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The treatment of shoulder pain: Current trends in chiropractic and manual therapy management
Abstracts
41
for the utility of a self-determination theoretical perspective.
ever, manual therapy has been successfully utilised in physiotherapy and two medical publications.
doi:10.1016/j.jsams.2006.12.094
doi:10.1016/j.jsams.2006.12.095
93 The treatment of shoulder pain: Current trends in chiropractic and manual therapy management
94 Does weight training negatively effect longitudinal bone growth in children?
M. Pribicevic, H. Pollard
D. Spurrier 1 , J. Cook 2 , S. Bass 3
Macquarie Injury Management Group (MIMG), Macquarie University, Australia
1 Mitcham
Background: The chiropractic literature contains no standardised approach to the management of shoulder pain, and is supported only by lowgrade evidence based upon published case reports. The common denominator of chiropractic management is the use of a multimodal treatment approach incorporating soft tissue therapy, electrotherapeutics, manipulation and exercises. Other accepted forms of conservative treatment for shoulder disorders include the use of oral nonsteroidal anti-inflammatory drugs, corticosteroids: oral and injections, manipulation under anaesthesia and physiotherapy approaches including exercise, mobilisation, taping and electrotherapeutics. Aim: To describe the clinical management of shoulder pain as described in the literature from a chiropractic and manual therapy perspective. Methodology: A review of publications derived from Medline, Cinahl, Ovid and Science Direct databases. Included were searches from the Cochrane Musculoskeletal Group trials register and Cochrane Controlled Trials Register. Manual searches of textbook and journal bibliographies were utilised with a focus on chiropractic and physiotherapy publications, 1985-present. Results: Fourteen publications utilising manual therapy were captured, of which 10 were published in chiropractic journals, 2 in physiotherapy and 2 in medical journals. The chiropractic papers presented in this review utilised a multimodal treatment approach with an emphasis on high velocity manual techniques, massage, stretching and rehabilitation exercises. Conclusion: The chiropractic literature supports a multimodal treatment approach of shoulder disorders based upon low-grade case report publications. No quality research has been undertaken within the profession to substantiate a particular approach in the form of a controlled trial. How-
Rehabilitation Clinic, University, Australia; University, Australia
2 Latrobe
Australia; 3 Deakin
Participation in sport is associated with many benefits including improved social, mental and physical skill. With any sport there is an associated injury risk. Reducing the risk of injury, particularly in children involved in sport, is essential to maintain physical activity, prevent potential chronic injury and encourage participation in physical activity throughout adult life. In many sports, as the level of competition increases, various training methods are utilised to prepare the athlete, improve performance and prevent injury. With increasing duration of training and competition and a higher intensity of exercise children are exposed to greater risk of injury. The literature reports bone growth disorders in elite level athletes involved in gymnastics, baseball and tennis. Adjunct training for sport such as strength training with weights has many physiological and physical advantages for the athlete. Strength training has, however, been associated with growth plate problems in the developing child. Healthy adult bone structure is dependent on optimal peak bone mass derived during the growing years and physical activity is an essential stimulus for longitudinal bone growth. This presentation will present a systematic review of the literature to investigate if weight training causes problems in bone growth in children. doi:10.1016/j.jsams.2006.12.096 95 Identifying swimmers as water polo or swim team mates from visual displays of less than one second K. Steel 1 , R. Adams 2 , C. Canning 2 1 ACPE
(Australian College of Physical Education), Australia; 2 The University of Sydney, Australia When regional, state or national water polo teams are formed, the selected swimmers must be able to recognise and pass to team-mates who are in better scoring positions, even though the visual
41
for the utility of a self-determination theoretical perspective.
ever, manual therapy has been successfully utilised in physiotherapy and two medical publications.
doi:10.1016/j.jsams.2006.12.094
doi:10.1016/j.jsams.2006.12.095
93 The treatment of shoulder pain: Current trends in chiropractic and manual therapy management
94 Does weight training negatively effect longitudinal bone growth in children?
M. Pribicevic, H. Pollard
D. Spurrier 1 , J. Cook 2 , S. Bass 3
Macquarie Injury Management Group (MIMG), Macquarie University, Australia
1 Mitcham
Background: The chiropractic literature contains no standardised approach to the management of shoulder pain, and is supported only by lowgrade evidence based upon published case reports. The common denominator of chiropractic management is the use of a multimodal treatment approach incorporating soft tissue therapy, electrotherapeutics, manipulation and exercises. Other accepted forms of conservative treatment for shoulder disorders include the use of oral nonsteroidal anti-inflammatory drugs, corticosteroids: oral and injections, manipulation under anaesthesia and physiotherapy approaches including exercise, mobilisation, taping and electrotherapeutics. Aim: To describe the clinical management of shoulder pain as described in the literature from a chiropractic and manual therapy perspective. Methodology: A review of publications derived from Medline, Cinahl, Ovid and Science Direct databases. Included were searches from the Cochrane Musculoskeletal Group trials register and Cochrane Controlled Trials Register. Manual searches of textbook and journal bibliographies were utilised with a focus on chiropractic and physiotherapy publications, 1985-present. Results: Fourteen publications utilising manual therapy were captured, of which 10 were published in chiropractic journals, 2 in physiotherapy and 2 in medical journals. The chiropractic papers presented in this review utilised a multimodal treatment approach with an emphasis on high velocity manual techniques, massage, stretching and rehabilitation exercises. Conclusion: The chiropractic literature supports a multimodal treatment approach of shoulder disorders based upon low-grade case report publications. No quality research has been undertaken within the profession to substantiate a particular approach in the form of a controlled trial. How-
Rehabilitation Clinic, University, Australia; University, Australia
2 Latrobe
Australia; 3 Deakin
Participation in sport is associated with many benefits including improved social, mental and physical skill. With any sport there is an associated injury risk. Reducing the risk of injury, particularly in children involved in sport, is essential to maintain physical activity, prevent potential chronic injury and encourage participation in physical activity throughout adult life. In many sports, as the level of competition increases, various training methods are utilised to prepare the athlete, improve performance and prevent injury. With increasing duration of training and competition and a higher intensity of exercise children are exposed to greater risk of injury. The literature reports bone growth disorders in elite level athletes involved in gymnastics, baseball and tennis. Adjunct training for sport such as strength training with weights has many physiological and physical advantages for the athlete. Strength training has, however, been associated with growth plate problems in the developing child. Healthy adult bone structure is dependent on optimal peak bone mass derived during the growing years and physical activity is an essential stimulus for longitudinal bone growth. This presentation will present a systematic review of the literature to investigate if weight training causes problems in bone growth in children. doi:10.1016/j.jsams.2006.12.096 95 Identifying swimmers as water polo or swim team mates from visual displays of less than one second K. Steel 1 , R. Adams 2 , C. Canning 2 1 ACPE
(Australian College of Physical Education), Australia; 2 The University of Sydney, Australia When regional, state or national water polo teams are formed, the selected swimmers must be able to recognise and pass to team-mates who are in better scoring positions, even though the visual