Immediate Changes in Neck Pain Intensity and Widespread Pressure Pain Sensitivity in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Controlled Trial of Thoracic Thrust Manipulation vs Non–Thrust Mobilization

Salom‐Moreno, Jaime; Ortega‐Santiago, Ricardo; Cleland, Joshua A.; Palacios‐Ceña, María; Truyols-Domínguez, Sebastián; Fernández‐de‐las‐Peñas, César

doi:10.1016/j.jmpt.2014.03.003

Cited by 49 publications

(86 citation statements)

References 30 publications

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“…Moreover, thoracic spine mobility was also associated with cervical dysfunctions (11)(12)(13). Poor thoracic spine mobility was treated in neck pain by thoracic spine manipulation or mobilization with acute positive effects on neck pain and motions (14,15). Otherwise, mobility and stability exercises or additional therapies related to the thoracic region may be useful treatments for pain, range of motion, disability, and quality of life in patients with CNP (16,17).…”

Section: Introductionmentioning

confidence: 99%

An investigation of sagittal thoracic spinal curvature and mobility in subjects with and without chronic neck pain: cut-off points and pain relationship

Kaya¹,

Çelenay²

2017

Turk J Med Sci

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Background/aim: Thoracic spine insufficiency is a subject of interest in neck problems. The aim was to investigate thoracic spinal curvature and mobility in subjects with and without chronic neck pain (CNP), cut-off points, and the relationship with pain.Materials and methods: Fifty-six patients with CNP (CNP group) and 53 healthy volunteers (control group) were included. Neck pain intensity of the patients was assessed by visual analogue scale and sagittal thoracic curvature and mobility of all participants were assessed by Spinal Mouse (Idiag, Fehraltorf, Switzerland).Results: Thoracic curvature was higher (P < 0.001) and mobility lower in the CNP group in comparison to the control group (P = 0.013). There was a positive correlation between pain intensity and thoracic curvature (r = 0.391, P < 0.001), while there was a negative correlation between pain intensity and thoracic mobility (r = -0.260, P = 0.006). For detecting neck pain, it was observed that the cut-off points for thoracic curvature and mobility were 45.5° and 30.0°, respectively.Conclusions: An increase in thoracic curvature of more than 45° and a decrease in mobility more than 30° may be critical for CNP patients.

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Section: Introductionmentioning

confidence: 99%

An investigation of sagittal thoracic spinal curvature and mobility in subjects with and without chronic neck pain: cut-off points and pain relationship

Kaya¹,

Çelenay²

2017

Turk J Med Sci

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“…The result of their study suggests superior effect of Thrust Manipulation techniques in all outcome measurements [50]. Another high quality RCT compared thoracic spine Thrust Manipulation with thoracic non-thrust mobilization and concluded that thoracic Thrust Manipulation is a better option for alleviation of neck pain and decreasing pressure pain sensitivity in short term [44].…”

Section: Thoracic Manipulation: Multi Level Versus Single Levelmentioning

confidence: 99%

Effectiveness of Thoracic Manipulation on the Treatment of Patients With Mechanical Non-Specific Neck Pain

et al. 2017

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“…To avoid the potential complications related to thrust techniques, indirect techniques directed to the thoracic spine, such as thoracic thrust manipulation (TTM), are often used by clinicians to treat mechanical neck pain. TTM is thought to produce a hypoalgesic effect on the spine by inhibiting descending pain pathways, such as the periaqueductal grey matter [16]. Studies have demonstrated that TTM appears to increase neck movement, and reduces neck pain and disability, without the exposure to potential adverse events reported during cervical thrust manipulations [17][18][19][20][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Benefits of Thoracic Thrust Manipulation when Applied with a Multi-Modal Treatment Approach in Individuals with Mechanical Neck Pain: A Pilot Randomized Trial

Khoja¹,

Browder²

2015

Int J Phys Med Rehabil

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Objectives: Mechanical neck pain is generally treated with a multimodal approach that includes electro/thermal modalities, exercise and non-thrust manual therapy to the neck. Recent studies reported beneficial effects of thoracic thrust manipulation (TTM) but evidence for additive effects of TTM over multimodal neck program (MNP) is limited. The purpose of this pilot study was to assess the supplementary effects of TTM on pain and disability when applied in addition to a MNP to treat mechanical neck pain.Methods: Twenty-two eligible subjects (age: 38 ± 11 years, BMI: 25 ± 5 Kg/m 2 , 68% female) were randomized to receive MNP only or MNP+TTM for a maximum of 12 sessions. Outcomes were assessed at baseline and at 6 weeks follow up, and consisted of the numeric pain rating scale (NPS), Neck Disability Index (NDI), Global Rating of Change, duration of care, and neck active range of motion (AROM).Results: At 6 weeks both groups showed similar improvement in pain and disability that were clinically important. The NPS improved 2.9 points in the MNP+TTM group and 2.7 points in MNP group. The NDI reduced 14.6% in MNP+TTM and 11.8% in MNP. Increases in neck range of motion were small and similar in both groups. The percentage of subjects who improved in the global rating of change was 60%. Both groups reported similar duration of care (40 and 33 days in the MNP and MNP+TTM respectively).Conclusion: TTM does not appear to provide additional benefits over the MNP on the outcomes of pain, disability, neck range of motion, duration of care or global perception of change.

show abstract

Immediate Changes in Neck Pain Intensity and Widespread Pressure Pain Sensitivity in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Controlled Trial of Thoracic Thrust Manipulation vs Non–Thrust Mobilization

Cited by 49 publications

References 30 publications

An investigation of sagittal thoracic spinal curvature and mobility in subjects with and without chronic neck pain: cut-off points and pain relationship

An investigation of sagittal thoracic spinal curvature and mobility in subjects with and without chronic neck pain: cut-off points and pain relationship

Effectiveness of Thoracic Manipulation on the Treatment of Patients With Mechanical Non-Specific Neck Pain

Benefits of Thoracic Thrust Manipulation when Applied with a Multi-Modal Treatment Approach in Individuals with Mechanical Neck Pain: A Pilot Randomized Trial

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