Manipulative Therapy for Patients with Shoulder Symptoms
Authors: Gert J.D. Bergman, Jan C. Winters, Geert J.M.G. van der Heijden
Journal: Annals of Internal Medicine (2005)

Letters1 February 2005Manipulative Therapy for Patients with Shoulder SymptomsGert J.D. Bergman, MSc, Jan C. Winters, MD, PhD, and Geert J.M.G. van der Heijden, PT, PhDGert J.D. Bergman, MScFrom University of Groningen, 9700 AD Groningen, and University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands.Search for more papers by this author, Jan C. Winters, MD, PhDFrom University of Groningen, 9700 AD Groningen, and University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands.Search for more papers by this author, and Geert J.M.G. van der Heijden, PT, PhDFrom University of Groningen, 9700 AD Groningen, and University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-142-3-200502010-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The question regarding subgroup analysis is logical, considering the positive message of our study. Our study was designed to examine the efficacy of additional manipulative treatment for shoulder complaints. At baseline, all of the included patients experienced manifest pain in or dysfunction of the shoulder. At the same time, the physical examination also demonstrated a concomitant dysfunction of the cervicothoracic spine and the adjacent ribs (shoulder girdle dysfunction). We did not perform subgroup analyses on the efficacy of manipulative treatment with regard to specific conditions for several reasons. Subgroup analysis should be based on theoretical considerations. We do ...References1. Pool JJ, Hoving JL, de Vet HC, van Mameren H, Bouter LM. The interexaminer reproducibility of physical examination of the cervical spine. J Manipulative Physiol Ther. 2004;27:84-90. [PMID: 14970808] CrossrefMedlineGoogle Scholar2. Groenier KH, Winters JC, de Jong BM. Classification of shoulder complaints in general practice by means of nonmetric multidimensional scaling. Arch Phys Med Rehabil. 2003;84:812-7. [PMID: 12808531] CrossrefMedlineGoogle Scholar3. Brookes ST, Whitely E, Egger M, Smith GD, Mulheran PA, Peters TJ. Subgroup analyses in randomized trials: risks of subgroup-specific analyses; power and sample size for the interaction test. J Clin Epidemiol. 2004;57:229-36. [PMID: 15066682] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Gert J.D. Bergman, MSc; Jan C. Winters, MD, PhD; Geert J.M.G. van der Heijden, PT, PhDAffiliations: From University of Groningen, 9700 AD Groningen, and University Medical Center Utrecht, 3508 GA Utrecht, the Netherlands. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoManipulative Therapy in Addition to Usual Medical Care for Patients with Shoulder Dysfunction and Pain Gert J.D. Bergman , Jan C. Winters , Klaas H. Groenier , Jan J.M. Pool , Betty Meyboom-de Jong , Klaas Postema , and Geert J.M.G. van der Heijden Manipulative Therapy for Patients with Shoulder Symptoms Richard C. Galgano Metrics 1 February 2005Volume 142, Issue 3Page: 226-227KeywordsRibsShouldersSpine ePublished: 1 February 2005 Issue Published: 1 February 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...