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Table 4

Comparison of evidence in UK evidence report and current review for musculoskeletal upper extremity disorders

Condition
Intervention
UK evidence report evidence
New/additional evidence
New evidence?
  InconclusiveModerateHighInconclusiveModerateHigh 
Musculoskeletal - Upper extremity disorders
 
 
 
 
 
 
 
 
Carpal tunnel syndrome
Mobilisation
Favourable
 
 
Favourable
 
 
No
 
Trigger point therapy
Favourable
 
 
Favourable
 
 
Yes
 
Diversified chiropractic care
 
 
 
Unclear
 
 
Yes
 
Neurodynamic technique
 
 
 
Unclear
 
 
Yes
 
Soft tissue mobilisation (with or without Graston instrument)
 
 
 
Unclear
 
 
Yes
Lateral epicondylitis
Manipulation
Non-favourable
 
 
Non-favourable
 
 
No
 
Manual tender point therapy
Favourable
 
 
Favourable
 
 
No
 
Mobilisation with exercise
Favourable
 
 
Favourable
 
 
 
Shoulder disorders
• Shoulder girdle pain/dysfunction
Manipulation/mobilisation (mobilisation with movement)
 
Positive
 
 
Positive
 
No
• Rotator cuff disorder
Manipulation/mobilisation (with exercise)
Favourable
 
 
 
Positive
 
Yes
• Adhesive capsulitis
High grade mobilisation
 
Positive
 
 
Positive
 
No
 
Mobilisation with movement
 
 
 
Favourable
 
 
Yes
 
Osteopathy (Niel-Asher technique)
 
 
 
Favourable
 
 
Yes
 
Manual therapy with exercise
 
 
 
Favourable
 
 
Yes
• Minor neurogenic shoulder pain
Cervical lateral glide mobilisation and/or high velocity low amplitude manipulation with soft tissue release and exercise
 
 
 
Favourable
 
 
Yes
• Soft tissue shoulder disordersMyofascial treatments (ischaemic compression, deep friction massage, therapeutic stretch)    Positive Yes
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