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Mobilization With Movement for Shoulder Dysfunction in Older Adults: A Pilot Trial
Cristina Lirio Romero1, María Torres Lacomba2, Yurema Castilla Montoro3
1Physiotherapist, State Center of Attention to Brain Injury, Madrid, Spain.
Journal of Chiropractic Medicine
|January 22, 2016
Summary
This pilot study found that the methods for a full clinical trial on mobilization with movement for older adults with shoulder dysfunction are feasible. The research provides a strong foundation for future effectiveness studies.
Area of Science:
- Gerontology
- Physical Therapy
- Clinical Trials
Background:
- Shoulder dysfunction is common in older adults, impacting their quality of life.
- Mobilization with movement is a potential therapeutic approach for improving shoulder function.
Purpose of the Study:
- To evaluate the feasibility of methods for a full randomized clinical trial.
- To assess the effectiveness of mobilization with movement on shoulder functionality in older adults.
Main Methods:
- Pilot randomized single-blinded clinical trial with 44 older adults in nursing homes.
- Intervention: standard physical therapy plus mobilization with movement vs. standard physical therapy alone.
- Outcomes: feasibility metrics (recruitment, adherence) and clinical outcomes (functionality, range of motion, pain).
Main Results:
- High recruitment (100%) and participation rates (95.5-97.7%) were achieved.
- No statistically significant differences were found between groups for clinical outcomes.
- The study demonstrated the feasibility of the proposed research methods.
Conclusions:
- The research methods are suitable for a full clinical trial.
- Further research is warranted to confirm the effectiveness of mobilization with movement.
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