[Purpose] To investigate effects of thoracic manipulation versus mobilization on chronic
neck pain. [Methods] Thirty-nine chronic neck pain subjects were randomly assigned to
single level thoracic manipulation, single level thoracic mobilization, or a control
group. The cervical range of motion (CROM) and pain ratings (using a visual analog scale:
VAS) were measured before, immediately after and at a 24-hour follow-up. [Results]
Thoracic manipulation significantly decreased VAS pain ratings and increased CROM in all
directions in immediate and 24-hour follow-ups. The thoracic mobilization group
significantly increased in CROM in most directions at immediate follow-up and right and
left rotational directions at the 24-hour follow-up. Comparisons between groups revealed
the CROM for the manipulation group to increase significantly more than for control
subjects in most directions at immediate follow-up and flexion, left lateral flexion and
left rotation at the 24-hour follow-up. The CROM for the thoracic mobilization group
significantly increased in comparison to the control group in flexion at immediate
follow-up and in flexion and left rotation at the 24-hour follow-up. [Conclusion] The
study demonstrated reductions in VAS pain ratings and increases in CROM at immediate and
24-hour follow-ups from both single level thoracic spine manipulation and thoracic
mobilization in chronic neck pain.
Objective. To assess the prevalence of dyslipidemia in 90 patients with spinal cord lesion (SCL) of duration greater than 2 years. The study was carried out from November 2007 to September 2008.Methods. Clinical history, physical examination, and lipid profiles were recorded and analyzed. Dyslipidemia was assessed using guidelines from the National Cholesterol Education Project Adult Treatment Panel III (ATP III).Results. The prevalence of dyslipidemia in at least one lipid parameter was 76.7%. The most frequent finding was low HDL-C (58.9%). Hypertriglyceridemia, hypercholesterolemia and high LDL-C were found in 28.9%, 26.7% and 21.1% of patients, respectively. The factors and age years were associated with high LDL-C ( and ). Patients who exercised less than 30 minutes per day had associated hypercholesterolemia (), hypertriglyceridemia (), and higher LDL-C (). Patients with BMI kg/m2had associated hypercholesterolemia and high LDL-C. Age was a significant determinant of high LDL-C. BMI was the most powerful and significant determinant of hypercholesterolemia and high LDL-C.Conclusion. SCL patients should have a regular lipid checkup, especially those patients having the following risk factors: males, age years, BMI kg/m2and exercise duration minutes per day.
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