Analysis of Thoracic Spine Thrust Manipulation for Reducing Neck Pain

Ferreira, Luiz Alfredo Braun; Santos, Lucas Cristiano Fath; Pereira, Wagner Menna; Neto, Hugo Pasini; Christovão, Thaluanna Calil Lourenço; Oliveira, Cláudia Santos

doi:10.1589/jpts.25.325

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…Additionally, abnormal head posture can cause mechanical dysfunction of the cervical joint, which can lead to pain, fibrosis of soft tissue, adaptive shortening, loss of flexibility, and mechanical deformation reflecting the condition of hypomobility, where there is no movement inside the normal joint capsule 20 , 21 ) . When mechanical dysfunction is present in a vertebra, manual therapy is typically performed, and it can be an effective method of relieving neck pain related to such dysfunction 22 ) . JM is used to treat joints with hypomobility or progressive limitation of mobility, by identifying a cervical segment with abnormal mobility and irritating the sensory receptors that sense pain, thus eliciting effects on the muscle, which in turn stimulate the muscles to apply force in the appropriate direction 8 ) .…”

Section: Discussionmentioning

confidence: 99%

Effects of the active release technique on pain and range of motion of patients with chronic neck pain

2015

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[Purpose] To compare the influences of the active release technique (ART) and joint mobilization (JM) on the visual analog scale (VAS) pain score, pressure pain threshold (PPT), and neck range of motion (ROM) of patients with chronic neck pain. [Subjects] Twenty-four individuals with chronic neck pain were randomly and equally assigned to 3 groups: an ART group, a joint mobilization (JM) group, and a control group. Before and after the intervention, the degree of pain, PPT, and ROM of the neck were measured using a VAS, algometer, and goniometer, respectively. [Results] The ART group and JM group demonstrated significant changes in VAS and ROM between pre and post-intervention, while no significant change was observed in the control group. Significant differences in the PPT of all muscles were found in the ART group, while significant differences in all muscles other than the trapezius were found in the JM group. No significant difference in PPT was observed in any muscle of the control group. The posthoc test indicated no statistically significant difference between the ART and JM group, but the differences of variation in VAS, PPT, and ROM were greater in the ART group than in the JM and control groups. [Conclusion] ART for the treatment of chronic neck pain may be beneficial for neck pain and movement.

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Section: Discussionmentioning

confidence: 99%

Effects of the active release technique on pain and range of motion of patients with chronic neck pain

2015

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“…This research includes the sensory receptors of proprioception, neural pathways, the nerve centres, test methods, training methods, influencing factors and other aspects 2 , 3 ) . Many research achievements have been applied to the improvement of sports skills, the prevention and rehabilitation of sports injuries,and the risk assessment and prevention of falls by the elderly 4 , 5 ) .…”

Section: Introductionmentioning

confidence: 99%

Correlation study of knee joint proprioception test results using common test methods

et al. 2016

J Phys Ther Sci

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[Purpose] To study the correlation of the results obtained from different proprioception test methods, namely, the joint angle reset method, the motion minimum threshold measurement method, and the force sense reproduction method, performed on the same subjects’ knees. [Subjects and Methods] Different proprioception test methods, the joint angle reset method, the motion minimum threshold measurement method and the force sense reproduction method were used to test the knees of 30 healthy young men. [Results] Correlations were found in the following descending order from strong to weak: the correlation between the joint angle reset method and the force sense reproduction method (correlation coefficient of 0.41), the correlation between the joint angle reset method and the motion minimum threshold measurement method (correlation coefficient of 0.29), the correlation between the motion minimum threshold measurement method and the force sense reproduce method (correlation coefficient of 0.15). [Conclusion] No correlation was found among the results obtained using the joint angle reset method, the motion minimum threshold measurement method and the force sense reproduction method. Therefore, no correlation was found among the position sense, the motion sense and the force sense represented by these methods. Using the results of only one of the test methods to represent proprioception is one-sided. Force sensation depends more on the sensory input of information from the Golgi tendon organs, motion sense depends more on the input information of the muscle spindles, and position sense relies on the double input information of the muscle spindles and the Golgi tendon organs.

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“…Spinal manipulation elicits immediate effects on recovery of function, such as pain alleviation and ROM improvement, than conservative physical therapy. In addition, according to previous studies, manipulation is more effective at reducing pain than conservative muscle training 7 ) .…”

Section: Introductionmentioning

confidence: 75%

Changes in proprioception and pain in patients with neck pain after upper thoracic manipulation

2015

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[Purpose] The purpose of this study was to conduct cervical stability training and upper thoracic manipulation for patients with chronic neck pain and then investigate the changes of cervical proprioception and pain. [Subjects and Methods] Subjects were 30 workers with mechanical neck pain, who were randomly divided into an upper thoracic manipulation group and a cervical stability training group. Upper thoracic manipulation after cervical stability training was conducted for the upper thoracic manipulation group, and only stability training was conducted for the cervical stability training group. The intervention period was six weeks, and consisted of three sessions a week, each of which lasted for 30 minutes. For proprioception measurement, an electro-goniometer was used to measure reposition sense before and after the intervention. The visual analogue scale was used to assess pain. [Results] After the intervention, the error angle was significantly smaller in flexion and right left side-bending, and pain was significantly reduced in the upper thoracic manipulation group. According to the post intervention comparison of the two groups, there were significant differences in the proprioception and pain values. [Conclusion] Conducting both cervical stability training and upper thoracic manipulation for patients with chronic neck pain was more helpful for the improvement of proprioception and pain than cervical stability training alone.

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Analysis of Thoracic Spine Thrust Manipulation for Reducing Neck Pain

Cited by 5 publications

References 29 publications

Effects of the active release technique on pain and range of motion of patients with chronic neck pain

Effects of the active release technique on pain and range of motion of patients with chronic neck pain

Correlation study of knee joint proprioception test results using common test methods

Changes in proprioception and pain in patients with neck pain after upper thoracic manipulation

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