Predictors of Improvement of Shoulder Pain with Cervical and Thoracic Manipulation

Cervical and Thoracic Adjusting Seminar

Mintken studied people with shoulder pain between the ages of 18-65 to see if any factors could predict a good response to cervical and thoracic manipulation. Using a program of 1 -3 sessions of both cervical and thoracic manipulations and home exercise, the following factors were predictive of improvement in pain in 61% of those studied:

  1. Pain-free shoulder flexion < 120˚
  2. Shoulder internal rotation < 53˚ @ 90˚ of abduction
  3. Negative Neer’s Test
  4. Not taking medications for their shoulder pain
  5. Symptoms < 90 days


Mintken PE, Cleland JA, Carpenter KJ, Bieniek ML, Keirns M, Whitman JM. Some Factors Predict Short-Term Outcomes in Individuals with Shoulder Pain Receiving Cervicothoracic Manipulation: A Single-Arm Trial. Phys Ther.2010; 90(1): 26-42.

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