Abstract：
Evidence supporting type and dosage of joint mobilizations and rationale for selecting joint mobilization dosage for patients with rotator cuff-related shoulder pain are limited.
This scoping review aimed to systematically map the type and dosage of joint mobilizations used in previous trials for managing patients with rotator cuff-related shoulder pain; and summarize the rationale for adopting a specific joint mobilization dosage.
We searched six databases. We included randomised controlled trials using joint mobilization for patients with rotator cuff-related shoulder pain. We extracted data regarding technique, treatment joint mobilization dosages and rationale for a specific dosage.
We included 32 studies. Most studies did not or partially report technique (67%) and within-session dosage (64%) of passive joint mobilization. Overall treatment was fully reported in 95% of studies. The dosage used for passive joint mobilization was heterogeneous (ranging from grade I to grade V). Most studies (85%) did not or partially report technique of mobilization with movement (MWM), whereas within-session and overall treatment dosages were fully reported in more than 85% of studies. Three sets of 10 repetitions were commonly used within-session dosage for MWM. We found very limited information on the rationale for selecting dosage of joint mobilization.
We found limited information about the dosage or the rationale for selecting joint mobilization, with a heterogeneous dosage being tested across trials. Our findings highlight the importance of detailed reporting for dosage and rationale for selecting a specific dosage of joint mobilization.
This scoping review aimed to systematically map the type and dosage of joint mobilizations used in previous trials for managing patients with rotator cuff-related shoulder pain; and summarize the rationale for adopting a specific joint mobilization dosage.
We searched six databases. We included randomised controlled trials using joint mobilization for patients with rotator cuff-related shoulder pain. We extracted data regarding technique, treatment joint mobilization dosages and rationale for a specific dosage.
We included 32 studies. Most studies did not or partially report technique (67%) and within-session dosage (64%) of passive joint mobilization. Overall treatment was fully reported in 95% of studies. The dosage used for passive joint mobilization was heterogeneous (ranging from grade I to grade V). Most studies (85%) did not or partially report technique of mobilization with movement (MWM), whereas within-session and overall treatment dosages were fully reported in more than 85% of studies. Three sets of 10 repetitions were commonly used within-session dosage for MWM. We found very limited information on the rationale for selecting dosage of joint mobilization.
We found limited information about the dosage or the rationale for selecting joint mobilization, with a heterogeneous dosage being tested across trials. Our findings highlight the importance of detailed reporting for dosage and rationale for selecting a specific dosage of joint mobilization.
摘要：
背景：支持肩袖相关性肩痛患者关节活动的类型和剂量以及选择关节活动剂量的理由的证据有限。
目的：本范围综述旨在系统地绘制先前试验中用于治疗肩袖相关肩痛患者的关节活动的类型和剂量图；并总结采用特定关节活动剂量的基本原理。
方法：我们搜索了六个数据库。我们纳入了使用关节动员治疗肩袖相关肩痛患者的随机对照试验。我们提取了有关技术的数据，治疗关节动员剂量和特定剂量的基本原理。
结果：我们纳入了32项研究。大多数研究没有或部分报道被动关节动员的技术（67％）和会内剂量（64％）。总体治疗在95%的研究中得到充分报道。用于被动关节动员的剂量是异质的（范围从I级到V级）。大多数研究（85％）没有或部分报告了运动动员技术（MWM），而超过85%的研究报告了会内和总体治疗剂量.对于MWM，通常在会话内使用三组10次重复。我们发现关于选择关节动员剂量的基本原理的信息非常有限。
结论：我们发现关于选择关节活动的剂量或基本原理的信息有限，在整个试验中测试异质剂量。我们的发现强调了详细报告剂量和选择特定剂量关节动员的基本原理的重要性。
目的：本范围综述旨在系统地绘制先前试验中用于治疗肩袖相关肩痛患者的关节活动的类型和剂量图；并总结采用特定关节活动剂量的基本原理。
方法：我们搜索了六个数据库。我们纳入了使用关节动员治疗肩袖相关肩痛患者的随机对照试验。我们提取了有关技术的数据，治疗关节动员剂量和特定剂量的基本原理。
结果：我们纳入了32项研究。大多数研究没有或部分报道被动关节动员的技术（67％）和会内剂量（64％）。总体治疗在95%的研究中得到充分报道。用于被动关节动员的剂量是异质的（范围从I级到V级）。大多数研究（85％）没有或部分报告了运动动员技术（MWM），而超过85%的研究报告了会内和总体治疗剂量.对于MWM，通常在会话内使用三组10次重复。我们发现关于选择关节动员剂量的基本原理的信息非常有限。
结论：我们发现关于选择关节活动的剂量或基本原理的信息有限，在整个试验中测试异质剂量。我们的发现强调了详细报告剂量和选择特定剂量关节动员的基本原理的重要性。
