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Table 4 Comparison of evidence in UK evidence report and current review for musculoskeletal upper extremity disorders

From: Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

Condition

Intervention

UK evidence report evidence

New/additional evidence

New evidence?

  

Inconclusive

Moderate

High

Inconclusive

Moderate

High

 

Musculoskeletal- Upper extremity disorders

        

Carpal tunnel syndrome

Mobilisation

Favourable

  

Favourable

  

No

 

Trigger point therapy

Favourable

  

Favourable

  

Yes

 

Diversified chiropractic care

   

Unclear

  

Yes

 

Neurodynamic technique

   

Unclear

  

Yes

 

Soft tissue mobilisation (with or without Graston instrument)

   

Unclear

  

Yes

Lateral epicondylitis

Manipulation

Non-favourable

  

Non-favourable

  

No

 

Manual tender point therapy

Favourable

  

Favourable

  

No

 

Mobilisation with exercise

Favourable

  

Favourable

   

Shoulder disorders

• Shoulder girdle pain/dysfunction

Manipulation/mobilisation (mobilisation with movement)

 

Positive

  

Positive

 

No

• Rotator cuff disorder

Manipulation/mobilisation (with exercise)

Favourable

   

Positive

 

Yes

• Adhesive capsulitis

High grade mobilisation

 

Positive

  

Positive

 

No

 

Mobilisation with movement

   

Favourable

  

Yes

 

Osteopathy (Niel-Asher technique)

   

Favourable

  

Yes

 

Manual therapy with exercise

   

Favourable

  

Yes

• Minor neurogenic shoulder pain

Cervical lateral glide mobilisation and/or high velocity low amplitude manipulation with soft tissue release and exercise

   

Favourable

  

Yes

• Soft tissue shoulder disorders

Myofascial treatments (ischaemic compression, deep friction massage, therapeutic stretch)

    

Positive

 

Yes