First Rib Mobilization for Shoulder Pain
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if a hands-on physical therapy technique, called first rib mobilization, can quickly ease shoulder pain and improve movement. Participants will receive either this therapy or a placebo version that resembles the treatment but does not target the rib, to compare results. The trial seeks individuals experiencing shoulder pain, currently undergoing physical therapy, and finding their pain disruptive in daily life. As an unphased trial, it offers a unique opportunity to explore innovative therapy techniques that could enhance the physical therapy experience.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that first rib mobilization is safe for individuals with shoulder pain?
Research has shown that first rib mobilization is usually well-tolerated. In studies using this method, people with shoulder pain often experienced less pain and improved mobility, without major side effects. No reports have linked serious problems directly to this therapy, suggesting that first rib mobilization is safe for treating shoulder pain. However, as with any treatment, individual experiences may vary, and discussing any concerns with a healthcare provider is always advisable.12345
Why are researchers excited about this trial?
Researchers are excited about first rib mobilization for shoulder pain because it offers a hands-on, non-invasive approach that targets a specific area often overlooked in traditional treatments. Unlike standard care options like anti-inflammatory medications, physical therapy focusing on general shoulder exercises, or even corticosteroid injections, this technique specifically addresses the first rib's potential role in shoulder discomfort. By mobilizing the first rib, it may relieve pressure and improve shoulder mechanics, potentially offering relief more directly and effectively than broader treatment methods.
What evidence suggests that first rib mobilization is effective for shoulder pain?
Research has shown that moving the first rib can help reduce shoulder pain and improve movement. One study found that participants experienced a 51% decrease in shoulder pain and improved shoulder movement after treatment. Another study discovered that combining rib movement with exercise enhanced shoulder function and pain, demonstrating benefits beyond a placebo effect. In this trial, participants in the First Rib Mobilization Group will receive this treatment to assess its effectiveness. Meanwhile, the Sham Mobilization Group will receive a sham treatment to determine the true impact of rib mobilization. These findings suggest that first rib mobilization might help people with shoulder pain feel better and move more easily.12367
Are You a Good Fit for This Trial?
This trial is for individuals experiencing shoulder pain. Participants will undergo a single session of physical therapy where they'll receive either first rib mobilization or a sham treatment, which mimics the real technique without actual mobilization.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either first rib mobilization or sham mobilization during a single session of physical therapy
Follow-up
Participants are monitored for immediate effects on pain and range of motion after treatment
What Are the Treatments Tested in This Trial?
Interventions
- First Rib Mobilization
- Sham Comparator
Find a Clinic Near You
Who Is Running the Clinical Trial?
Andrews University
Lead Sponsor
Lebanon Valley College
Collaborator