Mode
Text Size
Log in / Sign up

Joint Mobilization as an Adjunctive Treatment for Shoulder Impingement SyndromeJoint mobilization helps reduce pain in shoulder impingement syndrome

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Joint mobilization provides significant short-term improvements in pain and mobility when added to standard physical therapy.

This meta-analysis evaluated the efficacy of joint mobilization in managing shoulder impingement syndrome (SIS). By comparing mobilization against sham treatments and standard physical therapy, researchers aimed to quantify improvements in clinical outcomes including pain levels and functional mobility.

Results indicate that adding joint mobilization to traditional physical therapy significantly reduces patient pain and increases active range of motion. Furthermore, patients showed improved Constant-Murley scores and reduced disabilities of the arm, shoulder, and hand compared to standard care alone.

When compared directly against sham interventions, joint mobilization demonstrated superior results in both pain reduction and mobility gains. However, no statistically significant difference was found when comparing physical therapy combined with mobilization versus physical therapy combined with exercise.

While promising for short-term clinical improvements, the study notes high heterogeneity among data points. Future research should focus on larger sample sizes and long-term follow-up to determine the durability of these benefits and identify specific effective techniques.

Living with shoulder impingement syndrome often means dealing with nagging pain and a limited range of motion. It can make simple daily tasks, like reaching for a shelf or lifting objects, feel like a constant struggle. New data suggests that adding joint mobilization—a manual therapy technique—to your standard physical therapy routine might help manage these symptoms.

Researchers looked at data from 956 patients to see how this extra step performed. They found that when joint mobilization was added to traditional physical therapy, patients reported less pain and were able to move their arms more freely. The study also showed improvements in overall function scores, which measure how much the condition affects daily life.

While these results are encouraging, there are important details to keep in mind. These benefits were observed in the short term, and the study notes that mobilization is best used as an addition to your current treatment rather than a replacement for it. Because of differences in how various studies were conducted, more large-scale research is needed to see exactly which techniques work best over a longer period.

What this means for you:
Adding joint mobilization to standard physical therapy can provide short-term relief from shoulder pain and stiffness.

Common questions

What is joint mobilization?

Joint mobilization is a manual therapy technique where a provider moves a joint through its range of motion. In this study, it was tested as an addition to traditional physical therapy for people with shoulder impingement syndrome.

Does joint mobilization work better than other treatments?

The study found that adding joint mobilization to standard physical therapy improved pain and movement. However, when comparing physical therapy plus mobilization against physical therapy plus exercise, no statistically significant differences were found between the two.

How long do the benefits of this treatment last?

The research indicates that these improvements in pain and range of motion are considered short-term benefits. Because the study did not include a long-term follow-up, you should talk to your doctor about how often to continue treatment.

Study Details

Study typeMeta analysis
Sample sizen = 956
EvidenceLevel 1
PublishedJan 2026
View Original Abstract ↓
BACKGROUND: No systematic review has examined the clinical effectiveness of mobilization for shoulder impingement syndrome (SIS). We aimed to evaluate clinical effectiveness for the use of mobilization in SIS. METHODS: PubMed, Embase and the Cochrane Library were searched for studies published up to April 30, 2023. Randomized controlled trials that evaluated the effectiveness of mobilization for SIS were included. Literature was extracted using Endnote 20, and the risk of bias was assessed using the Cochrane risk-of-bias tool 2.0. A meta-analysis was conducted using RevMan 5.4. This study was conducted in accordance with the PRISMA guidelines. RESULTS: Nineteen randomized controlled trials (956 participants) were selected based on the inclusion criteria. Adding mobilization to traditional physical therapy reduced pain (mean difference [MD]=1.72, 95% confidence interval [CI]: 0.91 to 2.53, I2 = 97%, p < 0.00001), increased active range of motion (MD = 14.49, 95% CI: 8.46 to 20.53, I2 = 95%, p < 0.00001), and improved the disabilities of the arm, shoulder, and hand (MD = 5.95, 95% CI: 0.01 to 11.90, p = 0.05) and Constant-Murley scores (MD = 5.49, 95% CI: 0.78 to 10.19, p = 0.02). Joint mobilization was more effective in reducing pain (MD = 0.67, 95% CI: 0.15 to 1.19, p = 0.01) and increasing active range of motion (MD = 8.56, 95% CI: 2.31 to 14.82, p = 0.007) compared with sham mobilization. No statistically significant differences were found between physical therapy plus mobilization and physical therapy plus exercise. CONCLUSION: Mobilization may offer adjunctive, short-term benefits in improving the clinical symptoms of SIS when added to conventional treatments. Future studies should focus on evaluating the effects of mobilization as a stand-alone intervention, incorporate larger sample sizes and long-term follow-up, and conduct high-quality comparative trials to identify the most effective specific mobilization techniques.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.