Table 3.
The efficacy of joint mobilization and manipulation in other tendinopathies
| Author and year | Study design | Participants | Intervention | Outcome measure | Results |
|---|---|---|---|---|---|
| 73 | Case study | 1 patient with medial elbow tendinopathy | Scaphoid mobilization and radio-ulnar mobilization, combined with friction massage, ischemic compression of trigger points around the medial epicondyle area, eccentric exercises and ice. | Not reported | At a one-year follow up, the patient reported complete resolution of symptoms with no recurrence. |
| 74 | Case study | 1 patient with medial elbow tendinopathy | Carpal and radio-ulnar mobilization and manipulation, combined with myofascial release, stretching, forearm muscle strengthening, electrical stimulation and ice. | NPRS, wrist flexor strength | At the end of treatment protocol [including 7 treatment visits], the patient showed significant improvement in pain and flexor strength and therefore she could perform activities of daily living with little discomfort. |
| ]75 | Case study | 1 patient with de Quervain’s disease | Mobilization with movement and conventional joint mobilization techniques applied to the first carpometacarpal, radiocarpal, and midcarpal joints along with superficial heat, ice, iontophoresis, active range-of-motion exercises and transverse friction massage directed to the first dorsal tunnel. | Universal goniometer, NPRS | Over the course of 2 months, the patients presented improvement for all motions of the wrist and first carpometacarpal joint as well pain reduction. |
| Case series | 4 patients with de Quervain’s disease | Mobilization with movement of the first carpometacarpal joint combined with eccentric muscle training, and high-voltage electrical stimulation. | NPRS, DASH | At 6-month follow-up, all patients reported minimal pain and disability. | |
| 77 | Case series | 3 patients with de Quervain’s disease | Several techniques including carpometacarpal thrust and non-thrust manipulation, end range radiocarpal mobilization and mobilization with movement of the first carpometacarpal joint were applied combined with strengthening exercises, and grip proprioception training. | NPRS, DASH, GSM | At 6-month follow-up, all patients reported minimal pain and disability and improvement in GS. |
| Jayaseelan et al., 83 | Case series | Three patients with Achilles tendinopathy | Joint mobilization, manipulation and mobilization with movement were applied to the foot and ankle joint in addition to eccentric loading exercises and calf stretching. | NPRS, VISA-A, PPT, GROC | Immediate improvements in pain and function were detected. These improvements were maintained at a nine-month e-mail follow up. |
| 34 | Case series | Three patients with Achilles tendinopathy | Joint mobilization and manipulation were applied to the foot and ankle joint along with hip mobilization. | VISA-A, FAAM, GROC | Improvements in pain and function were detected maintained at one-year follow-up. |
NPRS, numerical pain rating scale; DASH, disabilities of the arm, shoulder and hand questionnaire; GSM, grip strength measurement; VISA-A, Victorian institute for sport assessment questionnaire; PPT, pressure pain thresholds; GROC, global rating of change scale; FAAM, foot and ankle measure