PTOtherInternational journal of sports physical therapy2022

Acute Effects of Percussive Therapy on the Posterior Shoulder Muscles Differ Based on the Athlete's Soreness Response.

Jack H Trainer, Matthew Pascarella, Ryan W Paul and 1 others

PMID 35949391

WHAT IT FOUND

Healthy adults who felt more sore after five minutes of percussive therapy on the shoulder had slightly reduced internal rotation range and strength.

Those who did not report increased soreness saw small improvements. The authors note these changes were too small to exceed measurement error.

Key findings

01Participants who reported increased soreness after treatment had decreases in internal rotation range of motion and strength compared to those who did not.

02The negative response group showed a greater increase in teres minor muscle thickness than the positive response group.

03The authors state that the clinical significance of the observed changes is unclear because the numerical values did not exceed measurement error.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study included only healthy, recreationally active volunteers, so the results may not apply to injured patients or competitive athletes. Group assignment was based on a self-reported Likert scale of soreness, which is subject to reporter bias. The observed differences in range of motion and strength were small and did not exceed measurement error, making their clinical relevance unclear. This was a cross-sectional comparison of acute effects, so it does not demonstrate long-term outcomes or efficacy for treatment. One author received the device from the manufacturer and worked for them shortly after the study, although the manufacturer was not involved in the study's conduct.

Declared interests

Jack Trainer received the percussion therapy device from TT Therapeutics to perform the study and was hired by TT Therapeutics shortly after the study's completion. The authors state that TT Therapeutics was not involved in data collection, analysis, interpretation, writing, or approval of the study.

The easy way to misread this

Do not interpret the statistically significant differences in internal rotation range and strength as evidence that percussive therapy causes clinically meaningful changes. The authors state that the numerical values did not exceed measurement error, and the study only compared two groups based on a subjective soreness response rather than testing the therapy against a control.

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