therapy and 2) determine its impact on outcomes in patients with non-specific neck pain. |
