Publications by authors named "Joseph B Strunce"

Article Synopsis
  • Shoulder pain is common and can have various causes; many treatments exist, but the specific effects of thoracic spine and rib manipulation are not well documented.
  • A study with 21 shoulder pain patients found that high-velocity thrust manipulation led to significant pain reduction of 51% and increased shoulder range of motion by 30-38 degrees after just one session.
  • These results indicate that manipulative therapy for the thoracic spine and ribs may effectively improve both pain and mobility in shoulder pain patients, highlighting a connection between these body areas.
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Article Synopsis
  • The study aimed to evaluate the reliability, validity, and clinically important changes in the Neck Disability Index (NDI) among patients with neck pain who were undergoing physical therapy.
  • A total of 91 patients completed the NDI at both the beginning and a 3-week follow-up, and their data helped determine key metrics like the Minimum Clinically Important Difference (MCID) and the Minimal Detectable Change (MDC).
  • The findings indicated that the NDI had moderate reliability and suggested that a 10-point change should be considered significant for clinical improvements based on the observed results.
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Article Synopsis
  • A randomized clinical trial was conducted to evaluate the effectiveness of a manual physical therapy and exercise (MTE) treatment for mechanical neck pain and upper extremity symptoms compared to a minimal intervention (MIN) approach.
  • * The study involved 94 patients, measuring various outcomes like neck disability, pain levels, and patient satisfaction over multiple time points.
  • * Results showed that the MTE group experienced significantly greater improvements in pain and disability scores as well as higher rates of perceived treatment success after one year compared to the MIN group.
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