Abstract
Background: Up to 20% of the adult population experiences shoulder symptoms at any one time. Shoulder pain is the second most common musculoskeletal condition in the upper extremities. It has been reported that 23% of patients that attend physiotherapy clinics and 12% of patients that attend chiropractic clinics have shoulder complaints. Manipulating the C5 facet joints is a popular physiotherapy and chiropractic treatment for referred shoulder pain, however there are no clinical trials evaluating its efficacy. The aim of this study was to determine the effects of applying a force to the C5 facet joints by a mechanically assisted instrument (MAI) in patients presenting with referred shoulder pain.
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