Thoracic dysfunction in whiplash associated disorders: a systematic review

Heneghan, Nicola R; Smith, Richard L.; Tyros, I.; Falla, Deborah; Rushton, A.

doi:10.1016/j.physio.2017.11.093

Cited by 4 publications

(7 citation statements)

References 41 publications

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“…posture. This range of presentations is reflected in the epidemiology literature where pain prevalence varies widely (3), is associated with a known condition or disease, or where thoracic pain co-exists with pain in other regions, albeit less severe or secondary to the primary complaint (3,5,6,8).…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Survey development was informed based on current evidence (5,22,23,29,50), expertise (NH, AR) and comparable surveys (34,38). View and participation rates for the survey were excellent compared to other e-surveys (51).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…associated with managing chronic spinal pain continues unabated, with neck and low back pain leading causes of disability globally (1,2). Management of neck and low back pain is informed by evidence-based clinical practice guidelines; however, no comparable guidelines exist for the thoracic spine (TS); despite a growing body of evidence reporting thoracic spine pain and dysfunction (TSPD) (3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…Literature has demonstrated co-existing thoracic pain in musculoskeletal complaints in other regions e.g. neck and elbow (5,7,8), motion analysis studies where full functional arm elevation is affirmed as a composite of shoulder flexion and thoracic extension (10,11) and, TS intervention studies reporting improvements for complaints in the neck (12)(13)(14)(15)(16)(17)(18)(19), shoulder (20)(21)(22)(23), and low back (24). More specifically, passive TS interventions, including joint mobilisation, manipulation, have shown promising improvements in neck (12,15,16,(25)(26)(27) and shoulder complaints (20,21,28).…”

Section: Introductionmentioning

confidence: 99%

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Management of thoracic spine pain and dysfunction: A survey of clinical practice in the UK

Heneghan

Gormley

Hallam³

et al. 2019

Musculoskeletal Science and Practice

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Link to publication on Research at Birmingham portal General rights Unless a licence is specified above, all rights (including copyright and moral rights) in this document are retained by the authors and/or the copyright holders. The express permission of the copyright holder must be obtained for any use of this material other than for purposes permitted by law. • Users may freely distribute the URL that is used to identify this publication. • Users may download and/or print one copy of the publication from the University of Birmingham research portal for the purpose of private study or non-commercial research. • User may use extracts from the document in line with the concept of 'fair dealing' under the Copyright, Designs and Patents Act 1988 (?) • Users may not further distribute the material nor use it for the purposes of commercial gain. Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document. When citing, please reference the published version. Take down policy While the University of Birmingham exercises care and attention in making items available there are rare occasions when an item has been uploaded in error or has been deemed to be commercially or otherwise sensitive.

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Section: Clinical Presentationmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of thoracic spine pain and dysfunction: A survey of clinical practice in the UK

Heneghan

Gormley

Hallam³

et al. 2019

Musculoskeletal Science and Practice

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“…In fact, a recent systematic review reported that the sternocleidomastoid and scalene muscles are also highly affected by TrPs (48%–65%) in patients with whiplash-associated neck pain. 7 However, no clear data about the presence and relevance of TrPs in the scalene muscles are available in mechanical neck pain. 6…”

Section: Introductionmentioning

confidence: 99%

Effects of dry needling of active trigger points in the scalene muscles in individuals with mechanical neck pain: a randomized clinical trial

Arias-Buría

Monroy-Acevedo

Fernández‐de‐las‐Peñas

et al. 2020

Acupunct Med

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Objective: The aim of this study was to compare the effects of dry needling (DN) versus pressure release over scalene muscle trigger points (TrPs) on pain, related disability, and inspiratory vital capacity in individuals with neck pain. Methods: In this randomized, single-blind trial, 30 patients with mechanical neck pain and active TrPs in the scalene musculature were randomly allocated to trigger point dry needling (TrP-DN; n = 15) or pressure release (n = 15) groups. The DN group received a single session of DN of active TrPs in the anterior scalene muscles, and the pressure release group received a single session of TrP pressure release over the same muscle lasting 30 s. The primary outcome was pain intensity as assessed by a numerical pain rate scale (NPRS, 0–10). Secondary outcomes included disability (neck disability index, NDI) and inspiratory vital capacity. Outcomes were assessed at baseline and 1 day (immediately post), 1 week, and 1 month after the treatment session. Data were expressed as mean score difference (Δ) and standardized mean difference (SMD). Results: Patients receiving DN exhibited a greater decrease in pain intensity than those receiving TrP pressure release at 1 month (Δ 1.2 (95% CI–1.8, –0.6), p = 0.01), but not immediately (1 day) or 1 week after. Patients in the DN group exhibited a greater increase in inspiratory vital capacity at all follow-up time points (Δ 281 mm (95% CI 130, 432) immediately after, Δ 358 mm (95% CI 227, 489) 1 week after, and Δ 310 mm (95% CI 180, 440) 1 month after treatment) than those in the pressure release group (p = 0.006). Between-group effect sizes were large at all follow-up time points (1.1 > SMD > 1.3) in favor of DN. Conclusion: This trial suggests that a single session of DN over active TrPs in the scalene muscles could be effective at reducing pain and increasing inspiratory vital capacity in individuals with mechanical neck pain. Future studies are needed to further confirm these results.

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Varied presentations, magnitude, and outcome of traumatic neck injuries at a level I trauma center

Dar

Boddeda

Kaur

et al. 2022

Emergency and Critical Care Medicine

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Introduction:Traumatic neck injuries (TNIs) constitute 5%–10% of all trauma cases. These injuries can be caused by either penetrating or blunt trauma. Patients can have a varied presentation like cut injury over the neck, bleeding, neck swelling, breathing difficulty, dysphagia, etc.Methods:This was a retrospective observational study conducted at a level I trauma center in India from January 2016 to March 2020. One hundred thirty patients who required admission and intervention due to TNIs were included in this study.Results:One hundred thirty patients with neck injuries were included in this study. Males were predominant (91.5%) with the age ranging from 10 to 70 years. The most common mechanism of injury was physical assault (40.7%), followed by road traffic injury (23.8%) and self-inflicted injuries (18.4%). Penetrating trauma was predominant. Open neck wound with bleeding was the most common presenting symptom. Zone II injuries were more common (83.8%) followed by zone I (12.3%) and zone III (3.8%). Soft tissue injury including skin, platysma breach, and strap muscle injury was present in 46.9% of patients. Laryngopharyngeal injury was present in 13.8%, tracheal injury in 28.5%, vascular injury in 13.8%, and esophageal injury in 4.6% of patients.Conclusion:Penetrating neck trauma is more common than blunt in developing countries like India. Advanced Trauma Life Support (ATLS) protocol guides the initial management. The definitive management depends on the type and mechanism of injury, anatomical level, severity, and the organ injured.

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Thoracic dysfunction in whiplash associated disorders: a systematic review

Abstract: Background

Cited by 4 publications

References 41 publications

Management of thoracic spine pain and dysfunction: A survey of clinical practice in the UK

Management of thoracic spine pain and dysfunction: A survey of clinical practice in the UK

Effects of dry needling of active trigger points in the scalene muscles in individuals with mechanical neck pain: a randomized clinical trial

Varied presentations, magnitude, and outcome of traumatic neck injuries at a level I trauma center

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