Evidence map›Paper›PMID 37373860›Full record

ArticleJournal of clinical medicine2023

Adduction Manipulation of the Glenohumeral Joint versus Physiotherapy for Atraumatic Rotator Cuff Tears: A Randomized Controlled Trial.

Hiroshi Karasuno, Junichiro Hamada, Yuichiro Yano, Hiroaki Tsutsui, Yoshihiro Hagiwara, Kazuhiro Endo, Takashi Saito

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Hiroshi KarasunoDepartment of Physical Therapy, Josai International University, Togane 283-0002, Japan.ORCID 0000-0002-8234-7934
Junichiro HamadaDepartment of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, Koriyama 963-8034, Japan.
Yuichiro YanoDepartment of Orthopaedic Surgery, Kuwano Kyoritsu Hospital, Koriyama 963-8034, Japan.
Hiroaki TsutsuiDepartment of Orthopaedic Surgery, Fujigaoka Hospital, Showa University, Yokohama 227-0043, Japan.
Yoshihiro HagiwaraAnylom Co., Ltd., Tokyo 104-0061, Japan.ORCID 0000-0002-2992-2178
Kazuhiro EndoDepartment of Rehabilitation, Kuwano Kyoritsu Hospital, Koriyama 963-8034, Japan.
Takashi SaitoDepartment of Rehabilitation, Ono Orthopedic Clinic, Utsunomiya 321-0954, Japan.
Hiroshima Kyoritsu Hospital · JPJosai International University · JPShowa University Fujigaoka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtraumatic rotator cuff tears (ARCTs) are frequently concomitant with adduction restriction of the glenohumeral joint (GHJ). Adduction manipulation (AM) removes the restriction and relieves pain. The present study aimed to investigate the clinical efficacy of AM versus physiotherapy (PT) in ARCTs.

methodsEighty-eight patients with adduction restriction were allocated to the AM and PT groups (

resultsForty-three patients (23 males, average age 71.3 years) in the AM group and 41 (16 males, average age 70.7 years) in the PT group were consequently analyzed. At the 1-month follow-up, VAS, shoulder motion except ER, ASES and Constant scores were much better in the AM group than in the PT group, whereas those in the PT group improved gradually up to 12 months. At the final follow-up, flexion, abduction, and Constant score were significantly better in the AM group than in the PT group. The GAA at the initial and final examinations was -21.6° and -3.2°, respectively, in the AM group, and -21.1° and -14.4°, respectively, in the PT group.

conclusionsThe AM procedure, which had better clinical efficacy than PT, is recommended as the first conservative treatment option for ARCTs.

Indexed as

adduction manipulationadduction restrictionatraumatic rotator cuff tearglenohumeral jointphysiotherapy

Identifiers

PMID37373860
PMCPMC10299471
OpenAlexW4381664615

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.