Thoracic Spine Thrust Manipulation Improves Pain, Range of Motion, and Self-Reported Function in Patients With Mechanical Neck Pain: A Systematic Review

Cross, Kevin M.; Kuenze, Christopher; Grindstaff, Terry L.; Hertel, Jay

doi:10.2519/jospt.2011.3670

Cited by 129 publications

(109 citation statements)

References 37 publications

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“…There is an increasing pool of evidence supporting the use of thoracic spine manipulation for treating neck pain, 23,24 while at the same time there are growing safety concerns about manipulating the cervical spine. 13,16 This study shows that Canadian FCAMPTs have similar concerns, since they reported that cervical spine manipulation creates the greatest number of adverse events in their clinical practice, particularly in the mid cervical (vs. upper cervical) spine.…”

Section: Discussionmentioning

confidence: 99%

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Carlesso¹,

MacDermid

Santaguida

et al. 2013

Physiotherapy Canada

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Purpose: This practice survey describes how Fellows of the Canadian Academy of Manipulative Physiotherapy (FCAMPT) use spinal manipulation and mobilization and how they perceive their competence in performing spinal assessment; it also quantifies relationships between clinical experience and use of spinal manipulation. Methods: A cross-sectional survey was designed based on input from experts and the literature was administered to a random sample of the FCAMPT mailing list. Descriptive (including frequencies) and inferential statistical analyses (including linear regression) were performed. Results: The response rate was 82% (278/338 eligible FCAMPTs). Most (99%) used spinal manipulation. Two-thirds (62%) used clinical presentation as a factor when deciding to mobilize or manipulate. The least frequently manipulated spinal region was the cervical spine (2% of patients); 60% felt that cervical manipulation generated more adverse events. Increased experience was associated with increased use of upper cervical manipulation among male respondents (14% more often for every 10 years after certification; b, 95% CI ¼ 1.37, 0.89-1.85, p < 0.001) but not among female respondents. Confidence in palpation accuracy decreased in lower regions of the spine. Conclusion: The use of spinal manipulation/mobilization is prevalent among FCAMPTs, but is less commonly used in the neck because of a perceived association with adverse events.Key Words: beliefs; palpation; spinal manipulation; utilization. RÉ SUMÉObjectif: Cette enquê te sur la pratique explique comment les membres de la Canadian Academy of Manipulative Physiotherapy (CAMPT) utilisent la manipulation ou la mobilisation verté brale et comment ils perc¸oivent leur compé tence en é valuation verté brale. Elle visait é galement à quantifier la relation entre l'expé rience clinique et l'utilisation de la manipulation verté brale. Mé thode: Une enquê te transversale a é té conçue à partir des observations d'experts et de la litté rature. Son questionnaire a ensuite é té envoyé à un é chantillon alé atoire de membres de la CAMPT apparaissant sur la liste d'envoi de cet organisme. Des analyses descriptives (y compris les fré quences) et des analyses statistiques par infé rence (y compris une ré gression liné aire) ont é té ré alisé es. Ré sultats: Le taux de ré ponse é tait de 82% (278 de 338 membres admissibles de la CAMPT). La plupart des ré pondants (99%) ont recours à la manipulation verté brale. Les deux tiers (62%) ont utilisé la pré sentation clinique comme facteur au moment de dé cider de mobiliser ou de manipuler. La ré gion verté brale le moins fré quemment manipulé e é tait la colonne cervicale (2% des patients); 60% des ré pondants estiment que la manipulation cervicale engendre plus d'effets indé sirables. Une plus grande expé rience é tait associé e à une plus grande utilisation de la manipulation cervicale supé rieure chez les ré pondants de sexe masculin (14% plus souvent pour chaque tranche de 10 ans suivant l'agré ment); b1,37, IC de 95% ¼ 0,89-1,85, p <...

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Section: Discussionmentioning

confidence: 99%

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Carlesso¹,

MacDermid

Santaguida

et al. 2013

Physiotherapy Canada

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“…There is a noticeable increase in studies evaluating the clinical effectiveness of thoracic spine Thrust Manipulation in the treatment of patients with mechanical neck pain in recent years [52]. Cleland et al compared the effectiveness of thoracic manipulation in which patients were randomized to either one session of thoracic manipulation or sham manipulation.…”

Section: Thoracic Manipulation Versus Placebomentioning

confidence: 99%

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

et al. 2017

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“…There was improvement in range of motion in all plane of the cervical spine movement but the range was not complete, the end ranges were still restricted. Positive effects were shown to occur immediately after the intervention of thoracic spinal manipulation along with the conventional treatment [8].…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with neck pain often have significant disability which leads to reduced efficiency and substantial economic burden. It has been reported that about 15% of men and 23% of women experience pain at some point of their lives and about half of them experience continuous unremitting pain [1,2]. Individuals with neck pain often have significant disability which leads to reduced efficiency and substantial economic burden.…”

Section: Introductionmentioning

confidence: 99%

Immediate Effects of High Velocity Low Amplitude Thrust Manipulation of the Thoracic Spine on Mechanical Neck Pain, Disability and Cervical Range of Motion

Joglekar¹,

Bhalerao²,

Athavale³

et al. 2017

IJPR

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Background: Neck pain is a common complaint of the general population yet there is no gold standard for treating such cases. This study was undertaken to find out the immediate effects of high velocity low amplitude thrust manipulations of the thoracic spine along with the conventional therapy on mechanical neck pain, disability and cervical range of motion because of the biomechanical relationship of the thoracic and the cervical spine. High velocity low amplitude (HVLA) thrusts at the thoracic spine have been shown to have minimal risk to patients and also to be an effective intervention for spinal pain. Purpose of the study: The purpose of this study is to find out the immediate effects of HVLA thrust of thoracic spine on mechanical neck pain, disability and cervical range of motion. Materials and Methods: The study was conducted in Sancheti hospital, Pune. Total 50 subjects in between age group 18 to 60 years old with mechanical neck pain, restricted cervical ROM were included in the study. This study was performed with random sampling technique (lottery method). The participants were explained their role in the study and a written consent was taken from the patients. Numerical pain rating scale (NPRS) and Neck Disability Index (NDI) were explained to the patient and the scores pre and post intervention was used as the outcome measures. Along with this goniometric evaluation of cervical ROM pre and post intervention was also used as the outcome measure. Results: NPRS and cervical ROM showed a significant p value (< 0.005) within the experimental group post intervention. The p value for NPRS and cervical ROM in between the group is significant (< 0.005). NDI lacks its significance both within the group and in between the group. Conclusion: HVLA thrust of the thoracic spine was effective in immediately reducing mechanical neck pain and improving cervical range of motion. KEY WORDS: HVLA thrust, mechanical neck pain, restricted neck range of motion, thoracic dysfunction.

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Thoracic Spine Thrust Manipulation Improves Pain, Range of Motion, and Self-Reported Function in Patients With Mechanical Neck Pain: A Systematic Review

Cited by 129 publications

References 37 publications

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

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

Immediate Effects of High Velocity Low Amplitude Thrust Manipulation of the Thoracic Spine on Mechanical Neck Pain, Disability and Cervical Range of Motion

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